焦虑,坚持相同和强迫之间的相互关系的跨诊断检查
Emily Spackman1, Lacey Chetcuti2, Emma K Baker1
1Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.
概括
焦虑与坚持同样性 (IS) 和神经发育和神经精神疾病中的强迫性有关. 这些关联在诊断群体中是一致的,强调了焦虑在这些行为中的跨诊断作用.
科学领域:
- 神经科学
- 儿童和青少年精神病学
- 心理学
背景情况:
- 在各种神经发育 (NDD) 和神经精神疾病 (NPD) 中观察到坚持相同性 (IS) 和强迫性.
- 以前的研究主要集中在特定的诊断类别中的这些行为,如自闭症和强迫症 (OCD).
- 在更广泛的NDD和NPD中,焦虑和强迫症的作用尚未经验研究.
研究的目的:
- 在一个大规模的儿童和青少年跨诊断样本中检查焦虑,IS和强迫症之间的关联.
- 确定焦虑是否与IS或各种诊断群体之间的强迫行为有不同的联系模式.
- 确认IS的跨诊断性和强迫性以及焦虑在这些行为中的作用.
主要方法:
- 招募了1852名儿童和青少年 (平均年龄10.36岁) 的跨诊断样本,其中包括自闭症,多动症,内化障碍,强迫症/Tic障碍和ODD/CD.
- 使用重复行为量表 (Repetitive Behavior Scale-Revised) 评估了对相同性的坚持和强迫.
- 使用儿童焦虑相关疾病查仪测量焦虑.
主要成果:
- 在诊断组 (自闭症,ADHD,强迫症/Tic) 中,焦虑与IS的相关性略强于强迫症,尽管影响规模很小.
- 在诊断组中,焦虑,IS和强迫症之间的相互关系没有显著差异.
- 在ADHD组与自闭症和ODD/CD组相比,IS与强迫症之间的关联略微弱.
结论:
- 这些发现支持IS的跨诊断性和NDD和NPD的强迫性.
- 焦虑在IS和强迫症中起着重要作用, 无论最初的诊断如何.
- 这些结果表明,在各种儿童和青少年精神疾病中,存在一种共同的潜在机制,涉及到IS表现中的焦虑和强迫行为.
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