调查伴与不伴双相障碍强迫症患者病前行为特征的差异.方法 将80例强迫症患者根据是否伴有双相障碍分为共病组38例与强迫症组42例.采用自编量表调查强迫症患者的基本情况,采用Achenbach儿童行为量表回顾性评估患者12岁—16岁的行为特征.结果 共病组病程及治疗时间均显著长于强迫症组(P＜0 .05或0 .01) .社会能力方面,共病组学校情况因子分显著低于强迫症组(P＜0 .05) ;行为问题方面,共病组行为问题总分、抑郁、分裂强迫、违纪及攻击因子分均显著高于强迫症组(P＜0 .05或0 .01 ) .结论 伴双相障碍强迫症患者较单纯强迫症患者,病前存在更多的行为问题,病程更迁延,治疗时间更长.、Objective To investigate behavior characteristics between obsessive-compulsive disorder pa-tients without or without bipolar disorder.Methods 80 patients with obsessive-compulsive disorder were divided into comorbidity group (38 cases) and OCD group (42 cases) according to whether they were ac-companied by bipolar disorder.The self-made scale was used to investigate the basic conditions of patients with obsessive-compulsive disorder.The Achenbach Child Behavior Scale was used to retrospectively eval-uate the behavioral characteristics of patients aged 12-16 years.Results T he course of disease and treat-ment time in the comorbid group were significantly longer than those in the OCD group (P＜ 0.05 or 0.01).In terms of social ability ,the school condition factor of the comorbid group was significantly lower than that of the OCD group ( P＜ 0.05) ;in terms of behavioral problems ,the total scores of behavior problem and depression ,disintegration ,disciplinary ,aggression factors scores in the comorbidity group were significantly higher than those in the OCD group (P＜0.05 or 0.01).Conclusion OCD Patients with bipolar disorder have more behavioral problems before the disease compared with simple OCD Patients , with more prolonged course of disease and treatment time.