童年创伤对强迫症状不同维度的影响研究

The Effects of Childhood Trauma on Various Dimensions of Obsessive-Compulsive Symptoms

摘要: 目的：探究个体的童年创伤与强迫症状不同维度间的关系。方法：采用儿童期创伤量表和OCI-R强迫症状量表对603名强迫症状人群进行问卷调查。结果：1) 童年创伤各维度及总分与强迫症状各维度及总分均呈显著的正相关；2) 躯体忽视对清洗维度产生显著的正向影响，回归系数值为0.130 (t = 2.668, p = 0.008)；躯体忽视、情感虐待、情感忽视对检查维度产生显著的正向影响；情感虐待对排序维度产生显著的正向影响，回归系数值为0.166 (t = 3.678, p = 0.000)；情感虐待和情感忽视对强迫观念维度产生显著的正向影响；躯体忽视、情感虐待和性虐待对囤积维度产生显著的正向影响；情感虐待、性虐待和躯体虐待对精神中和维度产生显著的正向影响。结论：童年创伤越严重，则强迫症状越严重，并且不同类型的童年创伤对强迫症状的具体维度产生特定的显著影响。

Abstract: Objective: This study aimed to examine the associations between childhood trauma and different dimensions of obsessive-compulsive symptoms. Methods: A total of 603 individuals with obsessive-compulsive symptoms were surveyed using the Childhood Trauma Questionnaire (CTQ) and the Obsessive-Compulsive Inventory-Revised (OCI-R). Results: (1) Significant positive correlations were found between all dimensions and the total scores of childhood trauma and obsessive-compulsive symptoms. (2) Physical neglect had a significant positive predictive effect on the washing dimension (β = 0.130, t = 2.668, p = 0.008); physical neglect, emotional abuse, and emotional neglect significantly predicted the checking dimension; emotional abuse significantly predicted the ordering dimension (β = 0.166, t = 3.678, p < 0.001); emotional abuse and emotional neglect significantly predicted the obsessing dimension; physical neglect, emotional abuse, and sexual abuse significantly predicted the hoarding dimension; emotional abuse, sexual abuse, and physical abuse significantly predicted the neutralizing dimension. Conclusion: Greater severity of childhood trauma is associated with more severe obsessive-compulsive symptoms, and different types of childhood trauma have specific positive effects on distinct dimensions of obsessive-compulsive symptoms.