乐山市综合医院医务人员广泛性焦虑症状与强迫症状的网络共存模式

职业与健康 ›› 2025, Vol. 41 ›› Issue (9): 1225-1228.

乐山市综合医院医务人员广泛性焦虑症状与强迫症状的网络共存模式

黄贤颖¹, 李承龙², 王好好³, 陈维², 蔡八元¹, 师敏¹

1.乐山市夹江县人民医院门诊办公室,四川乐山 614100;
2.贵州师范大学心理学院,贵州贵阳 550025;
3.湖南师范大学认知与人类行为湖南省重点实验室,湖南长沙 410082

收稿日期:2024-08-02 修回日期:2024-08-12 出版日期:2025-05-01 发布日期:2025-12-12
通信作者: 陈维,教授,E-mail：chenweihb@yeah.net
作者简介:黄贤颖,女,初级心理治疗师,主要从事心理治疗与相关研究工作。
基金资助:
乐山市2022年重点科技计划项目（22SZD172）

Network co-morbidity pattern of generalized anxiety symptoms and obsessive-compulsive symptoms in healthcare workers in Leshan general hospital

HUANG Xianying¹, LI Chenglong², WANG Haohao³, CHEN Wei², CAI Bayuan¹, SHI Min¹

1. Outpatient office,Leshan Jiajiang Country People's Hospital,Leshan,Sichuan 614100,China;
2. School of Psychology,Guizhou Normal University,Guiyang,Guizhou 550025,China;
3. Cognition and Human Behavior Key Laboratory of Hunan Province,Hunan Normal University,Changsha,Guizhou 410082,China

Received:2024-08-02 Revised:2024-08-12 Online:2025-05-01 Published:2025-12-12
Contact: CHEN Wei,Professor,E-mail：chenweihb@yeah.net

摘要/Abstract

摘要： 目的了解乐山市综合医院医务人员广泛性焦虑症状和强迫症状现状,分析医务人员广泛性焦虑症状与强迫症状的网络共存模式。方法 2023年1—4月,用广泛性焦虑量表和强迫症症状分类量表对乐山市综合医院医务人员进行调查,基于图形套索算法和贝叶斯爬山法绘制症状共存网络。结果 574名医务人员广泛性焦虑症状总分为（2.55±4.00）分,检出率为25.2%,强迫症状总分为（10.01±12.02）分,检出率为16.1%,两者共检出率为12.4%。无向网络中,广泛性焦虑症状与强迫症状形成2个紧密联系的症状簇,核心症状为“强迫观念”（预期影响值=1.22,桥预期影响值=0.57）与“害怕”（预期影响值=1.08,桥预期影响值=0.25）,且两者在症状网络中起到桥接作用（r=0.15）;有向网络显示,“强迫观念”指向强迫行为与焦虑症状是整个症状网络的驱动点。结论广泛性焦虑症状与强迫症状虽然高度相关但症状边界明显,强迫观念对强迫行为及广泛性焦虑症状的产生及持续起到关键作用。

关键词: 广泛性焦虑, 强迫症, 医务人员, 网络分析

Abstract: Objective To understand the current situation of generalized anxiety symptoms and obsessive-compulsive symptoms among healthcare workers in Leshan general hospital,and analyze the network co-morbidity pattern of generalized anxiety symptoms and obsessive-compulsive symptoms among healthcare workers. Methods From January to April 2023,a survey was conducted on medical staff at Leshan general hospital using the generalized anxiety disorder scale and obsessive-compulsive inventory-revised. A symptom coexistence network was drawn based on the graphical lasso program and Bayesian hill climbing method. Results The total score of generalized anxiety symptoms among 574 medical staff was （2.55±4.00）points,with a detection rate of 25.2%. The total score of obsessive-compulsive symptoms was （10.01±12.02）points,with a detection rate of 16.1%. The combined detection rate of the two was 12.4%. In undirected networks,generalized anxiety symptoms and obsessive-compulsive symptoms formed two closely related network clusters,with the core symptoms being "obsessive-compulsive ideation"（expected impact value=1.22,bridge expected impact value=0.57） and "fear"（expected impact value=1.08,bridge expected impact value=0.25）,and both played a bridging role in the symptom network（r=0.15）. According to directed network analysis,the concept of "compulsive behavior" pointed to compulsive behavior and anxiety symptoms as the driving points of the entire symptom network. Conclusion Although generalized anxiety symptoms are highly correlated with obsessive-compulsive symptoms,the symptom boundaries are clear. Obsessions play a key role in the occurrence and maintenance of compulsive behavior and generalized anxiety symptoms.

Key words: Generalized anxiety, Obsessive-compulsive disorder, Healthcare workers, Network analysis

中图分类号:

R192

黄贤颖, 李承龙, 王好好, 陈维, 蔡八元, 师敏. 乐山市综合医院医务人员广泛性焦虑症状与强迫症状的网络共存模式. [J]职业与健康, 2025, 41(9): 1225-1228.

HUANG Xianying, LI Chenglong, WANG Haohao, CHEN Wei, CAI Bayuan, SHI Min. Network co-morbidity pattern of generalized anxiety symptoms and obsessive-compulsive symptoms in healthcare workers in Leshan general hospital. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1225-1228.

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