一例强迫症个案的接纳承诺疗法干预报告

Effects of Acceptance and Commitment Therapy for an Obsessive-Compulsive Disorder Client

为探索接纳承诺疗法在国内干预强迫症的作用,运用接纳承诺疗法对1位患轻度强迫症的大学生进行连续13周、每周1次的心理咨询,采用YALE-BROWN强迫量表、接纳与行动问卷、抑郁自评量表和焦虑自评量表分别在干预前、干预后和干预后3个月对来访者实施测评,并收集来访者的主观报告。来访者经过咨询后,强迫症状减轻,经验性回避、抑郁、焦虑水平显著下降。自我报告咨询后愿意积极地做出改变,情绪变好,自我评价提高。追踪测评结果显示,干预结束后的三个月期间,临床效果持续且稳定。本案例的干预过程说明接纳承诺疗法可以有效地改善来访者的强迫症状。

To investigate the effects of acceptance and commitment therapy for one Chinese college student with mild ob-sessive-compulsive disorder. A mild obsessive-compulsive disorder college student received the 13 times counselingwith Acceptance and Commitment Therapy （ACT）. The Yale-Brown Obsessive-Compulsive Scale, Acceptance andaction Questionnaire-2 （AAQ-2）, Self Rating Depression Scale （SDS） and Self Rating Anxiety Scale （SAS）were completed pre and post treatment and after 3 months. Data indicated that Yale-Brown Obsessive-CompulsiveScale, AAQ-2, SAS and SDS were significantly reduced from pre to post intervention, better psychological flexibil-ity and higher self -evaluation were reported by the student. These improvements still were maintained after 3months. So ACT can be helpful to obsessive-compulsive disorder patients.