认知领悟疗法治疗难治性强迫性神经症的研究

A Survey of Cognition-comprehending Therapy to Treat Patients With Refractory Obsessive-compulsive Neurosis

目的 :观察认知领悟疗法治疗难治性强迫性神经症的疗效。方法 :将符合CCMD -2 -R强迫性神经症诊断标准的难治性强迫性神经症病人 60例 ,随机分为认知领悟疗法配合氟西汀治疗 30例 (研究组 )及单用氟西汀 30例 (对照组 ) ,采用Y -BOCS量表评定疗效。结果 :研究组和对照组显效率分别为 76.67%、46.67% ,经 χ2 检验 ,有统计学意义 (P <0 .0 5 )。且研究组于治疗 2周末Y -BOCS平均减分率达到35 .69% ,而对照组于治疗 6周末才达到 33.15 %。结论 :认知领悟疗法并氟西汀治疗可更有效地控制难治性强迫性神经症症状 。

Objective: to observe the effect of cognition-comprehending therapy to treat patients with refractory obsessive-compulsive neurosis.Methods:a total of 60 cases who could tally with the CCMD-2-R diagnostic standard for refractory obsessive-compulsive neurosis were randomly divided into both test group and control group equally (30 cases each). Patients of test group accepted the cognition-comprehending therapy plus fluoxetine hydrochlorids pulvules orally taken. Patients of control group were just given fluoxetine hydrochlorids pulvules orally. The therapeutic effect was evaluated by adopting Y-BOCS scale.Results:the effectual rate in patients of test and control groups were 76.67% and 46.67% respectively. There was significant difference between the two groups (χ 2 test,P<0.05). Y-BOCS score reducing rate in test group patients reached 35.69% 2 weeks after the treatment. However, in patients of control group it reached 33.15% at the end of 6th week.Conclusion:cognition-comprehending therapy combined with Fluoxetine Hydrochlorids Pulvules orally taken could control the symptoms of patients with refractory obsessive-compulsive neurosis effectively. It could also improve the prognosis of these patients.