心理干预联合舍曲林对强迫症患者生活质量的影响(精选).docVIP

心理干预联合舍曲林对强迫症患者生活质量的影响 杨玲1 余学1 李茹2 【摘要】：目的 探讨心理干预联合舍曲林对强迫症患者生活质量的影响。方法 60例强迫症患者随机分为研究组30例和对照组30例。研究组给予心理干预联合舍曲林治疗，对照组单用舍曲林治疗，观察8周。采用Yale-Brown强迫量表和生活质量综合评定问卷（GQOLI-74）分别于治疗前和治疗后8周来进行疗效和生活质量评定。结果 和单用舍曲林相比，心理干预联合舍曲林对患者强迫症状的改善好于单用舍曲林治疗，对躯体功能、心理功能、和社会功能的改善明显优于单用舍曲林组（p 0.05）。结论 心理干预联合舍曲林可以更好的改善患者的生活质量。 【关键词】 心理干预； 舍曲林； 强迫症； 生活质量 Influence of sertraline combined with psychological intervention on quality of life in patients with obsessive-compulsive disorder. Yang Ling , Yu Xue，Li Xu. Zhumadian mental hospital, Zhuma dian ,463000, P.R. China. 【Abstract】 objective To explore the influence of sertraline combined with psychological intervention on quality of life in patients with obsessive-compulsive disorder（OCD）. Methods 60 patients with OCD were randomly divided into study group n 30 and control group n 30 . The study group were treated with psychological intervention sertraline combined with , and control group were only treated with sertraline. The effically and quality of life were measured with Yale-Brown obsessive-compulsive rating scale and general quality of life inventory –74（GQOLI-74）before and after 8 weeks treatment. Results Compared with control group, psychological intervention combined with sertraline had better efficacy in treating OCD P 0.05 . Psychological intervention combined with sertraline improved physical function ,psychological function and social function significantly than sertraline group at the end of study p 0.05 . Conclusions Psychological intervention combined with sertraline can better improve the quality of life in patients with OCD compared with single sertraline. 【Key words】 Psychological Intervention; Sertraline; OCD; Quality of Life 强迫症也称强迫性神经官能症，以反复持久出现强迫观念和强迫动作为主要特征，。Yale-brown 强迫量表（Y-BOCS）≥16分；排除严重躯体疾病者、妊娠及哺乳期妇女，癫痫患者。共60例，按投币法随机分为两组。 研究组给予心理干预联合舍曲林治疗，共30例，男16例，女14例；年龄16-55岁，平均（25.4±18.3）岁；病程3个月-15年，平均（3.2±4.5）年。对照组单用舍曲林治疗，共30例，其中男18例，女12例；年纪16-50岁，平均（24.9±5.7）岁；病程3个月—16年，平均（3.4±4.8）年。两组以上各项比较无显著性差异（p 0.05）。 1.2 方