CAJ | 학술논문

目的探讨认知行为疗法联合药物治疗青少年强迫症的效果以及对生活质量的影响.方法使用耶鲁布朗强迫量表(Y-BOCS)和儿童少年生活质量量表(QLSCA)及自编问卷对心理门诊就诊的123例青少年强迫症患者进行问卷调查,采用t检验和x2检验统计数据.结果 12周末药物治疗组有效率64.52％；联合治疗组有效率80.33％,24周末药物治疗组有效率77.42％；联合治疗组有效率91.8％,两组疗效差异有统计学意义(P＜ 0.05)；两组治疗前后有效率比较差异有统计学意义(P＜0.01)；两组治疗12周未有效率组间比较差异有统计学意义(P＜0.01),24周末有效率组间比较差异有统计学意义(P＜0.05).治疗24周后两组患者在生活质量总体评价和负性情绪方面比较差异有统计学意义(P＜0.05)；在自我满意度、同伴关系、学习能力和态度方面比较差异有统计学意义(P＜0.01).结论认知行为疗法联合药物治疗比单纯药物治疗有更好的疗效,可显著改善青少年强迫症患者生活质量.
목적 탐토인지행위요법연합약물치료청소년강박증적효과이급대생활질량적영향.방법 사용야로포랑강박량표(Y-BOCS)화인동소년생활질량량표(QLSCA)급자편문권대심리문진취진적123례청소년강박증환자진행문권조사,채용t검험화x2검험통계수거.결과 12주말약물치료조유효솔64.52％；연합치료조유효솔80.33％,24주말약물치료조유효솔77.42％；연합치료조유효솔91.8％,량조료효차이유통계학의의(P＜ 0.05)；량조치료전후유효솔비교차이유통계학의의(P＜0.01)；량조치료12주미유효솔조간비교차이유통계학의의(P＜0.01),24주말유효솔조간비교차이유통계학의의(P＜0.05).치료24주후량조환자재생활질량총체평개화부성정서방면비교차이유통계학의의(P＜0.05)；재자아만의도、동반관계、학습능력화태도방면비교차이유통계학의의(P＜0.01).결론 인지행위요법연합약물치료비단순약물치료유경호적료효,가현저개선청소년강박증환자생활질량.
Objective To investigate the effect of cognitive behavior therapy combined with drug treatment of adolescent obsessive-compulsive disorder(OCD) and the effect on quality of life.Method Yale Brown Obsessive Compulsive Scale (Y-BOCS) and quality of life in children and adolescents scale (QLSCA) were used to assess the curative effect and quality of life for 123 adolescents with OCD on the psychological clinic in hospital.t test and one way-ANOVA test were used to analyze the data.Results The effective rate of drug treatment group was 64.52％ after 12 weeks and combined treatment group was 80.33％.The effective rate of drug treatment group was 77.42％ after 24 weeks and combined treatment group was 91.8％.There was significant difference between the two groups (P ＜ 0.05).Two groups before and after treatment had significant difference (P ＜ 0.01).There was significant difference between the two groups after 12 weeks (P＜ 0.01) and 24 weeks (P ＜ 0.05).After 24 weeks of treatment,two groups of patients in the overall evaluation of the quality of life and negative ernotion had significant differences (P ＜ 0.05) and in self satisfaction,peer relationship,learning ability and attitude had significant differences (P ＜ 0.01).Conclusion Combination therapy is better than simple drug treatment,and improves the quality of life better.