系统脱敏疗法对中重度强迫症状患者的临床干预研究  

Clinical intervention of systematic desensitization therapy in patients with moderate and severe obsessive-compulsive symptoms

作　　者：方瑜雯 杜虹锦 卢丽靖 FANG Yuwen;DU Hongjin;LU Lijing(The Psychological Measurement Department of the Second Hospital of Jinhua,Jinhua 321016,China)

机构地区：[1]金华市第二医院心理测量室,浙江金华321016

出　　处：《心理月刊》2025年第1期148-150,共3页

摘　　要：目的探讨系统脱敏疗法对中重度强迫症状患者的临床干预效果。方法选择2023年2月~2024年7月于金华市第二医院就诊的77例中重度强迫症状患者作为研究对象,按照随机抽样法分为实验组和对照组,对照组进行常规入院治疗,实验组在常规入院治疗的基础上联合针对强迫症状的系统脱敏疗法,分别比较两组患者在耶鲁布朗强迫症状量表(Y-BOCS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)上的评分变化。结果经过系统脱敏治疗后,实验组在Y-BOCS评分显著高于对照组(P<0.05);实验组的强迫症状总有效率为91.67%,对照组的强迫症状总有效率为50.00%,二者存在显著性差异(P<0.05);治疗前两组患者在SAS上的评分和SDS上的评分无显著差异(P>0.05),治疗后两组患者SAS评分和SDS评分均降低,且实验组显著低于对照组(P<0.05);实验组的患者满意度得分显著高于对照组(P<0.05)。结论系统脱敏疗法对中重度强迫症状患者的强迫症状、焦虑情绪、抑郁情绪均具有一定的治疗效果,并取得了患者的满意,具有一定应用价值。Objective To investigate the clinical intervention effects of systematic desensitization therapy on patients with moderate to severe obsessive symptoms.Methods 77 patients with moderate to severe obsessive symptoms who were admitted to Jinhua Second Hospital from February 2023 to July 2024 were selected as the research subjects and divided into the experimental group and the control group by random sampling.The control group received routine inpatient treatment,and the experimental group received routine inpatient treatment combined with systematic desensitization therapy targeting obsessive symptoms.The scores on the Y-BOCS,SAS,and SDS were compared between the two groups.Results After systematic desensitization treatment,the Y-BOCS score in the experimental group was significantly higher than that in the control group(P<0.05);the total effective rate of obsessive symptoms in the experimental group was 91.67%,and the total effective rate of obsessive symptoms in the control group was 50.00%,with a significant difference between the two groups(P<0.05);there was no significant difference in the SAS scores and SDS scores between the two groups before treatment(P>0.05),and the SAS scores and SDS scores of both groups decreased after treatment,and the scores in the experimental group were significantly lower than those in the control group(P<0.05);the satisfaction score of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion Systematic desensitization therapy has a certain therapeutic effect on obsessive-compulsive symptoms,anxiety and depression in patients with moderate to severe obsessive-compulsive symptoms,and has achieved patient satisfaction and has certain application value.

关 键 词：系统脱敏疗法 心理干预 中重度强迫症状 强迫症 

分 类 号：R47[医药卫生—护理学]