| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 96 === Obsessive-compulsive disorder (OCD) is a common chronic anxiety disorder, which often significantly affects patients’ daily life. Patients with OCD often accompany with anxiety, depression and even suicide ideation. Since suicide ideation is the preceding factor of further suicide attempt, the importance of the issue cannot be ignored. However, there have been very few studies to explore the relationship among anxiety, depressive symptoms and suicide ideation for patients with obsessive-compulsive disorders. The main purposes of this study are to explore 1.the demographic differences between high obsessive-compulsive symptoms and low obsessive-compulsive symptoms for patients with OCD; 2.the differences in the major study variables between patients with high obsessive-compulsive symptoms and low obsessive-compulsive symptoms for patients with OCD; 3.predictors of suicide idea for patients with OCD.
This study employed a descriptive cross-sectional research design. A sample of 128 patients with OCD was recruited from the outpatients of a medical teaching hospital in northern Taiwan. The research instruments include: 1.Demographic characteristics questionnaire; 2.Beck Anxiety Inventory (BAI), 3.Beck Depression Inventory II (BDI-II ), 4.Yale－Brown Obsessive Compulsive Scale (Y-BOCS), 5.Beck Scale for Suicide Ideatio (BSS). In this study we divided patients into two groups. Patients with Y-BOCS score higher than 15 is in high obsessive-compulsive symptoms group, Patients with Y-BOCS score lower than and equal to 15 is in low obsessive-compulsive symptoms group. Statistics methods include descriptive statistics, Pearson''s product-moment correlation, independent samples t-test, chi-square test, and multiple regressions.
The results revealed that patients with high Y-BOCS scores were at a higher rate of being with single marital status, earlier onset age, as well as higher levels of anxiety, depressive symptoms, and suicide ideation. The predictors of suicide ideation were anxiety and depressive symptoms. Results from this study can provide important implications to psychiatric mental health nurses for assessing and preventing suicide risk for outpatients with OCD.
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