Symptom Dimensions in Chinese Patients with Obsessive‐Compulsive Disorder

CNS Neuroscience and Therapeutics - Tập 15 Số 3 - Trang 276-282 - 2009
Ying Li1, Luana Marques2, Devon E. Hinton2, Xiaogang Wang1, Zeping Xiao1
1Shanghai Mental Health Center, Shanghai Jiaotong University, Shanghai, China
2Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA

Tóm tắt

To study the symptom dimensions of Chinese patients with obsessive‐compulsive disorder (OCD), the symptom checklist of the Dimensional Yale–Brown Obsessive‐Compulsive Scale (DY‐BOCS) was used to assess the symptom dimensions of 139 OCD patients at a mental health center in Shanghai. The most common symptom dimensions were symmetry (67.6%), contamination (43.2%), and aggression (31.7%). The frequency of patients with the miscellaneous, sexual/religious, and hoarding symptom dimensions was 25.9%, 10.8%, and 8.6%, respectively. The frequency of male patients with symmetry concerns was higher than that of the female patients, and the frequency of female patients with contamination concerns was higher than that of male patients. OCD symptom dimensions can be identified in the Chinese context but there is a low frequency of endorsement of certain dimensions: sexual/religious, aggression, and hoarding concerns. Future studies need to further investigate the sociocultural and gender factors that may result in these findings: low numbers of people in China with a religious affiliation and the Chinese emphasis on Confucian harmony philosophy, thrift, and saving.

Từ khóa


Tài liệu tham khảo

American Psychiatric Association, 1994, Diagnostic and statistical manual of mental disorders (DSM‐IV)

10.1001/archpsyc.62.6.617

Murray C, 1996, The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020

10.1016/S0165-1781(01)00348-1

10.1159/000284784

10.1176/appi.ajp.162.2.228

Baer L, 1994, Factor analysis of symptom subtypes of obsessive compulsive disorder and their relation to personality and tic disorders, J Clin Psychiatry, 55, 18

10.1176/ajp.154.7.911

10.1016/S0005-7967(98)00134-X

Mataix‐Cols D, 1999, Use of factor‐analyzed symptom dimensions to predict outcome with serotonin reuptake inhibitors and placebo in the treatment of obsessive‐compulsive disorder, Am J Psychiatry, 156, 1409, 10.1176/ajp.156.9.1409

10.1016/j.psychres.2006.09.005

10.1038/sj.mp.4001798

10.1001/archpsyc.1989.01810110048007

10.1001/archpsyc.1989.01810110054008

10.1016/0010-440X(94)90191-0

10.1177/002076409804400207

10.1046/j.1440-1819.2001.00915.x

Sheehan DV, 1998, The Mini‐International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM‐IV and ICD‐10, J Clin Psychiatry, 59, 22

10.1176/ajp.152.1.90

10.1176/appi.ajp.2007.07020340

10.1177/002076402128783055

10.1002/ajmg.1700

10.1016/S0193-953X(18)30205-3

Rasmussen SA, 1990, Epidemiology of obsessive compulsive disorder, J Clin Psychiatry, 51, 10

The current situation of religion in China. Available from:http://www.zytzb.org.cn/zytzbwz/religion(accessed 17 March 2009).

10.1002/0470861657

De Silva P, 1992, Obsessive‐compulsive disorders: The facts

10.1017/S0033291700020572

10.1016/S0010-440X(97)90051-1

10.1016/j.jpsychires.2006.12.009