CAJ | 학술논문

目的探讨认知疗法对伴有临床体像障碍(body- image disturbance,BID)口腔正畸患者的疗效.方法对21例伴有体像障碍的正畸患者在常规正畸同时给予认知治疗(治疗组),对另15例只进行常规正畸(对照组).在正畸治疗前后采用症状自评量表(SCL-90)、认知偏差问卷(CBQ)、情绪自评量表(SDS、SAS)和体像自评问卷(BIQ)对两组患者进行测试.结果 (1)治疗组SDS和SAS得分于治疗后显著下降,SDS得分下降差值大于对照组;(2)SCL-90测试结果:两组各因子得分都有不同程度下降,治疗组强迫、人际关系、抑郁、焦虑、恐怖、偏执得分下降幅度大于对照组; (3)BIQ测试结果:治疗组各维度(除功能影响维度外)的改善程度大于对照组;(4)CBQ测试结果:治疗组各维度(除非抑郁-歪曲维度外)的改善程度大于对照组.结论认知治疗能改善伴有体像障碍的口腔正畸患者的认知偏差和心理健康水平.
목적 탐토인지요법대반유림상체상장애(body- image disturbance,BID)구강정기환자적료효.방법 대21례반유체상장애적정기환자재상규정기동시급여인지치료(치료조),대령15례지진행상규정기(대조조).재정기치료전후채용증상자평량표(SCL-90)、인지편차문권(CBQ)、정서자평량표(SDS、SAS)화체상자평문권(BIQ)대량조환자진행측시.결과 (1)치료조SDS화SAS득분우치료후현저하강,SDS득분하강차치대우대조조;(2)SCL-90측시결과:량조각인자득분도유불동정도하강,치료조강박、인제관계、억욱、초필、공포、편집득분하강폭도대우대조조; (3)BIQ측시결과:치료조각유도(제공능영향유도외)적개선정도대우대조조;(4)CBQ측시결과:치료조각유도(제비억욱-왜곡유도외)적개선정도대우대조조.결론 인지치료능개선반유체상장애적구강정기환자적인지편차화심리건강수평.
Objective To examine the effectiveness of cognitive therapy on orthodontic patients with body image disturbance (BID).Methods 21 orthodontic patients with BID in study group re ceived routine orthopedic treatment and cognitive therapy,and 15 orthodontic patients with BID in control group received only routine orthopedic treatment.All patients were tested with Symptom Checklist 90 (SCL-90),Cognitive Bias Questionnaire (CBQ),Self-Rating Depression Scale (SDS),Self-Rating Anxiety Scale (SAS),and Body Image Questionnaire (BIQ) at prior and post treatment.Results SAS and SDS scores in the study group were decreased after treatment,and SDS decrease in the study group was larger than that in control group.The factor scores of both groups on the SCL- 90were decreased after treatment,and most factor scores decrease in study group was larger than that in control group.Three dimensions (except for function impairment) of the BIQ were improved in the study group as compared with control group.Cognitive styles were improved on the study group as compared with control group.Conclusions The cognitive therapy can improve cognitive bias and mental health of patients with BID.