강박장애에 있어서 강박적 사고와 행동의 형태와 내용

• 영문명: The Form and Content of Obsessions and Compulsions in the Obsessive-Compulsive Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 이종인 이죽내
• 간행물 정보: 『신경정신의학』제31권 제1호, 75~83쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1992.01.30

영문 초록

This study was to investigate the form and content of obsessions and compulsions in the obsessive-compulsive disorder. The subjects of the study were 160 patients who were diagnosed as obsessive-compulsivedisorder according to DSM-III or DSM-III-R at the psychiatric outpatient clinics Kyungpook and Keimyung University Hospitals over the period of 11 years, Jan. 1980-Dec. 1990. 237 obsessions and 126 compulsions were identified from the subjects and classified into form and content according to the classificatory system designed for this study. In the classificatory system, 6 categories of form and 13 categories of content for obsessions and 4 categories of form and 7 categories of content for compulsions were dilineated. The results were as follows : 1) In obsessions, fear(35.9%) was the most common form followed by thought, doubt, image, and urge in order of the frequency of their occurrence. As the content of obsessions， contamination( 18.6%) was most frequent followed by daily activities, security, harm, abnormal sensation, sex, illness, past, death, philosophy and religion, aggression, and body distortion. In combination of form with content, the fear of contam inationO S^^) was the most common theme followed by doubt about security, fear of harm, doubt of daily activities, fear of illness, and thought of abnormal sensation. 2) In compulsions, the forms of checking(38.9%) and cleaning(38.1 %) revealed almost equally on the top followed by being meticulous and avoiding. As the content of compulsions, daily activities(34.1 %) was most frequent in occurrence and then washing, security, spitting, touching, and counting were followed. In combination of form with content cleaning through washing(31.0%) was the most common theme followed by checking for security, being meticulous of daily activities, and checking of dialy activities. 3) Comparing the above results with the previous studies, the fear of contamination and the cleaning through washing were the most common themes. However, the doubt and the checking for security in this study appeared remarkably in high frequency as compared with the previous studies performed in foreign countres. This may be supposed to reflect mistrust, uncertainty, and insecurity of modern Korean society.

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