摘要
目的:探讨森田疗法在强迫症治疗中的作用及长期疗效。方法:药物合并森田治疗组31例,单一用药组33例,于入组时、治疗6周后、半年后及一年后,分别用YALE-BROWN强迫评定量表、HAMA量表评定病人,并于出院一年后用SDSS量表评定病人。结果:合并森田治疗组治疗6周后至出院一年后强迫思维症状评分显著低于单一用药组,治疗半年后合并森田治疗组焦虑症状评分较低。出院一年后合并森田治疗组SDSS总分及职业工作因子评分低于单一用药组,提示出院后职业功能较好。结论:森田疗法不仅能够减轻强迫症状,而且能够改善焦虑症状,是全面改善强迫症的治疗方法,而且长期应用疗效显著,有助改善社会功能,提高病人生活质量。
Objective:to investigate the efficacy and long-term outcome of Morita therapy in the treatment of Obsessive-Compulsive Disorder Method:sixty-four obsessive patients were randomly assigned to group A(31 cases,treated with combination of Morita therapy and pharmacological therapy)and group B(33 cases,treated with pharmacological therapy alone) All of them were evaluated with Yale-Brown Obsessive)Compulsive Scale and Hamilton Anxiety Rating Scale before treatment and at the end of sixth weeks,sixth months and after one year during treatment They were also evaluated with Social Disability Screening Schedule one year after discharge Patients in group A were treated by Morita therapy in outpatient department once a month after discharge Result:The scores of obsessive thought in group A were significantly lower than those in group B after six weeks treatment The scores of anxiety symptoms in group A were lower after six months treatment One year after discharge the total scores of SDSS and the factorial scores of occupational function in group A are lower than group B Conclusion:Morita therapy is efficient for treating OCD It can not only alleviate patients' obsessive symptoms but also relieve their anxiety symptoms In addition,Morita therapy can improve patients' social functions and living quality
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2000年第1期59-61,共3页
Chinese Mental Health Journal
关键词
森田疗法
强迫症
疗效
Morita therapy obsessive-compulsive disorder follow-up