Obsessive-compulsive Symptoms Characteristic And The Relative Factors In The High School Students

Objective(1) To survey the manifestation of obsessive-compulsive symptoms among senior high school students.(2) To investigate the relationships between obsessive-compulsive symptoms and gender, grade, parents’ marital status, left-behind state.(3) To examine the relationships between the attachment style, cognitive style, life events and obsessive-compulsive symptoms.MethodTotally752high school students from two high schools at Zhumadian City, Henan Province, were assessed with the Yale-Brown obsessive compulsive scale (Y-BOCS), Attachment Style Questionnaire (ASQ), Cognitive Emotion Regulation Questionnaire (CERQ), Dysfunctional Attitude Scale (DAS-A), Adolescent Life Events Questionnaire-Revised (ALEQ-R). Participants were divided into high obsessive-compulsive symptoms group and low obsessive-compulsive symptoms group according to their Y-BOCS scores, some of them with Y-BOCS score<16were classified into the low obsessive-compulsive symptoms group and Y-BOCS score≥16into the high obsessive-compulsive symptoms group. Result(1) The detection rate of high obsessive-compulsive symptoms positive totally was25.8%.(2) The detection rate in senior grade three was significantly higher than that in other two grade (P<0.05). The score of obsessive symptoms for high school students with left-behind years>5years was significantly higher than for those with left-behind years3-5years and<1year (P<0.05). There were no significant differences on gender and parents’marital status (P>0.05).(3) The anxious attachment style and avoidant attachment style scores in ASQ were significantly higher for obsessive-compulsive symptoms group than for control group (P<0.001); whereas the secure attachment stylescores were significantly higher for control group than obsessive-compulsive symptoms group (P<0.001). The scores of rumination, positive reappraisal, catastrophizing and blaming others in CERQ of obsessive-compulsive symptoms group were significantly higher than control group (P<0.001or P>0.05). The scores of performance evaluation, need for approval and autonomous attitude in DAS-A of obsessive-compulsive symptoms group were significantly higher than control group (P<0.001or P>0.01). The scores of all four subscales in ALEQ-R for obsessive-compulsive symptoms group were significantly higher than those of control group (P<0.001).(4) There were significantly positive relationships between obsessive symptoms scores, compulsive symptoms scores, Y-BOCS scores and anxious attachment style, avoidant attachment style scores (The coefficients ranged from0.20to0.34, P<0.01); whereas significantly negative relationships between obsessive symptoms, compulsive symptoms and Y-BOCS scores and secure attachment style scores (The coefficients ranged from-0.18to-0.23, P<0.01). The obsessive symptoms scores were significantly positive relationships with self-blame, rumination, positive reappraisal, catastrophizing, blaming others scores (The coefficients ranged from0.09to0.35, P<0.05or P<0.01); whereas were significantly negative relationships with putting into perspective (The coefficient was-0.2, P<0.01). The compulsive symptoms scores were significantly positive relationships with rumination, re focus on planning, positive reappraisal, catastrophizing, blaming others scores (The coefficients ranged from0.09to0.37, P<0.05or P<0.01); whereas were significantly negative relationships with putting into perspective (The coefficient was-0.21, P<0.01). Y-BOCS scores were significantly positive relationships with rumination, positive reappraisal, catastrophizing, blaming others scores (The coefficients ranged from0.14to0.39, P<0.05or P<0.01); whereas were significantly negative relationships with putting into perspective (The coefficient was-0.22, P <0.01). Obsessive symptoms, compulsive symptoms and Y-BOCS scores were significantly positive relationships with the scores of performance evaluation, need for approval and autonomous attitude in DAS-A (The coefficients ranged from0.12to0.25, P<0.01). Obsessive symptoms scores, compulsive symptoms scores and Y-BOCS scores were significantly positive relationships with the scores of academic, family, friendship and romantic life events (The coefficients ranged from0.25to0.37, P<0.01).(5) Anxious, avoidant and secure three attachment types explained a total of13.6%variation in the obsessive-compulsive symptoms; catastrophizing, rumination, positive reappraisal and putting into perspective explained a total of18%; and performance evaluation, need for approval, autonomous attitude explained a total of7.5%; academic, family and friendship life events explained a total of16.1%.Conclusion(1) Obsessive-compulsive symptoms in high school students are more widespread psychological problems.(2) The obsessive-compulsive symptoms have a significant difference at different grades and different staying state in high school students.(3) The group of obsessive-compulsive symptoms tends to insecure attachment, commonly use negative cognitive emotion regulation style, have higher levels of dysfunctional attitude, and more negative life events.(4) The severity of obsessive-compulsive symptoms has a correlation with attachment, cognitive emotion regulation, dysfunctional attitudes and life events among high school students.(5) The predictors of obsessive-compulsive symptoms severity in high school students include:attachment style; catastrophizing, rumination, positive reappraisal and putting into perspective cognitive emotion regulation styles; dysfunctional attitude; stressful life events of academic, family and friendships.