CAJ | 학술논문

目的探讨氟伏沙明合并认知行为疗法(CBT)治疗强迫症(OCD)的临床疗效.方法符合入组标准的强迫症患者,按随机数字表法分为氟伏沙明合并认知行为治疗组(研究组),单纯认知治疗组(对照组),观察比较治疗1,3,6个月后Yale-Brown强迫量表评分情况及临床疗效.结果研究组治疗6个月后有效率71%,对照组有效率42.7%,差异有显著性(P＜0.01).2组Yale-Brown强迫量表总得分在治疗3个月后和6个月后差异有显著性,研究组显著低于对照组[(18.86±6.47)分,(17.10±7.加)分;(15.16±6.88)分,(12.70±7.31)分;P＜0.05].结论认知行为治疗合并药物治疗强迫症的疗效明显优于单纯认知行为治疗.
목적 탐토불복사명합병인지행위요법(CBT)치료강박증(OCD)적림상료효.방법 부합입조표준적강박증환자,안수궤수자표법분위불복사명합병인지행위치료조(연구조),단순인지치료조(대조조),관찰비교치료1,3,6개월후Yale-Brown강박량표평분정황급림상료효.결과 연구조치료6개월후유효솔71%,대조조유효솔42.7%,차이유현저성(P＜0.01).2조Yale-Brown강박량표총득분재치료3개월후화6개월후차이유현저성,연구조현저저우대조조[(18.86±6.47)분,(17.10±7.가)분;(15.16±6.88)분,(12.70±7.31)분;P＜0.05].결론 인지행위치료합병약물치료강박증적료효명현우우단순인지행위치료.
Objective To explore the effect of the treatment of fluvoxoxamine combined with cognitive behavioral therapy (CBT) on obsessive-compulsive disorders (OCD).Methods After defining the diagnosis,110 OCD patients were divided into study group(n=62) and control group(n=48) according to their own will,and Yale-Brown obsessive-compulsive scale,the assessment of the clinical effect was used to assess in 1,3,6 months later.Results The group of cognitive behavioral therapy combining pharmacological therapy was 62 cases,and the clinical effective rate was 71.0%.The group of cognitive behavioral therapy was 48 cases,and the clinical effective rate was 42.7% .In the 3 and 6 months,there was significant difference in the marks between Yale-Brown obsessive-compulsive scale of the two groups(P＜0.05).Conclusion The effectiveness of the CBT combining pharmacological therapy is better than simple CBT therapy.