认知领悟疗法配合药物治疗强迫症

Cognitive therapy with drugs in treatment of obsessive compulsive disorder

目的评论认知领悟疗法结合药物治疗的治疗效果，与单纯应用药物治疗的疗效比较。方法将符舍中国精神障碍分类与诊断标准第3版的38例强迫症患者，随机分为研究组与对照组。对照组单纯用药（SSRⅠ类药物，苯二氮革类及中成药）。研究组在上述用药的基础上再按照钟友彬教授认知领悟疗法的原理方法和步骤进行认知领悟治疗。普布朗（Y—BOCS）强迫量表评出3～6个月的Y—BOCS积分。结果强迫症认知领悟疗法辅以SSRI类等药物治疗，效果明显优于单一的药物治疗。结论强迫症的认知领悟疗法辅以SSRI类药物治疗，疗效好，更适合强迫症的治疗，值得提倡。

Objective To compare the differences of the efficacy in treatment of obsessive compulsive disorder between the cognitive therapy with combined drugs and single drugs. Methods 38 outpatients diagnosed obsessive compulsive disorder were assigned to research group and control group . The clinical effect was assessed with Y-BOCSat the end of 3 months and 6 months. Results The therapeutic efficacy in cognitive therapy with drugs was significantly superior to the only drugs. Conclusions Cognitive therapy with drugs has better effect in treatment of obsessive compulsive disorder.