《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (03): 213-215.

• 临床研究 • 上一篇    下一篇

强迫思想不伴强迫行为的强迫症二重辨证施治

陈光敏1; 许文峰2; 林志雄1; 律东1; 罗旭东1; 李晓玲1   

  1. 1.广东医学院附属医院心理科 广东湛江市 524001;2.广东省雷州市人民医院 广东省雷州市 524200
  • 收稿日期:2004-09-16 出版日期:2005-03-25 发布日期:2005-03-25

Effect of Double Treatment Based On Differentiation Of Syndromes on obsession with obsessive thoughts but without compulsive behavior in open wards

CHEN Guang-min, XU Wen-feng, LIN Zhi-xiong, et al   

  1. Department of Psychology, the Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001, Guangdong, China
  • Received:2004-09-16 Published:2005-03-25 Online:2005-03-25

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被引次数

3

摘要： 目的探讨二重辨证施治对强迫思想不伴强迫行为强迫症患者的疗效,及其在开放式心理病房的适应情况。方法将47例强迫思想不伴强迫行为强迫症患者按随机的原则在开放式心理病房分为研究组(24例)和对照组(23例)。研究组用二重辨证施治,对照组用认知疗法结合氯丙咪嗪、氟西汀等。研究时间共5个月,前2个月为积极治疗期,后3个月为自由治疗期。采用耶鲁布朗强迫症量表(Y-BOCS)进行评定。结果两组在积极治疗期末和自由治疗期末痊愈率均有非常显著性差异(P<0005)。YBOCS总分两组治疗前无显著性差异(t=0375,P>05);在积极治疗期末和自由治疗期末,两组有显著性差异(均P<0001)。结论二重辨证施治对强迫思想不伴强迫行为的强迫症者有良好疗效,且疗效持续。开放式心理病房可作为强迫症含强迫思想不伴强迫行为者二重辨证施治的医疗平台。

关键词: 二重辨证施治, 强迫思想, 开放式心理病房, 神经症

Abstract: ObjectiveTo study the significance of Double Therapy Treatment Based On Differentiation Of Syndromes on obsession with obsessive thoughts but without compulsive behavior and its suitability in open wards.Methods47 cases were divided into experimental group(24 cases) and control group(23 cases) randomly in open wards. Experimental group was treated by Double Therapy Treatment Based on Differentiation of Syndromes while control group by Cognitive Therapy combined with Chlorimpramine and Fluoxetine etc. The period of treatment was 5 months, in which positive therapy cost 2 months and free therapy cost next 3 months. Y-BOCS was used to value the effect.ResultsThe recovery rate in experimental group was much higher than that of the control group 2 months (χ2=12.44,P<0.01) and 5 months (χ2=18.00,P<0.01)later. There was significant difference in Y-BOCS score between these two groups 2 months (t=7.140,P<0.001) and 5 months (t=8.191,P<0.001)later.ConclusionDouble Therapy Treatment Based On Differention Of Syndromes shows a satisfied curative effect and prognosis on obsession with obsessive thoughts but without compulsive behavior and should be advocated.

Key words: Double Therapy Treatment Based on Differentiation of Syndromes, obsession, open wards, neurosis