认知行为治疗对口腔正畸临床体像障碍患者的随机对照研究  

Efficacyof cognitive-behavior therapy fororthodontics patients with body dysmorphic disorder: Arandomized controlled trial

作　　者：顾钰 任国琴 朱旭霞 许辉明 冯慧 GU Yu;REN Guoqin;ZHU Xuxia(The Affiliated Wuxi Mental Health Center of Nanjing Medical University,Wuxi 214000,China)

机构地区：[1]南京医科大学附属无锡精神卫生中心,江苏无锡214000 [2]南京医科大学附属无锡第二医院

出　　处：《精神医学杂志》2018年第2期99-102,共4页Journal of Psychiatry

基　　金：无锡市社会发展计划课题(编号:CSE00712)

摘　　要：目的探讨认知行为治疗对口腔正畸临床体像障碍患者的体像满意度、心理健康和生活质量的影响。方法选取40例口腔正畸临床体像障碍患者,随机分为接受常规口腔正畸临床治疗及认知行为治疗组(研究组)与常规口腔正畸临床治疗组(对照组)各20例。两组患者在正畸治疗前后采用体像自评问卷(BIQ)、症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和简明健康状况量表(SF-36)进行评估。结果研究组8周治疗后,SCL-90躯体化、强迫、抑郁、焦虑、恐怖、偏执、精神病性、其他因子评分较治疗前降低(P<0.05);SAS、SDS评分较治疗前降低(P<0.05);研究组治疗后BIQ体貌满意度维度评分较治疗前升高(P<0.05),易貌愿望、心理痛苦和功能影响维度评分较治疗前降低(P<0.05);SF-36评分较治疗前升高(P<0.05)。对照组治疗后SCL-90强迫、焦虑因子评分较治疗前降低(P<0.05);BIQ易貌愿望评分较治疗前降低(P<0.05)。治疗后研究组SCL-90躯体化、强迫、抑郁、焦虑、偏执因子评分和SAS、SDS评分低于对照组(P<0.05)。治疗后研究组BIQ体貌满意度维度和SF-36评分高于对照组(P<0.05),心理痛苦、易貌愿望维度评分低于对照组(P<0.05)。结论认知行为治疗能明显改善口腔正畸临床体像障碍患者的体像满意度及心理健康,提高患者的生活质量。Objective To explore the effect of cognitive-behavioral therapy on body image satisfaction,mental health and life quality in orthodontics patients with body dysmorphic disorder. Methods 40 orthodontic patients with body dysmorphic disorder were selected and randomly divided into study group treated with routine orthodontic treatment combined with cognitive-behavior therapy（ n = 20） and control group treated with only routine orthodontic treatment（ n = 20）. They were assessed with Body Image Questionnaire（ BIQ）,Symptom Checklist（ SCL-90）,Self-rating Anxiety Scale（ SAS）,Self-rating Depression Scale（ SDS） and the MOS item short from health survey（ SF-36） before and after orthodontic treatment. Results In study group,thefactor scores of somatization,compulsion,depression,anxiety,phobia,paranoid,psychosis and others in SCL-90 were significantly lower after treatment than those before treatment（ P 〈 0. 05）; the total scores of SAS and SDS were significantly lower after treatment than those before treatment（ P 〈 0. 05）; in BIQ,the factor score of body image satisfaction was significantly higher after treatment than that before treatment（ P 〈 0. 05）,and the factor scores of reshaping desire,psychological distress and function impairment were significantly lower after treatment than those before treatment（ P 〈 0. 05）; the total score of SF-36 was significantly higher after treatment than that before treatment（ P 〈 0. 05）. In control group,the factor scores of compulsion and anxiety in SCL-90 were significantly lower after treatment than those before treatment（ P 〈 0. 05）; the factor score of reshaping desire in BIQ was significantly lower after treatment than that before treatment（ P 〈 0. 05）. After treatment,total scores of SAS and SDS as well as factor scores of somatization,compulsion,depression,anxiety and paranoid in SCL-90 in study group were significantly lower than those in control group（ P 〈 0. 05）. After treatment,the factor score of bod

关 键 词：认知行为治疗 口腔正畸 体像障碍 心理健康 生活质量 

分 类 号：R749[医药卫生—神经病学与精神病学]