本研究是以質性研究-深度訪談的方式,針對強迫症學童在面對疾病的生活經驗之探討。研究對象以某國小二位學童及其主要照顧者進行各五次,每次30分鍾之訪談。提出研究探討問題,研究問題分三個部分:問題一:強迫症學童之生活經驗。問題二:強迫症學童對於本身罹病之認知。問題三:強迫症學童治療及因應方式。
研究結果發現,強迫症學童的生活經驗帶來許多適應上的問題,比如說:大部分強迫症學童理解到自己的強迫意念或強迫性行為是不合理,努力地不要執行強迫性思考,並且防止強迫性行為,在拒絕強迫性行為的時候,強迫症學童會感覺更加的焦慮或緊張。
強迫症學童害怕被發現是強迫症患者,會自動退出同儕團體,造成社交萎縮,形成孤立。
自我期許太高,當達不到目標時,焦慮與挫折感同時出現,此時強迫症狀會以各種不同之因應的方法來減緩焦慮與挫折感!
OCD會造成生活品質的極大損害。以60名OCD門診病患為對象,調查了他們生活中跟健康相關的生活品質。結果發現,OCD病人生活品質受到損害的程度跟憂鬱症病人相當;其工具性功能 (如上班、居家、上學)與社會性功能都受到了損害;社會功能受到損害的程度則跟OCD症狀的嚴重程度有互相關係。
Abstract
This research is based on the methods of In-Depth Interview to study the life experiences of obsessive-compulsive disorder (OCD) children. Two elementary school students and their main caregivers are interviewed for five times, and the duration of each interview is 30 minutes. This reach contains three main topics.
Topic 1: The life experiences of OCD children.
Topic 2: Insights in OCD children.
Topic 3: Treatments for OCD children.
Results reveal that OCD children have trouble adapting to lives. For example, most OCD children realize that their obsession or compulsive behaviors are irrational, and they try to avoid them, however, accompanying with anxieties or nervousness.
Those OCD children are afraid to be recognized as OCD, so they isolated themselves form groups.
Anxieties and frustration appear at the same time when those OCD children are unable to achieve their anticipations or targets; meanwhile, the OCD symptom will react in different ways to reduce anxieties and frustration.
OCD can be very harmful to life qualities. Clinical study on 60 OCD patients reveals that they suffer the same levels of damage of life qualities as the Depression Disorder patients. Their instrumental function such as working, living and studying and social function are affected. There are relation between the damage of social function and severities of OCD symptom.
Key words: obsessive-compulsive disorder (OCD), life experience.