认知行为疗法改善青少年强迫症患者生活质量的对照研究  

Cognitive behavioral therapy improved quality of life of adolescent obsessive-compulsive disorder ：a con- trol study

作　　者：陈晓慧[1] 孙海莲[1] 苗文哲[1] 安钢辉[1] 陈力[2] 

机构地区：[1]哈尔滨医科大学附属第一医院心理科,哈尔滨150001 [2]医学心理学教研室

出　　处：《中华行为医学与脑科学杂志》2013年第4期314-316,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：基金项目：黑龙江省教育厅科学技术研究项目（11521144）

摘　　要：目的探讨认知行为疗法联合药物治疗青少年强迫症的效果以及对生活质量的影响。方法使用耶鲁布朗强迫量表（Y-BOCS）和儿童少年生活质量量表（QLSGA）及自编问卷对心理门诊就诊的123例青少年强迫症患者进行问卷调查，采用t检验和x2检验统计数据。结果12周末药物治疗组有效率64．52％；联合治疗组有效率80．33％，24周末药物治疗组有效率77．42％；联合治疗组有效率91．8％，两组疗效差异有统计学意义（p〈0．05）；两组治疗前后有效率比较差异有统计学意义p〈0．01）；两组治疗12周末有效率组间比较差异有统计学意义（P〈0．01），24周末有效率组问比较差异有统计学意义（P〈0．05）。治疗24周后两组患者在生活质量总体评价和负性情绪方面比较差异有统计学意义（P〈0．05）；在自我满意度、同伴关系、学习能力和态度方面比较差异有统计学意义（P〈0.01）。结论认知行为疗法联合药物治疗比单纯药物治疗有更好的疗效，可显著改善青少年强迫症患者生活质量。Objective To investigate the effect of cognitive behavior therapy combined with drug treat- ment of adolescent obsessive-compulsive disorder（OCD） and the effect on quality of life. Method Yale Brown Obsessive Compulsive Scale （Y-BOCS） and quality of life in children and adolescents scale （QLSCA） were used to assess the curative effect and quality of life for 123 adolescents with OCD on the psychological clinic in hospital. t test and one way - ANOVA test were used to analyze the data. Results The effective rate of drug treatment group was 64.52% after 12 weeks and combined treatment group was 80.33%. The effective rate of drug treatment group was 77.42% after 24 weeks and combined treatment group was 91.8%. There was significant difference between the two groups （P〈 0.05 ） . Two groups before and after treatment had significant difference （P〈 0.01 ）. There was significant difference between the two groups after＇12 weeks （P〈 0.01 ） and 24 weeks（P〈 0.05 ）. After 24 weeks of treatment, two groups of patients in the overall evaluation of the quality of life and negative emotion had significant differences （P 〈 0.05 ） and in self satisfaction, peer relationship, learning ability and attitude had significant differ- ences （P 〈 0.01 ）. Conclusion Combination therapy is better than simple drug treatment, and improves the quality of life better.

关 键 词：认知行为疗法 生活质量 强迫症 青少年 

分 类 号：R749.7[医药卫生—神经病学与精神病学]