文章来源:中国心理卫生杂志200304
作者:李占江/邱炳武/王极盛
【作者简介】李占江 首都医科大学附属北京安定医院 (100088)
邱炳武 王极盛 中国科学院心理研究所 (100101)
【内容提要】目的:探讨青少年强迫现象及其发展特点(1)。方法:以班为单位用LOI-CV调查北京市四所中学六个年级72个班的学生,收回有效问卷3185份。平均年龄14.68±1.75岁,男生占52.2%。结果:中学生LOI-CV是/否得分:男8.65±3.56,女8.61±3.40;干扰分:男9.42±7.42,女8.50±6.97。整齐清洁因子是/否分女生高于男生(F[,3104,1]=13.85,P<0.001)而检查重复因子男生高于女生(F[,3115,1]=15.52,P<0.001)。总干扰分男生高于女生(P<0.05),年级对总干扰分及其四个因子的主效应均达显著性水平(F[,3076-3092,5]=3.02~18.59,P<0.05)。强迫症状总检出率为13.6%,且男生高于女生(X[2]=5.40,P<0.05)。男生各年级间强迫症状检出率的差异具有显著性(X[2]=22.81,df=5,P<001),女生年级间的差异无显著性(X[2]=5.50,P>0.05)。结论:中学生普遍存在强迫性体验,男生以检查与重复内容多见,女生以整齐与清洁内容的几率较高。强迫现象具有随年龄增长而呈似'W'型的发展曲线。强迫症状总检出率为13.6%,具有在新入学和即将毕业的年级学生中较高的特点,提示在中学开展心理健康教育干预是非常必要和紧迫的。
【英文摘要】Objective:To explore obsessive-compulsive phenomenon in adolescents.Method:3185 adolescents aged 15±2 year-old(52% male)were measured with Leyton Obsessional Inventory-Child Version(LOI-CV).Result:Total yes/no score of LOI-CV:male 8.65±3.56,female 8.61±3.40.Interfering score:male 9.42±7.42,female 8.50±6.97.The yes/no score of cleanliness and tidiness was higher in female than in male,while that of checking and repetition was higher in male than in female.The total interfering score was also higher in male.The main effect of grade on the total and four factor scores were significant (F=3.02-18.59,P<0.05).The screening out ratio of obsessiv