ABSTRACT
Objective:To explore the tri-relationship among the different types of early trauma,personality traits and obsessive-compulsive symptoms,and to analysis the mediating effects of maladaptive personality traits between early trauma and obsessive-compulsive symptoms.Methods:A total of 147 obsessive-compulsive patients were selected.The Yale-Brown obsessive-compulsive scale (Y-BOCS) was used to measure the degree of obsessive-compulsive symptoms,the Early Trauma Inventory Short Form (ETI-SF) was used to measure the early trauma experience,the NEO Five-Factor Inventory (NEO-FFI) was used to measure the personality characteristics.Results:The emotional abuse subscale scores of ETI-SF were positively correlated with the total scores of Y-BOCS (r =0.19;P ＜0.05),the neuroticism scores of NEO-FFI were positively correlated with the total scores of Y-BOCS (r =0.31,P ＜0.001),while the agreeableness scores of NEO-FFI were negatively correlated with the total scores of Y-BOCS (r =-0.18,P ＜0.05).The pathway analysis showed the indirect effects from emotional abuse to Y-BOCS via neuroticism were 0.107 (95％ CI:0.04-0.19,P ＜ 0.05),the neuroticism play a completely mediated role.Conclusion:Early emotional abuse may be positively correlated with obsessive-compulsive symptoms,while the neuroticism may play a completely mediating role between the early emotional abuse and obsessive-compulsive symptoms.
ABSTRACT
Objective·To understand the current situation of psychotherapy applied and relevant personnel's working in psychiatric hospitals, and provide advice to facilitate and promote the integrated service team building of domestic mental health institutions and the industry development of psychological treatment. Methods·Ninety-six psychiatric hospitals in China were selected and self-compiled questionnaire was used during the investigation. The actual feedback was collected from 52 hospitals in 25 provinces. Results·① According to the classification criteria of ICD-10 mental disorder, patients mainly suffered from schizophrenia, schizotypal disorder and delusional disorder, followed by affective disorder, in the psychiatric hospitals. ② There were 50 (96.2％) hospitals with psychological outpatient clinics, and 37 (71.2％) hospitals were equipped with mental wards. ③ The main types of patients who came to the psychology department in the psychiatric hospitals were emotional disorders, neurosis, stress-related and physical form disorders. ④ The composition of psychotherapists was 6 physicians, 2 clinical psychologists, and 1 nurse. ⑤ The top five psychotherapy techniques used by the psychiatric hospitals were cognitive therapy, supportive psychotherapy, behavioral therapy, group therapy, and family therapy. ⑥ 44.2％ of the practitioners working in this filed thought that the income had been too low if they only engaged in psychological treatment. Conclusion·In the staffing of mental health agency, compared to previous studies, the number of the psychology specialists increases, but it still makes up a small percentage, which does not match the needs of outpatient and ward patients. Psychological practitioners who rely on psychological treatment alone are in a lower income, and the gap between the expected income and actual income is too large. Government, health administration departments and hospitals should provide more support to psychological services and promote the development of institutions and personnel.