目的：调查强迫障碍（OCD）患者的成人依恋类型和述情障碍程度，并探索两者的关系。方法：采用 亲密关系经历量表（ECR）和多伦多述情障碍20条目量表（TAS-20）对OCD患者35例（OCD组）及健康人 35名（对照组）进行测评，比较2组量表得分及相互关系。结果：OCD组的依恋回避得分和依恋焦虑得分 明显高于对照组（P＜0.01），OCD组的不安全型比例显著高于对照组（χ2=20.160, P=0.000）；OCD组在述 情障碍总分、情感辨别不能因子分和情感描述不能因子分上明显高于对照组（P＜0.05）；OCD组中的依 恋回避与情感辨别不能、情感描述不能之间存在正相关，依恋焦虑与情感辨别不能之间存在正相关（P＜ 0.05）。结论：OCD患者中不安全依恋占多数，且普遍存在述情障碍。

To explore the type of adult attachment and the degree of alexithymia in patients with obsessive-compulsive disorder (OCD) and evaluate their relationship. Methods: We assessed 35 OCD patients (OCD group) and 35 normal controls (NC group) using the Intimate Relationship Experience Scale (ECR) and the Toronto Alexithymia 20-item Scale (TAS-20). Results: The attachment avoidance score and attachment anxiety score of the OCD group were higher than those of the NC group (P<0.01). The proportion of unsafe attachment type in the OCD group was significantly higher than that in the NC group (χ2=20.160, P= 0.000). The TAS-20 total score, inability to distinguish between emotions, and inability to describe emotional factors in the OCD group were significantly higher than those in the NC group (P<0.05). In the OCD group, there was a positive correlation between attachment avoidance and inability to distinguish between emotions and emotional description (P<0.05) and a positive correlation between attachment anxiety and inability to identify emotions (P<0.05). Conclusion: OCD patients predominantly show insecure attachment and suffer alexithymia.