短程团体认知行为疗法联合氟伏沙明治疗强迫症患者的效果

目的:观察短程团体认知行为疗法联合氟伏沙明治疗强迫症患者的效果。方法:选取120例强迫症患者为研究对象,按照随机数字表法分为观察组与对照组各60例。对照组采用氟伏沙明治疗,观察组在对照组基础上联合短程团体认知行为疗法治疗,比较两组耶鲁-布朗强迫症量表(Y-BOCS)评分、临床疗效、汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分、汤旦林(TDL)生命质量量表评分和强迫信念问卷(OBQ-44)评分。结果:治疗后,两组Y-BOCS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为96.67%,明显高于对照组的81.67%,差异有统计学意义(P<0.05);治疗后,两组HAMA、HAMD评分均低于治疗前,且观察组明显低于对照组,差异有统计学意义(P<0.05);治疗后,两组TDL评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组OBQ-44评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:短程团体认知行为疗法联合氟伏沙明治疗强迫症患者可提高治疗总有效率和TDL评分,降低Y-BOCS、OBQ-44、HAMA和HAMD评分,效果优于单纯氟伏沙明治疗。

Effects of short-term group cognitive behavioral therapy combined with Fluvoxamine in treatment of patients with obsessive-compulsive disorders

Objective:To observe effects of short-term group cognitive behavioral therapy combined with Fluvoxamine in treatment of patients with obsessive-compulsive disorders.Methods:120 patients with obsessive-compulsive disorders were selected as the research objects,and were divided into observation group and control group according to the random number table method,60 cases in each.The control group was treated with Fluvoxamine,while the observation group was treated with short-term group cognitive behavioral therapy on the basis of that of the control group.The Yale-Brown obsessive-compulsive disorder scale(Y-BOCS)score,the clinical efficacy,the Hamilton anxiety scale(HAMA)score,the Hamilton depression scale(HAMD)score,the Tang Danlin(TDL)quality of life scale points and the obsessional belief questionnaire(OBQ-44)score were compared between the two groups.Results:After the treatment,the Y-BOCS scores of both groups were lower than those before the treatment;that of the observation group was lower than that of the control group;and the differences were statistically significant(P<0.05).The total effective rate of the observation group was 96.67%,which was significantly higher than the control group of 81.67%,and the differences were statistically significant(P<0.05).After the treatment,the HAMA and HAMD scores of the two groups were lower than those before the treatment;those of the observation group were significantly lower than those of the control group;and the differences were statistically significant(P<0.05).After the treatment,the TDL scores of the two groups were higher than those before the treatment;that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Further,after the treatment,the OBQ-44 scores of both groups were lower than those before the treatment;that of the observation group was lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Short-term group cognitive-behavioral therapy combined with Fluvoxamine in the patients with obsessive-compulsive disorders can improve the total effective rate and the TDL score,and reduce the Y-BOCS,OBQ-44,HAMA and HAMD scores.Moreover,it is superior to single Fluvoxamine.