童年虐待对强迫症患者的影响:一项埃及研究

IF 1.5 Q3 PSYCHIATRY Middle East Current Psychiatry Pub Date : 2024-08-12 DOI:10.1186/s43045-024-00447-0
Yasser Abo Raya, Mohammad Gamal Sehlo, Reehab Saeed Mahdy, Heba Mesbah Kotb, Abdallah Saad Ibrahim
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引用次数: 0

摘要

童年受虐史预计会对强迫症(OCD)患者的多个心理领域产生重大影响。本研究旨在评估童年虐待史(情感虐待、身体虐待、性虐待以及情感和身体忽视)对强迫症患者五个心理领域(自尊、抑郁、自杀风险、认知功能和焦虑)的影响。这项横断面研究包括 101 名在扎加齐格大学医院精神科门诊就诊的强迫症患者。他们的诊断依据是 DSM-IV(SCID-I 访谈)。所有患者均接受了童年创伤问卷(CTQ-28)、汉密尔顿抑郁评定量表(HDRS)、汉密尔顿焦虑评定量表(HAM-A)、贝克自杀量表、罗森伯格自尊量表和蒙特利尔认知评估测试(MoCA)量表的评估。研究组中童年受虐待的比例为 74.3%。24.8%的患者遭受过情感虐待,20.8%的患者遭受过身体虐待,16.8%的患者遭受过性虐待,11.9%的患者遭受过情感和身体忽视。不同类型的童年虐待(情感虐待、身体虐待和性虐待)与自尊心下降和抑郁症状增加有显著关联,而情感和身体忽视仅与强迫症患者的自尊心下降有关。性虐待是导致自尊心下降和抑郁的最有力、最重要的预测因素,也是强迫症患者自杀风险增加的唯一重要预测因素。童年受虐史与强迫症患者自尊心下降和抑郁症状增加有显著相关性。只有性虐待史与自杀风险的增加有显著相关性。因此,对强迫症患者的童年虐待史进行评估是非常重要的,应将其纳入管理计划中,以减轻强迫症患者的痛苦,更好地改善病情。
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The impact of childhood abuse on patients with obsessive–compulsive disorder: an Egyptian study
The presence of childhood abuse is expected to have a great impact on several psychological domains on obsessive–compulsive disorder (OCD) patients. This study was designed to assess the psychological impact of history childhood abuse (emotional abuse, physical abuse, sexual abuse, and emotional and physical neglect) on five psychological domains among OCD patients (self-esteem, depression, suicidal risk, cognitive functions, and anxiety). This cross-sectional study included 101 OCD patients who were seen in the psychiatric department’s outpatient clinic at Zagazig University Hospital. They were diagnosed according to DSM-IV (SCID-I interview). All the patients were assessed using Childhood Trauma Questionnaire (CTQ-28), the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HAM-A), Beck’s Suicide Scale, Rosenberg Self-Esteem Scale, and the MoCA scale (Montreal Cognitive Assessment Test). The prevalence of childhood abuse in the studied group was 74.3%. 24.8% with emotional abuse, 20.8% with physical abuse, 16.8% with sexual abuse, and 11.9% of patients with emotional and physical neglect. The different types of childhood abuse (emotional, physical, and sexual abuse) were significantly associated with decreased self-esteem and increased depressive symptoms, while emotional and physical neglect were associated with decreased self-esteem only among OCD patients. The most powerful and significant predictor of lower self-esteem and depression was sexual abuse, and it was also the only significant predictor of increased suicidal risk among OCD patients. History of childhood abuse was significantly associated with decreased self-esteem and increased depressive symptoms among OCD patients. Only history of sexual abuse was significantly associated with increased suicidal risk. So, evaluation of the childhood abuse history is highly important among OCD patients to be incorporated in the management plan to reduce the suffering of OCD patients and for better improvement.
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来源期刊
Middle East Current Psychiatry
Middle East Current Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
3.00
自引率
0.00%
发文量
89
审稿时长
9 weeks
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