抗抑郁药物联合短程团体认知行为疗法治疗强迫症临床观察

Effect of group cognitive behavioral therapy in patients with obessive compulsive disorder

目的探讨抗抑郁药物联合短程团体认知行为疗法治疗强迫症的临床疗效。方法将201例强迫症患者采用随机数字表法分为研究组101例及对照组100例。治疗前后分别采用YaleBrown强迫症量表(Y-BOCS)及汤旦林生活质量量表评定两组患者的强迫症状及生活质量。结果治疗后两组Yale-Brown强迫症量表评分显著低于治疗前(P<0.01),研究组显著低于对照组(P<0.01);两组汤旦林生活质量量表评分显著高于治疗前(P<0.01),研究组显著高于对照组(P<0.01)。治疗后研究组汤旦林生活质量量表身体方面、心理方面、社会方面、尽职的能力、自我健康意识评分均显著高于对照组(P<0.01)。结论抗抑郁药物联合短程认知行为团体治疗可有效改善强迫症患者的强迫症状,提高生活质量,值得推广应用。

Objective To explore the effects of antidepressants combined with short-term group cognitive behavioral therapy in obessive compulsive disorder patients. Methods 201 patients were divided into cognitive behavioral therapy group combined with drugs(cognitive group,n=101)and drug treatment group(control group,n=100). All participants were assessed with Yale-Brown scale(Y-BOCS)and Tang Danlin(TDL)before and 4 weeks after the treatment. Results The scores of Y-BOCS(22.3±4.4)were reduced in cognitive group after treatment(31.2±2.9),The scores of TDL(73.3.2±6.9)were increased in cognitive group after treatment(46.3±15.8)and the differences were statistical significance(P<0.05). In the cognitive group,the scores of Physical aspects,Psychological aspects,Social aspects,ability to perform duties,self-health awareness were increased after treatment,the differences were statistical significance(P<0.05). Conclusion Short-term group cognitive behavioral therapy can improve obessive compulsive disorder symptom.