认知行为疗法治疗强迫症对照研究

目的探讨认知行为疗法对强迫症的治疗效果。方法将符合中国精神障碍分类与诊断标准的120例强迫症患者随机分为治疗组和对照组,治疗组给予认知行为治疗,对照组给予氟伏沙明治疗。应用临床疗效标准及耶鲁布朗强迫量表(Y-BOCS)定期评定,观察6个月。结果在治疗4个月和6个月末,治疗组对强迫行为疗效优于对照组,具有著统计学意义(P<0.05)。结论认知行为疗法改善强迫症的强迫行为远期疗效好,且无副反应。

Objective To compare the effect of cognitive behavior therapy in treatment of obsessive--compulsive disorder. Methods 120 outpatients who met CCMD--3 for obsessive--compulsive disorder were assigned to therapeutic group（n：60）and control group （n-- 60） for 6 months.Therapeutic group were given cognitivde behavior therapy,and control group were given fluvoxamine only.The clinical effect was assessed with Y--BOCS at the end of lmonth,2 months,4 months,6 months.Results The compulsive behavior efficacy in cognitive behavior therapy group was significantly higher than that in control group. Conclusion Cognitive behavior therapy has better effect in treatment of.compulsive behavior of obsessive-compulsive disorder.