集体心理治疗对强迫症效果研究

目的：探讨集体心理治疗对强迫症的效果。方法：符合CCMD-3抑郁发作诊断标准的抑郁症患者117例,实验组58例进行联合治疗（药物治疗＋集体心理治疗）,对照组59例进行药物治疗。结果采用Yale-Brown强迫评定量表、HAMD（24项）、HAMA、服药依从性调查表进行评定。结果：治疗前各量表评分实验组及对照组无明显差异。治疗后实验组及对照组Yale-Brown强迫量表、HAMD、HAMA评分均下降,差异无显著性,但服药依从性实验组明显优于对照组。结论：联合治疗和单纯药物治疗均能改善强迫症状,集体治疗能增强服药依从性。

Study of Group Psychotherapy for Obsessive-Compulsive Disorder

Objective：To explore the effect of group psychotherapy for patients with obsessive-compulsive disorder.Method：Among 117 patients aged from 18 to 55 meeting criteria of CCMD-3 for OCD,58 were selected to receive integral intervention including drug and group psychotherapy,as the rest received single drug therapy.The result was assessed with Yale –Brown scale、HAMD、HAMA and compliance investigation scale.Result：Before treatment,there were no differences among the scales.After treatment,the scores of Yale –Brown,HAMD and HAMA in both groups decreased.The compliance was better in integral intervention group than that in the control group.Conclusion：Both therapies can improve compulsive symptoms.Group psychotherapy may improve compliance.