{"id":236,"date":"2025-09-01T13:19:26","date_gmt":"2025-09-01T13:19:26","guid":{"rendered":"https:\/\/neuropsychworld.com\/?p=236"},"modified":"2025-09-01T14:35:33","modified_gmt":"2025-09-01T14:35:33","slug":"obsessive-compulsive-and-related-disorders","status":"publish","type":"post","link":"https:\/\/neuropsychworld.com\/zh\/obsessive-compulsive-and-related-disorders\/","title":{"rendered":"\u5f3a\u8feb\u75c7\u53ca\u76f8\u5173\u969c\u788d"},"content":{"rendered":"<p>\u63cf\u8ff0\uff1a<\/p>\n<p>\u5f3a\u8feb\u75c7 (OCD) \u662f\u4e00\u79cd\u5e38\u89c1\u7684\u6162\u6027\u75be\u75c5\uff0c\u5176\u540d\u79f0\u6070\u5982\u5176\u5206\u5730\u4f53\u73b0\u4e86\u5176\u75c7\u72b6\uff1a\u65e0\u6cd5\u63a7\u5236\u7684\u53cd\u590d\u51fa\u73b0\u7684\u60f3\u6cd5\uff08\u5f3a\u8feb\u89c2\u5ff5\uff09\uff0c\u4ee5\u53ca\u4e3a\u4e86\u9a71\u9664\u3001\u7f13\u89e3\u6216\u5f25\u8865\u5f3a\u8feb\u89c2\u5ff5\u800c\u53cd\u590d\u51fa\u73b0\u7684\u4eea\u5f0f\u6027\u884c\u4e3a\uff08\u5f3a\u8feb\u884c\u4e3a\uff09\u3002\u5f3a\u8feb\u89c2\u5ff5\u7684\u79cd\u7c7b\u7e41\u591a\uff1a\u4f8b\u5982\uff0c\u4e00\u4e2a\u4eba\u53ef\u80fd\u62c5\u5fc3\u63a5\u89e6\u53d7\u6c61\u67d3\u7684\u7269\u54c1\u4f1a\u751f\u75c5\uff0c\u4e00\u76f4\u6e34\u671b\u4fdd\u6301\u5bf9\u79f0\uff0c\u5e76\u4e0d\u65ad\u6000\u7591\u8fc7\u53bb\u7684\u884c\u4e3a\u3002\u5f3a\u8feb\u884c\u4e3a\u4f1a\u8bd5\u56fe\u901a\u8fc7\u884c\u4e3a\u6765\u62b5\u6d88\u8fd9\u4e9b\u60f3\u6cd5\u2014\u2014\u4f8b\u5982\uff0c\u8fc7\u5ea6\u6d17\u624b\uff0c\u6216\u4e0d\u65ad\u68c0\u67e5\u662f\u5426\u6709\u9519\u8bef\u6216\u95ee\u9898\uff0c\u4f8b\u5982\u5fd8\u8bb0\u5173\u7535\u5668\uff0c\u4ee5\u53ca\u53cd\u590d\u6446\u653e\u7269\u54c1\u3002\u5f3a\u8feb\u75c7\u60a3\u8005\u88ab\u5f3a\u8feb\u89c2\u5ff5\u6240\u56f0\u6270\uff0c\u867d\u7136\u5f3a\u8feb\u884c\u4e3a\u53ef\u4ee5\u7f13\u89e3\u75c7\u72b6\uff0c\u4f46\u5e76\u4e0d\u80fd\u5e26\u6765\u5feb\u4e50\u3002\u5f3a\u8feb\u75c7\u60a3\u8005\u901a\u5e38\u77e5\u9053\u81ea\u5df1\u7684\u6050\u60e7\u548c\u60f3\u6cd5\u662f\u65e0\u7406\u7684\uff0c\u4f46\u5f3a\u8feb\u89c2\u5ff5\u548c\u5f3a\u8feb\u884c\u4e3a\u7684\u5faa\u73af\u5374\u96be\u4ee5\u63a7\u5236\u3002\u8ba4\u77e5\u884c\u4e3a\u7597\u6cd5 (CBT)\uff08\u5c24\u5176\u662f\u66b4\u9732\u4e0e\u53cd\u5e94\u9884\u9632\uff09\u975e\u5e38\u6709\u6548\u3002\u836f\u7269\u4e5f\u53ef\u80fd\u6709\u52a9\u4e8e\u51cf\u8f7b\u75c7\u72b6\u3002<\/p>\n<p>\u8bca\u65ad\uff1a<\/p>\n<p>DSM-5\u5f3a\u8feb\u75c7\u8bca\u65ad\u6807\u51c6\uff08300.3\uff09<\/p>\n<ol>\n<li>\u00a0\u00a0\u00a0\u5b58\u5728\u5f3a\u8feb\u89c2\u5ff5\u3001\u5f3a\u8feb\u884c\u4e3a\u6216\u4e24\u8005\u517c\u6709\uff1a<\/li>\n<\/ol>\n<p>\u5f3a\u8feb\u89c2\u5ff5\u7684\u5b9a\u4e49\u5982\u4e0b\uff1a(1)\u548c(2)\uff1a<\/p>\n<ol>\n<li>\u5728\u75be\u75c5\u53d1\u4f5c\u671f\u95f4\u7684\u67d0\u4e2a\u65f6\u523b\uff0c\u53cd\u590d\u51fa\u73b0\u4e14\u6301\u7eed\u7684\u60f3\u6cd5\u3001\u6b32\u671b\u6216\u51b2\u52a8\uff0c\u8fd9\u4e9b\u60f3\u6cd5\u3001\u6b32\u671b\u6216\u51b2\u52a8\u88ab\u89c6\u4e3a\u4fb5\u5165\u6027\u7684\u548c\u4e0d\u53d7\u6b22\u8fce\u7684\uff0c\u5e76\u4e14\u5728\u5927\u591a\u6570\u4eba\u8eab\u4e0a\u4f1a\u5f15\u8d77\u660e\u663e\u7684\u7126\u8651\u6216\u75db\u82e6\u3002<\/li>\n<\/ol>\n<p>2. \u4e2a\u4f53\u8bd5\u56fe\u5ffd\u7565\u6216\u6291\u5236\u8fd9\u4e9b\u60f3\u6cd5\u3001\u51b2\u52a8\u6216\u56fe\u50cf\uff0c\u6216\u901a\u8fc7\u5176\u4ed6\u60f3\u6cd5\u6216\u884c\u52a8\uff08\u5373\u901a\u8fc7\u5f3a\u8feb\u884c\u4e3a\uff09\u6765\u4e2d\u548c\u5b83\u4eec\u3002<\/p>\n<p>\u5f3a\u8feb\u884c\u4e3a\u7684\u5b9a\u4e49\u5982\u4e0b\uff081\uff09\u548c\uff082\uff09\uff1a<\/p>\n<ol>\n<li>\u91cd\u590d\u884c\u4e3a\uff08\u4f8b\u5982\uff0c\u6d17\u624b\u3001\u8ba2\u8d2d\u3001\u68c0\u67e5\uff09\u6216\u5fc3\u7406\u6d3b\u52a8\uff08\u4f8b\u5982\uff0c\u7948\u7977\u3001\u6570\u6570\u3001\u9ed8\u9ed8\u91cd\u590d\u5355\u8bcd\uff09\uff0c\u4e2a\u4eba\u611f\u5230\u88ab\u8feb\u6267\u884c\u8fd9\u4e9b\u884c\u4e3a\u662f\u4e3a\u4e86\u56de\u5e94\u67d0\u79cd\u5f3a\u8feb\u89c2\u5ff5\u6216\u6309\u7167\u5fc5\u987b\u4e25\u683c\u9075\u5b88\u7684\u89c4\u5219\u3002<\/li>\n<\/ol>\n<p>2.\u8fd9\u4e9b\u884c\u4e3a\u6216\u5fc3\u7406\u6d3b\u52a8\u65e8\u5728\u9884\u9632\u6216\u51cf\u8f7b\u7126\u8651\u6216\u75db\u82e6\uff0c\u6216\u9884\u9632\u67d0\u4e9b\u53ef\u6015\u7684\u4e8b\u4ef6\u6216\u60c5\u51b5\uff1b\u7136\u800c\uff0c\u8fd9\u4e9b\u884c\u4e3a\u6216\u5fc3\u7406\u6d3b\u52a8\u4e0e\u5b83\u4eec\u6240\u8981\u6d88\u9664\u6216\u9884\u9632\u7684\