强迫症患者的执行功能特点

发布时间：2018-05-15 09:06

本文选题：强迫症 + 执行功能　；参考：《现代预防医学》2014年05期

【摘要】：目的了解强迫症患者执行功能损害的特点。方法符合中国精神障碍分类与诊断标准第3版诊断标准的强迫症患者(n=40)以及年龄和教育程度匹配的正常对照(n=39),用威斯康星卡片、连线测验、河内塔测验、言语流畅性测验等评定执行功能。结果威斯康星卡片测验中强迫症患者正确应答数少于正常对照(P0.01),错误应答数、持续性错误数高于对照(P0.01),完成第一分类所需的应答数,强迫症患者所需卡片数目多于正常对照(P0.01)。连线测验中,强迫症患者连线A的操作时间较正常对照长(P0.01)。河内塔测试中,强迫症患者操作时间、移动次数、从实验开始到开始移动的时间、出错次数均多于正常对照(P0.05)。结论强迫症总体执行功能水平低于正常对照组,模式转换和计划层面功能损害显著。
[Abstract]:Objective to investigate the characteristics of executive dysfunction in patients with obsessive-compulsive disorder (OCD). Methods obsessive-compulsive disorder (OCD) patients in accordance with the third edition of the Chinese Classification and Diagnostic criteria for Mental Disorder (OCD 40) and the normal control group (age and education level matched) were tested with Wisconsin card, wired test and Hanoi Tower test. A speech fluency test was used to assess executive function. Results in Wisconsin card test, the number of correct responses, the number of error responses and the number of persistent errors in patients with OCD were lower than those in normal controls (P0.01). The number of responses required to complete the first classification was higher in OCD patients than that in normal controls (P0.01g), and the number of cards required by OCD patients was higher than that of normal controls (P0.01g). In the wired test, the operation time of OCD patients with OCD A was longer than that of normal controls (P 0.01). In Hanoi Tower test, the time of operation, the times of movement and the time from the beginning of experiment to the beginning of movement in patients with obsessive-compulsive disorder (OCD) were higher than those in normal controls (P0.05). Conclusion the general executive function level of OCD is lower than that of normal control group.
【作者单位】：新乡医学院第二附属医院临床心理科;
【基金】：河南省卫生科技创新型人才工程专项经费资助(4173) 2013年度河南省教育厅科学技术研究重点项目指导计划(13B190217)
【分类号】：R749.7

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