| 摘要: | 本研究旨在探討強迫症個案之症狀嚴重度、正向意念及負向自殺意念、心理健康、家庭功能及社會功能在人口學變項及疾病變項間之差異及相關。採橫斷面研究設計，樣本為77 位門診強迫症個案，研究工具為： 1.基本資料表、2.耶?布朗強迫症狀嚴重程度量表（Y-BOCS）、 3.中文版正面及負面自殺意念量表（PANSI-C）、 4.華人健康量表（CHQ-12）、5.家庭功能評估表（APGAR）、6.簡短版社會功能量表 （SFST）。統計方式以獨立樣本t檢定及ANOVA探討主要研究變項於人口學與疾病變項之間的差異，並以皮爾森積差探討主要研究變項之間的相關。研究結果為：1.未婚、女性較易有強迫行為。自覺強迫症影響適應功能，中度和重度極重度顯著高於中和輕度；中度的強迫行為顯著高於輕度，重度極重度顯著高於中度。2.月薪高於五萬、已婚、扶養子女數一個以上正向意念顯著較高；女性、無職業、自行就醫的負向自殺意念顯著較高。3.男性、教育程度大學或以上、陪同就醫、月薪五萬以上心理健康顯著較優。4.婚姻感情和睦、無共病的家庭功能顯著較優。5.有職業、婚姻感情和睦、工作三年以下、工作四年以上、月薪高於五萬、月薪少於五萬的社會適應功能顯著較高。本研究結果能提供精神心理衛生實務面重要的參考，針對高風險族群提供早期評估及適當介入。
The main objective of this study was to explore the differences between demographic variables and disease variables in the severity of symptoms, positive Ideation, negative suicidal ideation, mental health, family and social function among patients with obsessive-compulsive disorder. A cross-sectional study design was adopted, with a total of 77 outpatient obsessive-compulsive disorder cases participating in this study.The research instruments include:1.Demographic and disease characteristics, 2.Yale-Brown Obsessive Compulsive Scale （Y-BOCS）, 3.Chinese version of the Positive and Negative Suicidel Ideation Scale （PANSI-C）, 4.12-item Chinese Health Questionnaire（CHQ-12）, 5.The Family Adaptation Partnership Growth Affection Resolve Scale（ARGAR）, 6. Social Function Scale-Taiwan short version （SFST）.The Statistical methods of this study used independent sample T-test and ANOVA to explore the differences between the main research variables and demographic and disease variables. Pearson product-moment correlation was used to explore the correlation among the main research variables. The findings of the study were: 1. Unmarried, females were more likely to have compulsive behaviors. Self-perceived obsessive-compulsive disorder affected adaptive functioning, with moderate, severe, and very severe significantly higher than moderate and mild; moderate obsessive-compulsive behavior was significantly higher than mild, severe, and very severe significantly higher than moderate. 2. Positive ideation was significantly higher for those with a monthly salary above $50,000, married, and supporting one or more children; negative suicidal ideation was significantly higher for females, those without a job, and those who sought medical care on their own. 3. Males with a university education or higher, accompanied by somone to seek medical care, and earning more than $50,000 per month had significantly better mental health. 4. Family functioning was significantly better among those who were married and had no co-morbidities. 5. Social adjustment functioning was significantly higher among those who were employed, married and had a good relationship, had worked for less than three years, had worked for more than four years, and earned more than $50,000 per month, and earned less than $50,000 per month. The results of this study can provide an important reference for psychiatric mental health practice, targeting high-risk groups and providing early assessment and appropriate intervention. |
