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在儿科强迫症中避免:症状现象学和临床相关性
Abigail E Pine1, Eric A Storch2, Wayne K Goodman2
1Division of Child & Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America; Developmental Behavioral Health, Kennedy Krieger Institute, Baltimore, MD, United States of America.
避开行为在儿科强迫症 (OCD) 中很常见,显著恶化症状和功能障碍. 评估避免对于强迫症儿童和青少年的有效治疗至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为心理学 行为心理学
- 临床心理学 临床心理学
背景情况:
- 儿科强迫症 (OCD) 通常涉及避开和家庭住宿.
- 家庭住宿得到了充分的研究,但儿童强迫症中避免仍然未得到充分的研究.
- 避免可以掩盖症状严重程度,使诊断复杂化,并降低治疗疗效.
研究的目的:
- 在患有强迫症的年轻人中描述回避行为.
- 检查避免的临床相关性,包括症状严重程度,情绪,家庭适应和功能障碍.
- 探索避免对功能障碍的间接影响.
主要方法:
- 一项针对101名寻求治疗的儿童和青少年 (年龄在7~17岁) 强迫症的横截面研究.
- 使用儿童耶鲁-布朗强迫症强迫性度量II (CY-BOCS-II) 测量了避免.
- 青年自我报告和家长报告被用来评估抑郁症,焦虑,家庭适应和功能障碍.
主要成果:
- 避免行为很普遍,由76%的参与者报告.
- 避免的年轻人表现出更高的强迫症症状严重程度,情绪症状,家庭住宿和功能障碍.
- 预先的调解分析表明,避免通过强迫症症状严重程度间接影响功能障碍.
结论:
- 避免是儿科强迫症的一个重要和普遍的问题.
- 评估避免对于准确评估强迫症青少年的功能障碍至关重要.
- 针对避免治疗的有针对性的干预措施是改善治疗结果所必需的.
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