森田疗法合并药物治疗对强迫症患者自尊和自我和谐等社会功能恢复的影响  

Effects of Morita therapy combined with drug therapy on the recovery of self-esteem and self-congruence and other social functions in patients with obsessive-compulsive disorder

作　　者：闫俊[1] 崔玉华[1] 张佰全[1] 

机构地区：[1]北京大学精神卫生研究所,北京市100083

出　　处：《中国临床康复》2005年第12期80-81,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨森田疗法合并药物治疗对改善强迫症患者自尊和自我和谐的作用。方法:对2002-11/2003-03在北京大学精神卫生研究所门诊诊治的强迫症患者40例进行森田疗法合并药物治疗(治疗组,n=20)和单纯药物治疗(对照组,n=20)。两组患者均在强迫症门诊由专门的医生进行药物治疗的指导,药物的剂量和使用方法由医生根据临床的效果进行,氟西汀20～40mg/d或氯丙咪嗪100～200mg/d,疗程为3个月。治疗组参加为期3个月的门诊集体森田治疗,1次/周,参加总次数为10次(1个疗程)。在治疗前和治疗3个月后进行Maudsley强迫问卷,耶鲁布郎强迫量表,社会功能缺陷筛选量表,自我和谐量表和自尊量表进行评估,对比两组治疗前后上述量表评分的差异。结果:按意向处理分析,每组各有20例纳入结果分析。对照组治疗后Maudsley强迫问卷、耶鲁布郎强迫量表、自我和谐量表评分比治疗前明显降低(P=0.004,0.001,0.036);治疗组治疗后Maudsley强迫问卷、耶鲁布郎强迫量表、社会功能缺陷筛选量表、自我和谐量表和自尊量表评分比治疗前明显降低(P=0.011,0.005,0.001,0.000,0.000)。对比两组治疗前后各量表的变化差值,治疗组在社会功能缺陷筛选量表(5.08±4.09)、自我和谐量表(8.53±0.59)和自尊量表(3.27±0.58)的降低比对照组(分别为0.79±0.04,3.AIM:To investigate the effects of Morita therapy combined with drug therapy on the amelioration of self esteem and self consistency and congruence in patien ts with obsessive compulsive disorder(OCD). METHODS:Forty OCD patients in the outpatient clinic of Mental Health Institute of Peking University between November 2002 and March 2003 were treated with Mor ita therapy combined with drug therapy(treatment group,n=20) or drug therapy onl y(control group,n=20).Patients in both groups received instruction of drug thera py from the special physicians in the OCD outpatient clinic,the dosage and usage of drug was instructed by the physicians according to the clinical effects,fluo xetine(20 to 40 mg per day) or clomipramine(100 to 200 mg per day) was used for 3 months as a course.Patients in the treatment group took part in a 3 month col lective Morita therapy in the clinic, once every week for 10 times(one course).A ll the patients were evaluated with Maudsley obsessive compulsive inventory(MOC I),Yale Brown obsessive compulsive scale(Y BOCS),social disability screening schedule(SDSS),self consistency and congruence scale(SCCS) and self esteem sca le before treatment and 3 month after treatment,and the differences in the score s of the above scales were compared before and after treatment between the two g roups. RESULTS:According to intention to treat(ITT) analysis,20 cases in each group were involved in the analysis of results.In the control group,the scores of MOC I,Y BOCS and SCCS after treatment were obviously decreased as compared with tho se pretreatment(P=0.004,0.001,0.036).In the treatment group, the scores of MOCI, Y BOCS,SDSS,SCCS and self esteem scale after treatment were markedly decreased as compared with those pretreatment(P=0.011,0.005,0.001,0.000,0.000).In compari son of the differences of each scale pretreatment and posttreatment,the decrease s of scores of SDSS,SCCS and self esteem scale in the treatment group(5.08±4.0 9,8.53±0.59,3.27±0.58) were more obvious than those in the control group(0.79 �

关 键 词：强迫性障碍 心理疗法 治疗结果 

分 类 号：R749.053[医药卫生—神经病学与精神病学]