舍曲林合并认知行为疗法治疗惊恐障碍14例

Sertraline plus Cognitive Behavior Therapy in treatment of Panic Disorder

目的 :观察舍曲林合并认知行为疗法对惊恐障碍的治疗效果。方法 :对符合CCMD -Ⅱ -R诊断标准的 14例惊恐障碍患者给每晨饭后 5 0毫克的舍曲林连续治疗 6个月 ,同时给予认知行为治疗 ,按临床疗效判定标准定期评定。结果 :一个月显效者占 2 1 4% ,好转占 64 3 % ,无效占 14 3 % ;三个月显效者占71 4% ,好转占 2 8 6% ,半年时显效者占 85 7% ,好转者占 14 3 %。 2 1 4%患者在治疗中出现过轻微的副作用 ,随时间延长而消失。结论 :舍曲林合并认知行为治疗能明显缩短疗程 ,减少医疗开支 ,安全性高 。

Objective:To study the effect of sertraline plus cognitive behavior therapy in treatment of panic disorder Method:14 outpatients with panic disorder according to crteria of CCMD-2-R were collected as our sample All of them were given sertraline 50 mg/d for 6 months in addition to cognitive behavior therapy The clinical effect was assessed at the end of 1 month,3 months and 6 months Results:At the end of 1 month,3 patients were assessed as markedly improved,9 as improved At the time of 3 months,10 patients were assessed as markedly improved,2 as improved At the end of 6 months,12 markedly improved,2 improved There were 3 patients had mild side effects,which faded with time Conclusion:Sertraline plus cognitive behavior therapy has good effect in treatment of panic disorder with good compliance and little side effect