目的 探讨童年虐待和应对方式与强迫症的相关性.方法 选取60例安徽省精神卫生中心门诊及住院强迫症患者作为研究组, 以54例年龄、性别、教育年限匹配的成年人作为对照组, 采用儿童期虐待问卷 (CTQ) 、简易应对方式问卷 (SCSQ) 、耶鲁-布朗强迫量表 (Y-BOCS) 对研究组和对照组进行施测并比较.结果 (1) 在童年虐待上, 研究组各维度得分和总分均高于对照组, 差异具有统计学意义 (P＜0.05) ;在应对方式上, 研究组在积极应对方式上得分均低于对照组, 在消极应对方式上得分高于对照组, 差异具有统计学意义 (P＜0.05) . (2) 在童年期虐待和应对方式分布上, 研究组有童年期虐待经历组38例 (76.00％) , 无童年期虐待经历22例 (34.44％) ;积极应对方式组23例 (33.82％) , 消极应对方式组37例 (80.43％) , 差异有统计学意义 (P＜0.05) . (3) 强迫障碍患者研究组中, 积极应对方式与情感虐待、躯体虐待、性虐待、情感忽视存在显著负相关 (P＜0.01) ;消极应对方式与情感虐待、性虐待存在正相关 (P＜0.05) . (4) 在控制性别、年龄、教育年限后, 消极应对方式组中, 有童年期虐待的OR为6.012, 而积极应对方式组中, 有童年期虐待的OR仅为2.604.结论 积极应对方式是强迫症的保护性因素, 而消极应对方式、童年期虐待是强迫症的危险因素.%Objective To explore the correlation between childhood abuse and coping style and obsessive-compulsive disorder. Methods A total of 60 outpatients and inpatients with obsessive-compulsive disorder in Anhui mental health center were selected as the study group. 54 adults with age, sex and education years were selected as the control group. The Childhood Abuse Questionnaire (CTQ) and the Simple Coping Style Questionnaire were used (SCSQ) , Yale-Brown Forced Force Scale (Y-BOCS) were tested and compared between the study group and the control group. Results (1) In the childhood abuse, the scores and total scores of the study group were higher than the control group, the difference was statistically significant (P＜0.05) .In the coping style, the research group scored lower on the positive coping style than the control group. The scores on the negative coping style were higher than the control group, the difference was statistically significant (P＜0.05) . (2) In the distribution of childhood abuse and coping style, the study group had 38 cases of childhood abuse experience (76.00％) , 22 cases of childhood abuse (34.44％) , and 23 cases of positive coping style (33.82％) , there were 37 cases (80.43％) in the negative coping style group, the difference was statistically significant (P＜0.05) . (3) In the study group of patients with obsessive-compulsive disorder, there was a significant negative correlation between positive coping style and emotional abuse, physical abuse, sexual abuse and emotional neglect (P＜0.01) . There was a positive correlation between negative coping style and emotional abuse and sexual abuse (P＜0.05) . (4) After controlling for gender, age, and years of education, in the negative coping group, the OR of childhood abuse was 6.012, while in the positive coping group, the OR of childhood abuse was only 2.604. Conclusion The positive coping style is a protective factor for obsessive-compulsive disorder, and negative coping style and childhood abuse are risk factors for obsessive-compulsive disorder.
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