A Matched Pair Study Of Family-related Factors And Difference Inside Family Of Patients With Obsessive-compulsive Disorder

ObjectiveTo investigate the feature of family environment and rearing styles of parents of patients and explore its function in procession of obsessive-compulsive disorder(OCD) by comparing parents' character, rearing styles, family environment and difference inside conegtives.Mothed1.Using 1:1 matched pair study to investigate 30 OCD patients according to the CCMD-3 and 30 normal control(NC) matched with age,gender, culture, occupation, economic stage, self-designed questionnaires of demography, the subscale for compulsive character from Personality Diagnostic Questionnaire(PDQ-R), the Family Environment Scale-Chinese Version(FES-CV) and Egna Minnenav Barndoms Uppfostran(EMBU).2.Their parents were investigated using the subscale for compulsive character from PDQ-R and FES-CV,and discussion of inside difference was then performed.Results1.There is no obvious difference in the subscale for compulsive character from PDQ-R between OCD and NC (p>0.05) . The scores of the 4 subscales including cohesion, expressiveness, active-recreational orientation, and independence are all obviously lower than NC (p<0.05 or p<0.01) ,while the score of conflict is hihger (p<0.05 ) ; and all these differences are singificant (p<0.05 or p<0.01) .And for EMBU,F1,M1 were lower while F2,F5,M3,M4 were higher (p<0.05 or p<0.01) .2. There is no obvious difference in the subscale for compulsive character from PDQ-R between their parents (p>0.05 ) .3.The inside difference about family environment of OCD patients is higher than NC,both in parents vs parents and parents with children (p <0.01) and is focused on the subscales of expressiveness and conflict.ConclusionOCD patients have a significant different family environment and rearing styles of parents from NC,and have great inside difference about family environment,which indicates the family environment factors are important in the occurrence and development of OCD.