obsessive association
Introduction
Introduction Compulsive association is a typical symptom of obsessive-compulsive disorder. This type of patient may unconsciously think of fear, worry, and nervousness whenever he hears or sees a particular thing. Because the scenario envisioned is unwilling to see but difficult to control, this compulsive association often causes the patient to suffer. Mental health network experts believe that this association is mostly from the heart of the patient, so to get rid of the control of these ideas, psychological therapy should play a significant role.
Cause
Cause
1. Biological factors, including factors such as biochemistry and genetics.
(l) Biochemical factors: Since the 1960s, biochemical studies have found that 5-HT recovery inhibitors can significantly improve the efficacy of obsessive-compulsive disorder and change its prognosis. For example, a study of 43 children with obsessive-compulsive disorder found that the concentration of 5-HIAA in cerebrospinal fluid was significantly higher than that in the normal control group. Some scholars have studied the biochemical study of clomipramine before and after obsessive-compulsive disorder. The concentration of 5-HIAA in cerebrospinal fluid decreased significantly during the treatment with clomipramine, and the improvement of symptoms was positively correlated with the decrease of 5-HIAA concentration. Almost all drugs that resist obsessive-compulsive symptoms inhibit the recovery of 5-HT. Such as clomipramine, paroxetine (Paroxe- tine) and fluoxetine, etc., indicating that 5-HT is involved in the pathogenesis of obsessive-compulsive disorder. However, there are also reports of negative results. Therefore, many problems of the 5-HT and obsessive-compulsive disorder hypothesis have yet to be further confirmed and explored.
(2) Genetic factors: it is a quality factor. The number of obsessive-compulsive disorder patients with obsessive-compulsive disorder is about 5% to 7%, which is higher than that of the general population. The study of twins is still inconclusive due to too few cases. However, personality traits are influenced by heredity, and personality traits play a role in the occurrence of this disease. For example, the same type of psychosocial factors are more likely to develop obsessive-compulsive disorder on the basis of special personality. The characteristics of this type of personality are timid, indecisive, too meticulous and serious, old-fashioned, well-organized, and strive to be meticulous, repeatedly scrutinizing and so on.
(3) Organic factors: Some people mentioned obsessive encephalitis, epilepsy, and sacral lobe injury in patients with compulsive symptoms; in addition, surgical treatment in recent years showed that the caudal nerve bundle, marginal white matter resection is effective, suggesting obsessive-compulsive symptoms The occurrence may be related to the function of the above part. It has been suggested that dysfunction of the basal ganglia may be related to this disease. The brain GT examination showed that the bilateral caudate nucleus was small in size, and the PET examination showed a bilateral caudate nucleus and increased lateral glucose metabolism.
2. Psychosocial factors: is a predisposing factor. Occasionally, there are obsessive attitudes in normal people, which are not sustained and are often strengthened and persisted under the influence of psychosocial factors. Such psychosocial factors are common changes in work and living environment, exacerbating responsibility, requiring excessive rigor, or difficulty in the situation, worrying about accidents, or tensions caused by family disharmony, sexual difficulties, pregnancy, childbirth, etc. Political shocks, bankruptcy, etc. have all brought a heavy blow to patients, making patients cautious, indecisive, rethinking, worrying and easily promoting compulsive symptoms. These obsessive-compulsive symptoms may be related to the above-mentioned psychosocial factors. With the changes of the environment, the adaptive ability is enhanced, and the obsessive-compulsive symptoms sometimes have certain improvement.
Examine
an examination
Related inspection
Brain CT examination blood routine
The so-called compulsive association, which is a state of mind attached to the concept of obsession, patients with this performance often repeatedly think of a series of unfortunate events, although they know that it is impossible, but can not restrain; or when they hear or see When a certain concept or a certain sentence is in the mind, another concept or phrase is involuntarily reminiscent of the mind; some people are always worried about their loved ones, always making meaningless associations; and patients appear to repeat when they see a certain knife. Reminiscent of terrible scenes, such as seeing fruit knife cut apples immediately think of killing.
Although the content of Lenovo is different, experts pointed out that the imagination of patients with obsessive-compulsive disorder is generally able to arouse their nervousness and fear. In addition, patients with forced association behavior generally have a strong anxiety. Of course, although the manifestations are varied, the ascending obsessive-compulsive disorder has the same nature, similar psychological performance, and similar physiological and psychological hazards as other types of coercion. Therefore, the necessity of treatment is not inferior to other types of coercion.
Diagnosis
Differential diagnosis
Differential diagnosis of compulsive association:
(1) Forced Intention: In some cases, the patient has a thought that is contrary to the situation at the time, and is entangled by this intention. The patient knows that this is against his will, but he cannot control it. When the mother with the baby is standing on the balcony, she suddenly has the idea of throwing the baby down the stairs. She knows that this is against her own will, but she can't get rid of it, but she will never take action. Therefore, patients with this idea do not dare to bring children to the railings of high-rise buildings to avoid fear and anxiety. For example, it is related to the forced thinking of fear content, called compulsive fear.
(2) Forced counting: an uncontrollable count associated with forced association. The patient involuntarily counts things, even counting their own steps, the glass windows of the roadside buildings, and the sign lights next to the road. The patient does not know anything, and it is no longer memorable after the number, but it cannot be controlled.
(3) Forced washing: fear of not suffering from an infectious disease. When a patient comes into contact with something, he or she should wash his hands repeatedly. He knows that his hands have been washed, but he has no control. Otherwise, his mood is restless.
(4) Forced ritual movements: This is a set of repetitive and rigid interrelated movements. Such ritual movements often have special meaning to the patient, and the patient completes the ritual for the sake of luck and auspiciousness, thus making the inner comfort. If you want to complete a set of actions when you enter the door, it means that his child's illness can be ruined, and he knows that there is no meaning, but if he does not, he is anxious. Most of the disease is slow onset and has a long course. If the acute onset, the incentive is obvious, the pre-existing non-forced personality usually has a good prognosis.
