CAJ | 학술논문

目的观察团体认知行为治疗改善强迫症患者生存质量的临床疗效.方法将81例强迫症患者随机分为研究组40例(帕罗西汀+团体认知行为治疗)和对照组41例(帕罗西汀治疗),疗程14周.采用耶鲁-布朗强迫量表(Y-BOCS)、世界卫生组织生存质量量表(WHOQOL)评定临床疗效.结果治疔14周后两组Y-BOCS均明显下降,两组下降幅度相比差异无显著性(P＞0.05).WHOQOL量表评分水平较治疗前有显著改善,且治疗后研究组低于对照组(P＜0.05).结论团体认知行为联合帕罗西汀治疗和单纯帕罗西汀药物治疗均能改善强迫症状,但联合治疗能明显改善强迫症患者的生存质量.
목적 관찰단체인지행위치료개선강박증환자생존질량적림상료효.방법 장81례강박증환자수궤분위연구조40례(파라서정+단체인지행위치료)화대조조41례(파라서정치료),료정14주.채용야로-포랑강박량표(Y-BOCS)、세계위생조직생존질량량표(WHOQOL)평정림상료효.결과 치정14주후량조Y-BOCS균명현하강,량조하강폭도상비차이무현저성(P＞0.05).WHOQOL량표평분수평교치료전유현저개선,차치료후연구조저우대조조(P＜0.05).결론 단체인지행위연합파라서정치료화단순파라서정약물치료균능개선강박증상,단연합치료능명현개선강박증환자적생존질량.
Objective To observe cognitive behavioral therapy in groups to improve the clinical efficacy of the quality of life of patients with ohsessive-compulsive disorder.Methods 81 cases of obsessive-compulsive disorder patients were randonly divided into study group (Paroxetine therapy + cognitive behavioral therapy in groups) and control group (Paroxetine),40 cases for study group,41 cases in control group,14 weeks of treatment.The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the World Health Organization Quality of Life Scale (WHOQOL) were used to assess the clinical efficacy.Results At the end of treatment of 14 weeks Y-BOCS of two groups were all significantly decreased,there were no significant difference in the two groups (P＞0.05).The improving level of WHOQOL Scale scores was better than that before treatment with statistical significance,and the study group lower than the control group (P＜0.05).Conclusions Combination therapy and simple Paroxetine drug therapy can all improve obsessive-compulsive symptoms,but Paroxetine medication at the same joint cognitive behavior therapy in groups can significantly improve the quality of life of patients with obsessive-compulsive disorder.