认知行为治疗拒绝上学的研究  

A Research on the Cognitive Behaviour Therapy for School Refusal

作　　者：吴歆[1] 刘芳[2] 陈翠华[1] 黄玲[1] 林经纬[1] 施穗琴[1] 

机构地区：[1]广西壮族自治区人民医院,广西南宁530021 [2]中国人民解放军白求恩国际和平医院,河北石家庄050082

出　　处：《儿科药学杂志》2014年第8期10-13,共4页Journal of Pediatric Pharmacy

基　　金：北京军区十一五计划课题;项目编号:06BJ032

摘　　要：目的：探讨认知行为治疗（CBT）及联合氟西汀治疗拒绝上学的疗效。方法：选择2009年10月至2012年10月符合拒绝上学诊断标准的患者95例,年龄8～18岁。将95例患者随机分为CBT组（n=47）、CBT＋氟西汀组（n=48）,疗程12周,治疗前后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评价,记录每组的返校率。结果：CBT组治疗前后SAS和SDS比较差异有统计学意义（P〈0.01）,返校率74.5%；CBT＋氟西汀组治疗前后SAS和SDS评分比较差异有统计学意义（P〈0.01）,返校率83.3%。两组间返校率比较差异无统计学意义（P〉0.05）。结论：CBT和CBT联合氟西汀均可以有效治疗拒绝上学,氟西汀不能提高CBT治疗拒绝上学的疗效。Objective： To study and evaluate the effects of the cognitive behaviour therapy（CBT） and the CBT plus fluoxetine treatment for school refusal（ SR）. Methods： Ninty-five patients who met the criteria of SR were randomized into two groups： the CBT group（ n = 47）,and CBT plus fluoxetine group（ n = 48）. The treatment lasted 12 weeks. The Self-Rating Anxiety Scale（ SAS）,the Self-Rating Depression Scale（ SDS） were conducted before and after treatment. Results： After 12 weeks,in the CBT group,the SAS scores and SDS scores were significantly decreased（ P 〈 0. 01）,and the percentage of school attendance was 74. 5%; In the CBT plus fluoxetine group,the SAS scores and SDS scores were significantly decreased（ P 〈 0. 01）,and the percentage of school attendance was 83. 3%. There was no significantly difference in the percentage of school attendance between two groups（ P 〉 0. 05）.Conclusions： The CBT and CBT plus fluoxetine can both effectively treat SR,and the fluoxetine is not able to increase the efficacy of treatment for SR.

关 键 词：拒绝上学 认知行为 氟西汀 

分 类 号：R749[医药卫生—神经病学与精神病学]