Abstract
Objective
Anger attacks have been observed in patients with obsessive-compulsive disorder (OCD), often triggered by obsessional triggers. However, few studies have reported the clinical characteristics and correlates of anger attacks among Chinese patients with OCD.
Methods
A total of 90 adults with a primary diagnosis of OCD, ranging from 15 to 78 years old, participated in the study. Participants were administered the Rage Outbursts and Anger Rating Scale (ROARS), Yale-Brown Obsessive-Compulsive Scale-Second Edition, and Brown Assessment of Beliefs Scale by a trained clinician. Patients completed the Obsessive-Compulsive Inventory-Revised and Depression Anxiety Stress Scale-21.
Results
A total of 31.3% of participants reported anger outbursts in the past week, and ROARS scores had no significant correlation with age, duration of illness, OCD severity, depression, or stress. However, ROARS scores were negatively related to education level, and positively related to obsessing symptoms and anxiety.
Conclusions
These data suggest that anger attacks are relatively common in Chinese patients with OCD. The severity of anger attacks is related to educational level, obsessing symptoms, and anxiety, which may be a latent variable reflecting executive functioning and emotion regulation skills.
概 要
目 的
强迫症患者的愤怒发作通常由强迫症状触发。然而, 中国强迫症患者愤怒发作临床特征的相关研究报道较少。本研究主要探讨中国强迫症患者愤怒发作的发生率及其临床相关因素。
创新点
本研究是第一篇探讨中国强迫症患者愤怒发作的临床特点的研究。研究发现:教育水平越高的强迫症患者愤怒发作的严重程度越低。
方 法
九十例 15~78 岁的原发性强迫症患者参与了本研究。研究人员对患者进行了以下量表的评估:愤 怒发作和愤怒严重程度量表 (ROARS)、耶鲁-布朗强迫量表第二版 (Y-BOCS-II) 和布朗信念评估量表 (BABS)。强迫症患者完成了改良强迫问卷-修订版 (OCI-R) 和抑郁焦虑应激量表 (DASS-12)。
结 论
31.3%的强迫症患者在过去一周内有愤怒发作, ROARS 的得分与年龄、疾病病程、强迫症严重程度、抑郁和压力没有显著相关性。ROARS 得分与教育程度呈负相关, 与强迫思维和焦虑程度呈正相关。
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Acknowledgements
The authors thank all participants and Tessa M. H. NEDERPE (as an internship in Department of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China) who gave useful suggestions and language modification.
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Project supported by the Shanghai Pudong New District Health and Family Planning Commission Key Discipline Construction Fund Project (No. PWZxk2017-29), China
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Zhang, Yy., Gong, Hf., Zhang, Xl. et al. Incidence and clinical correlates of anger attacks in Chinese patients with obsessive-compulsive disorder. J. Zhejiang Univ. Sci. B 20, 363–370 (2019). https://doi.org/10.1631/jzus.B1800450
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DOI: https://doi.org/10.1631/jzus.B1800450