森田疗法对疑病症治疗康复作用的研究

A study on the therapeutic effects of Morita therapy to hypochondriac neurosis

目的 研究森田疗法对疑病症的治疗康复作用。方法 对符合CCMD-2-R疑病症诊断标准的50例病人,应用分阶段作业治疗的生活体验疗法,疗程为12—14周,治疗前、后进行明尼苏达多项个性量表(MMPI)测验及疗效评定,治疗后半年进行病例随访。结果 治疗前疑病症患者的MMPI平均以Hs、D、Hy、Pt最高,呈1-2-3-7型测图,另有Pd、Pa、Sc量表也明显高于常模;治疗后上述量表均显著下降,下降幅度最大的仍是1、2、3、7量表。临床评定的显效率为78％,半年后的复发率为13.95％。结论 森田疗法对疑病症治疗康复作用优,值得推广应用。

Objective To study the therapeutic effects of Morita therapy to hypochondriac neurosis. Methods 50 patients diagnosed as hypochondriac neurosis according to CCMD - 2 - R were treated with stage ocupational life experience therapy.The treatment processes lasted 12 to 14 weeks.The therapeutic effects were assessed with MMPI before and after treatment. Follow - up assessment were made after half year. Results The highest scores in MMPI of the patients with hypochondriac neurosis were Hs. D. Hy. Pt and showed 1-2-3-7 style picture. The scores of Pd, Pa, Sc were also higher than norm model. All the scales declined obviously after treatment.The especially scales of 1,2,3,7.The 78% of patients improve significantly.The relapse rate was been 13.95% after half year. Conclusion Morita therapy has good therapeutic effects to hypochondriac neurosis.