强迫症:症状学、对功能的影响和治疗综述。

Focus (American Psychiatric Publishing) Pub Date : 2022-10-01 Epub Date: 2022-10-25 DOI:10.1176/appi.focus.20220058
Anthony Pinto, Jonathan Teller, Michael G Wheaton
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摘要

强迫症(OCPD)是一种慢性疾病,包括过度完美主义、专注于秩序和细节以及需要控制环境的不适应模式。它是普通人群中最常见的人格障碍之一,估计患病率在1.9%至7.8%之间。尽管强迫症患者经常前来接受治疗,但对强迫症治疗的实证研究很少,也没有明确的实证支持的治疗方法。这篇综述概述了OCPD,它的核心特征,它常见的演示风格类型,以及它对功能的影响。我们回顾了迄今为止有限的治疗研究,重点关注针对直接影响这些患者功能的强迫症核心方面的认知行为方法,强调临床医生的要点。我们还讨论了与强迫症及其治疗有关的问题和争议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obsessive-Compulsive Personality Disorder: A Review of Symptomatology, Impact on Functioning, and Treatment.

Obsessive-compulsive personality disorder (OCPD) is a chronic condition that involves a maladaptive pattern of excessive perfectionism, preoccupation with orderliness and details, and the need for control over one's environment. It is one of the most common personality disorders in the general population, with an estimated prevalence ranging from 1.9% to 7.8%. Despite the fact that patients with OCPD often present for treatment, there is little empirical research on treatments for OCPD, and there is no definitive empirically supported treatment for the condition. This review provides an overview of OCPD, its core features, its common presentation style types, and its impact on functioning. We review the limited treatment research to date and focus on cognitive-behavioral approaches targeting core aspects of OCPD that directly affect functioning in these patients, emphasizing take-home points for clinicians. We also address questions and controversies related to OCPD and its treatment.

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