u4e8b\u60c5\u6ca1\u6709\u73b0\u5b9e\u7684\u8054\u7cfb\uff0c\u6216\u660e\u663e\u8fc7\u5ea6\u3002<\/p>\n<p>\u6ce8\u610f\uff1a\u5e74\u5e7c\u7684\u5b69\u5b50\u53ef\u80fd\u65e0\u6cd5\u6e05\u695a\u5730\u8868\u8fbe\u8fd9\u4e9b\u884c\u4e3a\u6216\u5fc3\u7406\u6d3b\u52a8\u7684\u76ee\u7684\u3002<\/p>\n<ol>\n<li>\u5f3a\u8feb\u89c2\u5ff5\u6216\u5f3a\u8feb\u884c\u4e3a\u8017\u8d39\u65f6\u95f4\uff08\u4f8b\u5982\uff0c\u6bcf\u5929\u82b1\u8d39\u8d85\u8fc7 1 \u5c0f\u65f6\uff09\u6216\u5bfc\u81f4\u4e34\u5e8a\u4e0a\u663e\u8457\u7684\u75db\u82e6\u6216\u793e\u4ea4\u3001\u804c\u4e1a\u6216\u5176\u4ed6\u91cd\u8981\u529f\u80fd\u9886\u57df\u7684\u635f\u5bb3\u3002<\/li>\n<li>\u5f3a\u8feb\u75c7\u75c7\u72b6\u4e0d\u80fd\u5f52\u56e0\u4e8e\u67d0\u79cd\u7269\u8d28\uff08\u4f8b\u5982\u6ee5\u7528\u836f\u7269\u3001\u836f\u7269\uff09\u6216\u5176\u4ed6\u533b\u7597\u72b6\u51b5\u7684\u751f\u7406\u5f71\u54cd\u3002<\/li>\n<li>\u8fd9\u79cd\u7d0a\u4e71\u4e0d\u80fd\u7528\u53e6\u4e00\u79cd\u7cbe\u795e\u969c\u788d\u7684\u75c7\u72b6\u66f4\u597d\u5730\u89e3\u91ca\uff08\u4f8b\u5982\uff0c\u5e7f\u6cdb\u6027\u7126\u8651\u75c7\u4e2d\u7684\u8fc7\u5ea6\u62c5\u5fe7\uff1b\u8eab\u4f53\u7578\u5f62\u6050\u60e7\u75c7\u4e2d\u7684\u5916\u8868\u4e13\u6ce8\uff1b\u56e4\u79ef\u75c7\u4e2d\u7684\u96be\u4ee5\u4e22\u5f03\u6216\u653e\u5f03\u7269\u54c1\uff1b\u62d4\u6bdb\u7656\u4e2d\u7684\u62d4\u6bdb\uff1b\u6293\u6320\u76ae\u80a4\u75c7\u4e2d\u7684\u62a0\u76ae\u80a4\uff1b\u523b\u677f\u884c\u4e3a\u969c\u788d\u4e2d\u7684\u523b\u677f\u884c\u4e3a\uff1b\u996e\u98df\u5931\u8c03\u4e2d\u7684\u4eea\u5f0f\u5316\u996e\u98df\u884c\u4e3a\uff1b\u7269\u8d28\u76f8\u5173\u548c\u6210\u763e\u6027\u75be\u75c5\u4e2d\u7684\u7269\u8d28\u6216\u8d4c\u535a\u4e13\u6ce8\uff1b\u75be\u75c5\u7126\u8651\u75c7\u4e2d\u7684\u5bf9\u75be\u75c5\u7684\u4e13\u6ce8\uff1b\u6027\u6b32\u5012\u9519\u75c7\u4e2d\u7684\u6027\u51b2\u52a8\u6216\u6027\u5e7b\u60f3\uff1b\u7834\u574f\u6027\u3001\u51b2\u52a8\u63a7\u5236\u548c\u54c1\u884c\u969c\u788d\u4e2d\u7684\u51b2\u52a8\uff1b\u91cd\u5ea6\u6291\u90c1\u75c7\u4e2d\u7684\u5185\u759a\u6027\u6c89\u601d\uff1b\u7cbe\u795e\u5206\u88c2\u75c7\u8c31\u7cfb\u548c\u5176\u4ed6\u7cbe\u795e\u75c5\u4e2d\u7684\u601d\u7ef4\u63d2\u5165\u6216\u5984\u60f3\u4e13\u6ce