森田心理疗法联合丁螺环酮治疗强迫症患者的短期临床研究

Short-term clinical study of Morita psychotherapy combined with buspirone in the treatment of obsessive-compulsive disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

河南宏力医院 ;
河南宏力医院药学部 ;

摘要
[摘要] 研究森田心理疗法联合丁螺环酮治疗强迫症(OCD)患者的临床效果。方法 选取2016年1月至2018年4月我院治疗的OCD患者82例。按照入院先后顺序分组,各41例。对照组予以丁螺环酮治疗,在此基础上观察组联合森田心理疗法干预治疗,干预12周后统计两组临床疗效,并对比干预前、干预后耶鲁-布朗强迫量表(Y-BOCS)、汉密斯顿焦虑量表(HAMA)、症状自评量表(SCL-90)评分变化。结果 干预后观察组总有效率为83.72%,较对照组62.79%高(P<0.05);干预前、干预2周两组Y-BOCS、HAMA评分相比,差异无统计学意义(P>0.05);干预4周、6周、8周、12周时观察组Y-BOCS、HAMA评分降低幅度大于对照组,且观察组Y-BOCS、HAMA评分小于对照组(P<0.05);干预12周后观察组SCL-90量表各因子评分较对照组低(P<0.05)。结论 森田心理疗法联合丁螺环酮治疗OCD患者,可改善患者焦虑、强迫等病情程度及心理状态,提高临床治疗效果。
Abstract
[Abstract] Objective To study the clinical effects of Morita psychotherapy combined with buspirone in the treatment of obsessive-compulsive disorder (OCD). Methods Eighty-two patients with OCD who were treated in our hospital from January 2016 to April 2018 were enrolled, according to the order of admission, with 41 cases each. The control group was treated with buspirone. On the basis of this observation, the observation group was treated with Morita psychotherapy intervention. The clinical efficacy of the two groups was calculated after 12 weeks of intervention, and the Yale-Brown Forced Force Scale (Y-BOCS) before and after intervention was compared. The Hamilton Hamilton Anxiety Scale (HAMA) and Symptom Checklist (SCL-90) scores changed. Results The total effective rate of the observation group was 83.72%, which was higher than that of the control group (P<0.05). There was no significant difference between the two groups before and after the intervention of Y-BOCS and HAMA scores (P>0.05). At the 4th, 6th, 8th, and 12th week of intervention, the reduction of Y-BOCS and HAMA scores in the observation group was greater than that in the control group, and the Y-BOCS and HAMA scores in the observation group were smaller than those in the control group (P<0.05); The scores of the factors in the SCL-90 scale of the post-observation group were lower than those of the control group (P<0.05). Conclusion Morita psychotherapy combined with buspirone in the treatment of OCD patients can improve the degree of anxiety and coercion and psychological state of patients, and improve the clinical treatment effect.
关键词
[关键词] 丁螺环酮;强迫症;森田心理疗法;强迫观念;强迫行为
KeyWord
[Key words] Buspirone;Obsessive-compulsive disorder; Morita psychotherapy; Obsession concept; Compulsive behavior
基金项目
页码 270-272
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候景英*,石文慧,孔辉,侯卫科. 森田心理疗法联合丁螺环酮治疗强迫症患者的短期临床研究 [J]. 国际精神病学杂志. 2019; 46; (2). 270 - 272.

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