强迫症患者精神仪式的普遍性和精神病理学特征：对 1001 名患者进行的描述性探索研究。

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-08-09 DOI:10.1002/cpp.2890

João Vítor Bueno Ferrão, Maria Conceição do Rosário, Leonardo F. Fontenelle, Ygor Arzeno Ferrão

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引用次数: 0

摘要

简介心理仪式（MR）是一种没有明显行为或运动迹象的强迫症。目前尚不清楚强迫症患者的精神仪式是否与独特的临床特征有关：本文的主要目的是评估精神仪式在大样本强迫症患者中的患病率和精神病理学相关性：这项探索性病例对照研究从社会人口统计学、强迫症状的存在和严重程度、精神疾病合并症、感觉现象、自杀倾向和洞察力等方面对519名有精神仪式感的患者和447名没有精神仪式感的患者进行了比较：51.8%的样本发现当前有强迫症，55.4%的样本发现终生有强迫症。多重逻辑回归模型确定，与强迫症患者当前MR独立相关的最重要临床因素是无任何感觉现象和终生存在自杀意念：结论：由于与强迫症的临床表现有关，MR是强迫症患者的一个常见特征。结论：由于与强迫症的临床表现相关，MR 是强迫症患者中的一个常见特征，而且似乎还与一系列可能与治疗相关的特征有关，尤其是感觉现象和自杀倾向。

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Prevalence and psychopathology features of mental rituals in patients with obsessive–compulsive disorder: A descriptive exploratory study of 1001 patients

Introduction

Mental rituals (MR) are compulsions with no overt behavioural or motoric signs. It is presently unclear whether MR found in obsessive–compulsive disorder are associated with a distinctive clinical profile.

Objectives

The main objectives of this paper were to assess the prevalence and psychopathological correlates of mental rituals in a large sample of OCD patients.

Methods

This exploratory case–control study compared 519 patients with versus 447 without MR in terms of sociodemographics, presence and severity of obsessive–compulsive symptoms, psychiatric comorbidities, sensory phenomena, suicidality, and insight.

Results

Current MR were found in 51.8%, while lifetime MR were found in 55.4% of the sample. The multiple logistic regression model determined that the most relevant clinical factors independently associated with current MR in OCD patients were the absence of any sensory phenomena and the presence of lifetime suicide ideation.

Conclusion

Due to its relation to OCD clinical aspects, MR are a frequent feature among OCD patients. It also seems to be associated with a range of features that are probably relevant for treatment, especially sensory phenomena and suicidality.

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.