抗抑郁药物联合短程团体认知行为疗法治疗强迫症临床研究

Effect of group cognitive behavioral therapy in patients with obessive compulsive disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

新乡医学院第二附属医院 ;
河南省铁道警察学院 ;

摘要
探讨抗抑郁药物联合短程团体认知行为疗法治疗强迫症的临床疗效。 方法 将201例强迫症患者采用随机数字表法分为研究组101例及对照组100例。于治疗前后分别采用Yale-Brown 强迫症量表及汤旦林生活质量量表评定两组患者的强迫症状及生活质量改善情况。 结果 治疗后两组Yale-Brown 强迫症量表评分显著低于治疗前(P<0.01),研究组显著低于对照组(P<0.01);两组汤旦林生活质量量表评分显著高于治疗前(P<0.01),研究组显著高于对照组(P<0.01)。治疗后研究组汤旦林生活质量量表身体方面、心理方面、社会方面、尽职的能力、自我健康意识评分均显著高于对照组(P<0.01)。结论 抗抑郁药物联合短程认知行为团体治疗可以有效改善强迫症患者的强迫症状,提高生活质量,值得推广应用。
Abstract
Objective To explore the effects of group cognitive behavioral therapy in patients with. Methods 201 patients with obessive compulsive disorder were divided into cognitive behavioral therapy group combined with drugs(cognitive group, n=101) and drug treatment group(control group,n=100). All participants were assessed with Yale-Brown scale (Y-BOCS)及Tang Danlin(TDL) before and 4 weeks after the treatment. Results The scores of Y-BOCS(22.3±4.4)were reduced in cognitive group after treatment (31.2±2.9),The scores of TDL(73.3.2±6.9)were increased in cognitive group after treatment (46.3±15.8)and the differences were statistical significance (P <0.05). In the cognitive group,the scores of Physical aspects,Psychological aspects,Social aspects, ability to perform duties, self-health awareness were increased after treatment,the differences were statistical significance ( P <0.05).Conclusion Short-term group cognitive behavioral therapy can improve obessive compulsive disorder symptom .
关键词
强迫症;短程团体认知行为疗法;Yale-Brown 强迫症量表;汤旦林生活质量量表
KeyWord
cognitive behavior therapy ;obessive compulsive disorder;group therapy;
基金项目
页码 663-665
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肖伟霞,廖鹰,杜明君,申丽娟*. 抗抑郁药物联合短程团体认知行为疗法治疗强迫症临床研究 [J]. 国际精神病学杂志. 2019; 46; (4). 663 - 665.

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