CAJ | 학술논문

目的探讨序贯心理治疗合并5-羟色胺再摄取抑制剂(SSRIs)治疗难治性强迫症的疗效.方法对50例难治性强迫症患者在原SSRIs类药物治疗的基础上给予序贯心理治疗,在第一阶段、第二阶段、第三阶段分别给予精神分析疗法、森田疗法/认知行为疗法、现实疗法.每阶段疗程8周.采用Yale-Brown强迫量表分别在治疗前、治疗第8周末、治疗第16周末及治疗第24周末各评定1次,并进行对比分析.结果治疗前及治疗第24周末Yale-Brown强迫量表分别为[(21.10±4.69)分]和[(10.18±6.14)分].第24周末Yale-Brown强迫量表减分率判定痊愈率34.0%(17/50),显进率42.0%(21/50).结论在SSRIs类药物治疗的基础上给予序贯心理治疗是治疗难治性强迫症一种有效的方法.
목적 탐토서관심리치료합병5-간색알재섭취억제제(SSRIs)치료난치성강박증적료효.방법 대50례난치성강박증환자재원SSRIs류약물치료적기출상급여서관심리치료,재제일계단、제이계단、제삼계단분별급여정신분석요법、삼전요법/인지행위요법、현실요법.매계단료정8주.채용Yale-Brown강박량표분별재치료전、치료제8주말、치료제16주말급치료제24주말각평정1차,병진행대비분석.결과 치료전급치료제24주말Yale-Brown강박량표분별위[(21.10±4.69)분]화[(10.18±6.14)분].제24주말Yale-Brown강박량표감분솔판정전유솔34.0%(17/50),현진솔42.0%(21/50).결론 재SSRIs류약물치료적기출상급여서관심리치료시치료난치성강박증일충유효적방법.
Objective To evaluate the efficacy of sequential psychotherapy combined with selective serotonin reuptake inhibitors(SSRI) s on refractory obsessive-compulsive disorder(OCD). Methods 50 patients with refractory OCD were given to sequential psycho therapy in the original basis of the SSRIs drugs treatment. The patients were given psychoanalysis,cognitive behavioral therapy and reality therapy for 8 weeks at the end of in the first stage, second stage and the third stage. The efficacy was assessed by the Yale-Brown Obsessive Compulsive Scale(Y-BOCS) before treatment,8 weeks, 16 weeks, and 24 weeks after treatment, respectively. Results The total score of the YBOCS before the treatment and at the 24th week after treatment was (21.10 ±4.69) and ( 10.18±6. 14). According to the score-reducing rate of the YBOCS , recovery rate was 34.0%, effective rate was 42.0%. Conclusion Sequential psychotherapy combined with SSRIs is an effective treatment for refractory OCD.