认知行为疗法对强迫症患者的治疗效果

Treatment Effects of Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Patients

目的了解认知行为疗法对强迫症患者的治疗效果。方法便利抽样法选择2011年2月至2012年2月在梅州市第三人民医院精神科治疗的强迫症患者70例为研究对象,按住院顺序先后将其分成观察组和对照组,每组35例。对照组患者给予药物治疗并辅以常规护理,观察组患者在对照组的基础上给予认知行为治疗,治疗前及治疗8周后采用耶鲁布朗强迫症量表(Yale-Brown obsessive-compulsive scale,YBCOS)对两组患者进行测评,并比较分析。结果治疗8周后,两组患者YBCOS量表评分与治疗前比较,差异均有统计学意义(均P<0.05)。干预后2、4、6、8周,两组患者YBCOS量表评分、强迫性思维因子评分、强迫性行为因子评分的差异均有统计学意义(均P<0.05)。经过8周治疗后,观察组痊愈16例、显效10例、有效5例、无效4例,对照组分别为8、7、9、11例;两组的显效率分别为74.29%和42.86%,有效率分别为88.57%和68.57%,两者的差异均有统计学意义(均P<0.05)。结论认知行为疗法在强迫症患者的临床治疗中有显著的疗效,有利于患者的康复,值得在临床工作中推广。

Objective To understand the treatment effects of cognitive behavioral therapy on obsessive compulsive disorder patients. Methods By convenience sampling, 70 obsessive compulsive disorder patients were randomly selected and equally assigned into observation group and control group according to the order of admission. The control group took the drug treatment combined regular nursing and the research group took the drug treatment combined with cognitive behavioral therapy. Before and after 8 weeks of the treatment, compared the score of symptom checklist of Yale-Brown obsessive-compulsive scale（YBOCS） in two groups. Results After 8 weeks of the treatment, there was statistical significance in YBOCS score in two groups compared with before treatment （all P〈0.05）. After 2,4,6,8 weeks of inter- vention, there were statistical significance of YBOCS, compulsive thinking factor score and compulsive behavior factor score between two groups （all P〈0.05）. After 8 weeks of treatment, 16 cases were cured in observation group, 10 cases had significant efficiency, 5 cases had some effects and 4 cases had no effects, the control groups were 8,7,9,11 cases respectively. The significant efficiency and efficiency rate was 74.29% and 88.57% in research group;42.86% and 68.57% in control group （all P〈0.05）. Conclusion The cognitive behavioral therapy has significant efficacy in clinical on obsessive compulsive patients. It was deserved to popularize in clinical.