8\uff1b\u6216\u81ea\u95ed\u75c7\u8c31\u7cfb\u4e2d\u7684\u91cd\u590d\u6027\u884c\u4e3a\u6a21\u5f0f\u7d0a\u4e71\uff09\u3002<\/li>\n<\/ol>\n<p>\u6307\u5b9a\u662f\u5426\uff1a<\/p>\n<p>\u5177\u6709\u826f\u597d\u6216\u516c\u5e73\u7684\u6d1e\u5bdf\u529b\uff1a\u4e2a\u4eba\u8ba4\u8bc6\u5230\u5f3a\u8feb\u75c7\u4fe1\u5ff5\u80af\u5b9a\u6216\u53ef\u80fd\u4e0d\u771f\u5b9e\uff0c\u6216\u8005\u5b83\u4eec\u53ef\u80fd\u662f\u6216\u53ef\u80fd\u4e0d\u662f\u771f\u5b9e\u7684\u3002<\/p>\n<p>\u6d1e\u5bdf\u529b\u8f83\u5dee\uff1a\u4e2a\u4f53\u8ba4\u4e3a\u5f3a\u8feb\u75c7\u4fe1\u5ff5\u53ef\u80fd\u662f\u6b63\u786e\u7684\u3002<\/p>\n<p>\u7f3a\u4e4f\u6d1e\u5bdf\u529b\/\u5984\u60f3\u4fe1\u5ff5\uff1a\u4e2a\u4eba\u5b8c\u5168\u76f8\u4fe1\u5f3a\u8feb\u75c7\u4fe1\u5ff5\u662f\u771f\u5b9e\u7684\u3002<\/p>\n<p>\u6307\u5b9a\u662f\u5426\uff1a<\/p>\n<p>\u62bd\u52a8\u76f8\u5173\uff1a\u4e2a\u4f53\u76ee\u524d\u6216\u8fc7\u53bb\u6709\u62bd\u52a8\u969c\u788d\u75c5\u53f2\u3002<\/p>\n<p>\u8f6c\u8f7d\u8bb8\u53ef\u5f85\u300a\u7cbe\u795e\u969c\u788d\u8bca\u65ad\u548c\u7edf\u8ba1\u624b\u518c\u300b\u7b2c\u4e94\u7248\uff08\u7248\u6743\u6240\u6709 2013\uff09\u6388\u6743\u3002\u7f8e\u56fd\u7cbe\u795e\u75c5\u5b66\u534f\u4f1a\u3002<\/p>","protected":false},"excerpt":{"rendered":"<p>OCD is a common, chronic condition aptly named for its symptoms: uncontrollable, recurring thoughts (obsessions) and repeated, ritualistic&#8230;<\/p>","protected":false},"author":1,"featured_media":237,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/posts\/236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/comments?post=236"}],"version-history":[{"count":2,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/posts\/236\/revisions"}],"predecessor-version":[{"id":246,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/posts\/236\/revisions\/246"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/media\/237"}],"wp:attachment":[{"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/media?parent=236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/categories?post=236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropsychworld.com\/zh\/wp-json\/wp\/v2\/tags?post=236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}