认知行为疗法在治疗器质性精神障碍中的应用

Application of Cognitive Bbehavior Therapy in the Treatment of Organic Psychosis

目的：探讨认知行为治疗对器质性精神障碍的临床作用。方法：将57例器质性精神障碍患者随机分为研究组与对照组，研究组29例采用利培酮加认知行为疗法，对照组28例单纯用利培酮治疗，以简明精神病评定量表（BPRS），临床疗效总评量表（CGI）及疾病严重程度（CGI—SI）、疗效总评（CGI—GI）评定疗效。结果：治疗6周后，研究组痊愈率、总有效率分别为73．4％和96．7％，对照组痊愈率、总有效率分别为59．3％和85．2％，组间差异有显著性（P〈0．05）。结论：认知行为疗法联合药物治疗器质性精神障碍患者疗效好。

Objective To investigate the cognitive behavioral therapy on organic psychosis clinical role. Methods 57 cases of organic psychosis patients were randomly divided into study group and control group, Study Group 29 adopted as risperidone plus cognitive behavior therapy ,the control group with only 28 cases of risperidone treatment, in Brief Psychiatric Rating Scale （BPRS） Clinical global impression scale （CGI） and disease severity of illness （CGI-SI） ,Efficacy repeatedly （CGI-GI） to evaluate the efficacy. Results After six weeks,the research team cure rate,the total efficiency of 73.4% and 96.7% ,the rate of the control group healed. The total efficiency of 59.3% and 85.2%, the difference between the groups was significant （ P 〈 0. 05 ）. Conclusion Cognitive behavior therapy combined drug therapy is effective in treating organic psychosis.