认知行为疗法联合米氮平治疗癔球症的疗效

Evaluation for efficacy of cognitive behavioral therapy combined with small dose mirtazapine on globussensation

目的探讨认知行为疗法联合抗抑郁药米氮平治疗癔球症的疗效。方法纳入符合罗马Ⅲ诊断标准的患者25例,采用认知行为疗法联合米氮平进行治疗,以癔球症症状评分判断疗效。结果治疗3周后,癔球症症状评分较治疗前降低(P=0.041);治疗6周后随访,症状评分较治疗前显著降低(P=0.009)。结论认知行为疗法联合米氮平治疗癔球症有较好的疗效。

Objective To investigate the efficacy of cognitive behavioral therapy （CBT） combined with small dose antidepressant drugs mirtazapine in treatment for globussensation patients. Methods Twenty - five cases enrolled this study, which were accord with Rome ]]I criteria. Globussensation symptom score was used to judge the efficacy. Results After treating for 3 weeks, globussensation symptom score decreased （ P = 0. 041 ） ; After 6 weeks, globussensation symptom score decreased significantly （ P = 0. 009）. Conclusions CBT combined with small dose mirtazapine are effcfive on improve symptoms of globussensation patients.