CAJ | 학술논문

目的：探讨综合心理干预对难治性强迫症患者的疗效。方法17例难治性强迫症患者根据症状特点有侧重的采取综合心理干预。治疗前、治疗后分别用Yale-Brown强迫量表（ Y-BOCS），治疗后采用下列疗效评定法评定：有效率（ Y-BOCS 减分率＞50％人数的比例，减分率＝原分数-现分数/原分数）；缓解率（ Y-BOCS＜19分人数的比例）。结果治疗前后Y-BOCS得分配对t检验按P＜0.01标准，在统计学上存在差异，Y-BOCS 减分率＞50％的有11例，有效率为65％；Y-BOCS＜19分人数有14例，缓解率为82％。结论综合心理干预治疗难治性强迫症患者有一定效果。
목적：탐토종합심리간예대난치성강박증환자적료효。방법17례난치성강박증환자근거증상특점유측중적채취종합심리간예。치료전、치료후분별용Yale-Brown강박량표（ Y-BOCS），치료후채용하렬료효평정법평정：유효솔（ Y-BOCS 감분솔＞50％인수적비례，감분솔＝원분수-현분수/원분수）；완해솔（ Y-BOCS＜19분인수적비례）。결과치료전후Y-BOCS득분배대t검험안P＜0.01표준，재통계학상존재차이，Y-BOCS 감분솔＞50％적유11례，유효솔위65％；Y-BOCS＜19분인수유14례，완해솔위82％。결론종합심리간예치료난치성강박증환자유일정효과。
Objective To evaluate the efficacy of Comprehensive Psychotherapy for patients with refractory obsessive compulsive disorder.Methods Seventeen refractory obsessive compulsive disorder patients were treated by comprehensive psychotherapy .The re-sults were evaluated with Yale-Brown obsessive Compulsive Scale (Y-BOCS).Results After 12 weeks of therapy,the scores are lower and of a total of 17 patients, eleven were found to have improved ,the effective rate was 65%.The rate of remission was 82%.Conclu-sion Comprehensive psychotherapy is an effective treatment for patients suffering from refractory obsessive compulsive disorder .