| Background Obsessive-compulsive disorder is a neurosis disorder as the main clinical of obsessions and compulsions can not control. The cause of disease is not yet clear, it has a serious threat to individual physical and mental health, also an immense burden to families and society. In social psychology, the psychoanalytic theory consider that compulsive behavior comes from individual childhood experienced negative events and repressed desire that could not be met. Parents’personality, statements and actions have a huge impact on the development of children’s mental health, character formation, and psychological defense. Pursuing perfection comes from the interactions between parenting rearing style and childhood experience. So study of patients with obsessive-compulsive disorder in childhood growth experience and pursuing perfection mechanism has important theoretical and practical significance.Objectives1. To investigate the relationship of the severity of obsessive-compulsive disorder and childhood neglect, parenting rearing style and pursuing perfection.2. To investigate the relationship between childhood neglect and pursuing perfection in patients with obsessive-compulsive disorder.Methods By cluster sampling,76cases of patients with obsessive-compulsive disorder came from the Second Affiliated Hospital of Xinxiang Medical University during December2011to November2012were obsessive-compulsive disorder group, there were41males and35females, their age ranged from15to60;80cases of healthy volunteers with the age and gender math obsessive-compulsive disorder group of the same period were healthy group, there were45males and35females, their age ranged from15to59. They were administered with the Yale-Brown Obsessive Compulsive Scale, the Child Neglect Scale, the Chinese Frost Multidimensional Perfectionism Scale, the Egma Minnen av Bardndoms uppforstran. To analyze the characteristics of patients with obsessive-compulsive disorder in childhood neglect, parenting rearing style and pursuing perfection; To explore the relationship of the severity of obsessive-compulsive disorder and childhood neglect, parenting rearing style and pursuing perfection, and the relationship between childhood neglect and pursuing perfection in patients with obsessive-compulsive disorder. All the data were inputted and analyzed with the SPSS software and intermediary model was analyzed with AMOS.Results1. The correlation analysis in the severity of obsessive-compulsive disorder and childhood neglect, parenting rearing style and pursuing perfection illustrated that physical neglect factor was not significant positive correlation (r=0.144, P=0.215), security neglect factor and communication neglect factor was significant positive correlation (r=0.227, P=0.048; r=0.243, P=0.035),emotional neglect factor and neglect scores was highly significant positive correlation (r=0.297, P=0.009; r=0.409, P=0.000); In the Egma Minnen av Bardndoms uppforstran, there were the parents’warmth and understanding factors had a significant negative correlation (r=-0.247, P=0.032; r=-0.249, P=0.030),father with too much interference factor, father preference, father over-protection factor and mother preference did not have a significant positive correlation (r=0.014, P=0.906; r=0.096, P=0.421; r=0.086, P=0.459; r=0.159, P=0.178),mother refuse and deny factor had a significant positive correlation (r=0.248, P=0.031),parents with severely punished factors, father refuse and deny factor, mother over-protection factor had a highly significant positive correlation (r=0.396, P=0.000; r=0.321, P=0.005; r=0.311, P=0.006; r=0.294, P=0.010);In the Chinese Frost Multidimensional Perfectionism Scale, there were organization factor did not have a significant negative correlation (r=-0.013, P=0.915), parental expectations factor did not have a significant positive correlation (r=0.136, P=0.243), personal standards factor had a significant positive correlation (r=0.242, P=0.035), concern over mistakes, doubts about actions and pursuing perfection scores factors had a highly significant positive correlation (r-0.299, P=0.009; r=0.302, P=0.008; r=0.364, P=0.001).2. Multiple stepwise regression analysis in the severity of obsessive-compulsive disorder and childhood neglect, parenting rearing style and pursuing perfection illustrated that emotional neglect, father refuse and deny, father with severely punished, mother over-protection, concern over mistakes, doubts about actions factors had a significant positive predictor of the severity of obsessive-compulsive disorder (β=0.297, P-0.010; β=0.278, P=0.009;β=0.279,P=0.007;β=0.250,β=0.018; β=0.279, P=0.011; β=0.283, P=0.010). Father warmth and understanding factor had a significant negative predictor of the severity of obsessive-compulsive disorder (β=0.210, P=0.041).3. There was no difference in the obsessive-compulsive disorder group and the healthy group about the marital status (χ2=0.958, P=0.328). There was a difference on the level of education and vocational (/=20.301,P=0.000;χ2=14.291, P=0.027); The difference of the obsessive-compulsive disorder group and the healthy group in childhood neglect illustrated that, there was no significant difference on physical neglect factors(t=-0.501, P=0.617), there was a highly significant difference on the security neglect, emotional neglect, communication neglect factors (P<0.001).001); The difference of the obsessive-compulsive disorder group and the healthy group in parenting rearing style illustrated that, there was a highly significant difference on father refuse and deny, father with severely punished, mother over-protection factors (P<0.001); The difference of the obsessive-compulsive disorder group and the healthy group in pursuing perfection illustrated that, there was a significant difference on personal standards factor (t=0.976, P=0.331), there was a highly significant difference on concern over mistakes, doubts about actions, parental expectations, organization factors (P<0.001).4. In the intermediary model, pursuing perfection had a indirect effects on the severity of obsessive-compulsive disorder through the role of childhood neglect factor, The mediating effect of value approximately6.309/15.034=41.965%.Conclusions1. The higher the degree of childhood being neglected, the severity of obsessive-compulsive disorder are more serious. Obsessive-compulsive disorder patients suffer more neglect on emotional, security and communication in childhood; The patients with higher severity of obsessive-compulsive disorder often suffer severe punishment, always suffer parents’ refuse and deny, rarely experience the emotional warmth. The parents over concern with patients and do not encourage their independence; The patients with higher severity of obsessive-compulsive disorder often act hesitate, afraid of error, do not reach the parents’expectations, excessive pursuit perfection.2. Pursuing perfection not only has a direct impact on the severity of obsessive-compulsive disorder, but also through the childhood neglect and has an indirect effect on the severity of obsessive-compulsive disorder. |
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