【摘要】：目的:探討焦慮障礙及其中強(qiáng)迫癥、恐怖癥發(fā)生的危險(xiǎn)因素。方法:以北京市精神障礙流行病學(xué)調(diào)查使用復(fù)合性國(guó)際診斷交談表(CIDI-3.0)所獲得的社區(qū)焦慮障礙患者150例、恐怖癥患者103例、強(qiáng)迫癥患者60人作為三個(gè)獨(dú)立的病例組;選擇調(diào)查所獲正常人群737人作為共用的對(duì)照組,進(jìn)行病例對(duì)照研究。采用多因素非條件logistic回歸分析焦慮障礙的危險(xiǎn)因素。結(jié)果:焦慮障礙的危險(xiǎn)因素為父母物質(zhì)剝奪(OR=3.95,95%CI:1.20~12.95)和父母讓其做過(guò)危險(xiǎn)事情(OR=2.06,95%CI:1.22~3.51)。強(qiáng)迫癥的危險(xiǎn)因素為女性(OR=2.31,95%CI:1.15~4.62)、農(nóng)村居住地(OR=4.49,95%CI:1.48~13.64)、家庭收入不能滿足日常需要(OR=2.15,95%CI:1.14~4.07)。恐怖癥的危險(xiǎn)因素為父母物質(zhì)剝奪(OR=5.04,95%CI:1.43~17.82)。結(jié)論:影響焦慮障礙及其中強(qiáng)迫癥和恐怖癥發(fā)生的危險(xiǎn)因素主要為童年期的不良經(jīng)歷,包括不良的家庭生活環(huán)境和父母養(yǎng)育方式。
[Abstract]:Objective: to explore the risk factors of anxiety disorder and obsessive-compulsive disorder (OCD) and phobia. Methods: a total of 150 patients with community anxiety disorder, 103 patients with phobia and 60 patients with obsessive-compulsive disorder (OCD) were selected from the Beijing Mental Disorder Epidemiology Survey (CIDI-3.0). A case-control study was conducted with 737 normal subjects as a common control group. Multivariate non-conditional logistic regression was used to analyze the risk factors of anxiety disorder. Results: the risk factors of anxiety disorder were parental material deprivation (OR=3.95,95%CI:1.20~12.95) and parents' having made them do dangerous things (OR=2.06,95%CI:1.22~3.51). The risk factors for obsessive-compulsive disorder were female (OR=2.31,95%CI:1.15~4.62), rural residence (OR=4.49,95%CI:1.48~13.64), and family income was not adequate for daily needs (OR=2.15,95%CI:1.14~4.07). The risk factor for phobia is parental material deprivation (OR=5.04,95%CI:1.43~17.82). Conclusion: the main risk factors of anxiety disorder, obsessive-compulsive disorder and phobia are bad childhood experiences, including poor family living environment and parental rearing style.
【作者單位】： 北京大學(xué)第六醫(yī)院;北京大學(xué)精神衛(wèi)生研究所;衛(wèi)生部精神衛(wèi)生學(xué)重點(diǎn)實(shí)驗(yàn)室(北京大學(xué));
【分類號(hào)】：R749.72

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