认知行为疗法对慢性精神分裂症患者强迫症状的疗效观察

Observation of effects of cognitive behavior therapy on obsessive-compulsive symptoms in patients with chronic schizophrenia

目的:探讨认知行为疗法对慢性精神分裂症患者强迫症状的治疗效果。方法:将66例伴有强迫症状的慢性精神分裂症患者随机分为观察组和对照组,每组各33例。观察组患者采取传统治疗联合认知行为疗法,对照组患者只采用传统治疗;两组患者均以Yale-Brown强迫量表、临床疗效总评量表(CGI-SI)作3、6个月的评定。结果:3、6月末观察组患者的Yale-Brown强迫量表及CGI-SI评分与治疗前和与对照组同期比较,均有显著性差异(P<0.05或<0.01),而对照组患者前后评分比较无显著性差异(P>0.05)。结论:认知行为疗法对慢性精神分裂症患者强迫症状的疗效明显,值得推广。

Objective:To investigate effects of cognitive behavior therapy on obsessive-compulsive symptoms of patients with chronic schizophrenia. Methods:66 patients with obsessive-compulsive symptoms and chronic schizophrenia were randomly divided into observation group (33 cases) and control group (33 cases). The observation group adopted cognitive behavior therapy combined with traditional therapy, while control group only received traditional therapy. Two groups were evaluated by Yale-Brown obsessive-compulsive scale and clinical global impression-severity of illness ( CGI-S) at 3 and 6 months after the treatment. Results:At the end of 3 and 6 months, there were significant differences in the scores of Yale-Brown obsessive-compulsive scale and CGI-S of observation group before and after the treatment, and between observation group and control group (P<0. 05 or 0. 01);however, there was no sig-nificant difference of control group before and after the treatment (P>0. 05). Conclusions:The effects of cognitive behavior therapy on the obsessive compulsive symptoms of the patients with chronic schizophrenia are obvious;therefore, it is worth to be promoted.