基于网络分析探索精神专科医院焦虑障碍住院患者焦虑与强迫症状的关系

The relationship between anxiety and obsessive-compulsive symptoms in psychiatric inpatients with anxiety disorders via network analysis

  • 摘要: 目的:探究焦虑障碍患者中焦虑症状与强迫症状各节点之间的关系,并分析症状间的交互作用。方法:采用回顾性分析方法,对某三级精神专科医院住院焦虑障碍患者使用焦虑自评量表(self-rating anxiety scale,SAS)评价被调查对象的焦虑水平,使用90项症状清单(symptom checklist,SCL-90)中的强迫维度评价强迫水平,运用网络分析方法探究焦虑障碍患者焦虑与强迫症状间的相互关联特征。结果:464例焦虑障碍患者平均年龄(46.79±16.57)岁,其中,女284例(61.21%),男180例(38.79%)。网络分析显示,“感到有想法在头脑中盘旋,无法摆脱(L3,bridge strength=2.69)”、“觉得比平时容易紧张或着急(S1,bridge strength=2.23)”、“脑子变空了(L51,bridge strength=1.79)”是强迫与焦虑症状网络的主要桥梁症状,桥梁节点强度的相关稳定系数为0.36。结论:“脑子变空了(L51)”作为核心症状与桥梁症状,可能在焦虑障碍患者强迫与焦虑症状群之间起到关键的连接作用,将其列为优先干预目标,可为缓解焦虑障碍患者焦虑及强迫症状提供新的思路。

     

    Abstract: Objective: To investigate the interrelationships between individual symptoms of anxiety and obsessive-compulsive symptoms in patients with anxiety disorders, and to analyze the interactions between these symptom clusters. Methods: A retrospective analysis was performed on inpatients with anxiety disorders at a tertiary psychiatric hospital. Anxiety levels were assessed using the self-rating anxiety scale(SAS), while obsessive-compulsive levels were evaluated via the obsessive-compulsive subscale of the Symptom Checklist-90(SCL-90). Network analysis was employed to characterize the interconnections between anxiety and obsessive-compulsive symptoms. Results: A total of 464 patients with anxiety disorders were included, with a mean age of(46.79±16.57) years. Among them, 284 cases(61.21%) were female and 180 cases(38.79%) were male. Network analysis identified three key bridge symptoms linking anxiety and obsessive-compulsive symptom clusters: "feeling that thoughts are swirling in the mind and cannot be shaken off(L3, bridge strength=2.69)", "feeling more easily nervous or anxious than usual(S1, bridge strength=2.23)", and "feeling that the mind has gone blank(L51, bridge strength=1.79)". The bridge strength stability coefficient was 0.36. Conclusion: As a core and bridge symptom, "feeling that the mind has gone blank(L51)" may play a critical linking role between the obsessive-compulsive and anxious symptom clusters in patients with anxiety disorders. Designating it as a priority intervention target can provide new insights for alleviating both anxiety and obsessive-compulsive symptoms in these patients.

     

/

返回文章
返回