摘要
目的:探讨正念体悟疗法对强迫症的干预效果。方法:对9名满足入组标准的强迫症个案开展为期23周的正念体悟疗法干预,使用症状自评量表(SCL-90),耶鲁-布朗强迫程度严重量表(Y-BOCS)进行干预前和干预后测量,以检验其效果。结果:对数据进行t检验发现,来访者SCL-90除敌对因子分(t=1.915,P>0.05)前后测没有达到统计学的显著差异之外,总均分(t=5.851,P<0.01)和其他因子分(躯体化t=3.360,和强迫t=4.203,人际关系t=6.804,抑郁t=5.997,焦虑t=3.763,恐怖t=5.146,偏执t=6.424,精神病性t=4.661,其他t=4.482;P均<0.05)均是后测显著低于前测,Y-BOCS分数(t=7.007,P<0.05)后测也显著低于前测。结论:正念体悟疗法干预强迫症有效,能显著缓解来访者的强迫症症状,降低其主观痛苦程度,恢复其社会生活功能。
Objective：To investigate the effectiveness of mindfulness experiential insight therapy on treating obsessive compulsive disorder.Methods：During 23 weeks,mindfulness experiential insight therapy is practiced on nine obsessive-compulsive-disorder patients who met the standards of the experiment.SCL-90 and Y-BOCS were used to measure the effectiveness of the treatment by evaluating the severity of obsessive compulsive disorder based on the scores of pre-treatment and post-treatment.Results：T test data found that patients with SCL-90 did not show significant differences between pretest and post-test in hostility（P〉0.05）.However,the total average（t=5.851,P〈0.05）and the scores of other factors（somatization t=3.360,forced t=4.203,interpersonal t=6.804,depression t=5.997,anxiety t=3.763,horror t=5.146,paranoid t=6.424,psychotic t=4.661,other t=4.482;P〈0.05）indicated that post-test was significantly lower than the pretest.Y-BOCS scores（t=7.007,P〈0.05）also showd that post-test was significantly lower than the pretest.Conclusion：Mindfulness experiential insight therapy is effective on treating obsessive compulsive disorder.It is effective on relieving the symptoms,reducing the subjective painfulness and improving social function.
出处
《中国健康心理学杂志》
2016年第1期17-22,共6页
China Journal of Health Psychology
关键词
强迫症
正念体悟疗法
认知融合
经验性回避
基于正念的暴露练习
Obsessive compulsive disorder（OCD）
Mindfulness experiential insight therapy（MEIT）
Cognitive fusion
Experiential avoidance
Mindfulness-based exposure
