强迫症短程心理治疗前药物铺垫与治疗效果的关系  

The relation between the drugs administration before the short-term psychotherapy and the therapentic effect in obsession

作　　者：宁洁[1] 李伟民 卢殿军[1] 

机构地区：[1]重庆市精神卫生中心,401147 [2]重庆伟氏心理咨询诊所,400020

出　　处：《重庆医学》2004年第7期1089-1090,共2页Chongqing medicine

摘　　要：目的　比较强迫症短程心理治疗前辅以药物 (SSRIs 或安慰剂 )治疗与单一心理治疗的疗效差异。方法　将 5 5例强迫症患者分为服SSRIs 组 (H)、服用安慰剂组 (P)、不服药组 (N)进行短程心理治疗 ;对完成规定疗程的 38例受试就治疗脱失、依从性、治疗阻力、目标疗效实现等方面进行评估。结果　强迫症短程心理治疗前辅以SSRIs 药物治疗 ,效果优于单一的心理治疗 ;安慰剂也有助于心理治疗的实施。结论　强迫症短程心理治疗前使用SSRIs 疗效优于单一心理治疗。Objective To compare the differences of the efficacy with the short term psychotherapy between the drugs (SSRI s or placebo) administration before the psychotherapy and the only psychotherapy.Method During 4 years 55 patients diagnosed obsession were taken the same short term psychotherapy.They were arranged for SSRI s (H),the placebo (P),and no drugs used (N) groups;38 patients who completed the courses of the treatment were evaluated for the therapeutic discontinuance,the compliance,the resistance of the treatment and the realization on the objective efficacy and so on.Results SSRI s administration before the psychotherapy was superior to the only psychotherapy.

关 键 词：强迫症 心理治疗 SSRIS 

分 类 号：R749.7[医药卫生—神经病学与精神病学]