团体认知行为干预联合正念干预对成人强迫症患者认知功能及负性情绪的影响

Influence of group cognitive behavior intervention combined with mindfulness intervention on cognitive function and negative emotion in adult patients with obsessive-compulsive disorder

目的探讨团体认知行为干预联合正念干预对成人强迫症患者认知功能及负性情绪的影响。方法将80例成人强迫症患者按照随机数字表法分为研究组与对照组,各40例。两组均给予团体认知行为干预,研究组在此基础上联合正念干预,观察8周。干预前后采用耶鲁-布朗强迫症状量表评定两组强迫症状情况,采用连线测验、数字广度测验及语义流畅性测验评定两组认知功能,采用焦虑自评量表及抑郁自评量表评定两组焦虑抑郁情绪。结果干预后两组耶鲁-布朗强迫症状量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01),两组连线测验A时间、A提笔数、B时间、B提笔数及数字符号测验数均显著优于干预前(P<0.05或0.01),研究组显著优于对照组(P<0.01),干预后两组数字广度测验顺背及倒背个数均显著多于干预前(P<0.01),研究组显著多于对照组(P<0.01)。干预后两组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01)。结论团体认知行为干预联合正念干预可有效改善成人强迫症患者的临床症状,提高认知功能,缓解负性情绪。

Objective To investigate the influence of group cognitive behavior intervention combined with mindfulness intervention on cognitive function and negative emotion in adult patients with obsessive-compulsive disorder(OCD).Methods A total of 80 adult patients with OCD were divided into study group and control group according to random number table method,with 40 cases in each group.Both groups were given group cognitive behavioral intervention,and the study group was combined with mindfulness intervention on this basis for 8 weeks.Before and after the intervention,the Yale-Brown obsessive compulsive scale(Y-BOCS) was used to assess the obsessive-compulsive symptoms of the two groups,and the trail making test,digital span test and semantic fluency test of the two groups were used to assess the cognitive function of the two groups.The self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to evaluate the anxiety and depression of the two groups.Results After the intervention,the Y-BOCS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P <0.01).The time A,number of pens A,time B,number of pens B and number of symbol-digit tests in the two groups were significantly better than those before the intervention(P<0.05 or 0.01),the study group was significantly better than the control group(P<0.01).After the intervention,the number of forwards and backwards of digital span test in the two groups were significantly more than that before the intervention(P<0.01),the study group was significantly more than the control group(P<0.01).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P <0.01),and the study group was significantly lower than the control group(P<0.01).Conclusions Group cognitive behavior intervention combined with mindfulness intervention can effectively improve the clinical symptoms and cognitive function of adult patients with OCD,and relieve negative emotions.