改良森田疗法联合氟伏沙明治疗强迫障碍患者的效果及对负性情绪及心理防御机制的影响
Effect of modified Morita therapy combined with fluvoxamine in the treatment of patients with obsessive-compulsive disorder and its influence on negative emotions and psychological defense mechanisms
徐海琴 1钟慧1
作者信息
- 1. 安徽医科大学附属心理医院(合肥,230000);安徽省精神卫生中心;合肥市第四人民医院
- 折叠
摘要
目的 观察改良森田疗法联合氟伏沙明对强迫性障碍患者临床症状、负性情绪以及心理防御机制的影响.方法 将我院92例强迫性障碍患者采用随机数字表法进行分组,对照组46例给予氟伏沙明治疗,观察组46例在对照组基础上联合改良森田疗法治疗,对比两组患者强迫症状严重程度、负性情绪及心理防御水平.结果 治疗6个月后,观察组患者总有效率高于对照组(P=0.036);治疗前及治疗1个月,两组患者强迫症状评分组间无统计学意义(P=0.404,0.120),治疗3个月及6个月后,观察组强迫症状评分低于对照组(P=0.005,0.009);治疗后,观察组患者焦虑抑郁评分治疗前后差值均较对照组患者大(P＜0.05);治疗后,观察组患者掩饰因子、不成熟防御机制评分及成熟防御机制评分差值均较对照组患者大(P＜0.05),中间防御机制评分两组差值比较差异无统计学意义(P=0.292).结论 改良森田疗法联合氟伏沙明能有效减轻单纯氟伏沙明治疗下OCD患者的强迫症状,改善负性情绪,调节心理防御机制,提高临床疗效.
Abstract
Objective To observe the effects of modified Morita therapy combined with fluvoxamine on clinical symptoms,negative emotions and psychological defense mechanism in patients with obsessive-compulsive disorder.Methods 92 patients with obsessive-compulsive disorder in our hospital were divided by random number table meth-od,46 patients in the control group were given fluvoxamine treatment,46 patients in the observation group were com-bined with modified Morita therapy on the basis of the control group,and the obsessive-compulsive symptoms,nega-tive emotions and psychological defense mechanisms were compared between the two groups.Results After 6 months of treatment,the total effective rate of observation group was higher than that of control group(P=0.036).Before and af-ter 1 month of treatment,there was no statistical significance between the two groups(P=0.404,0.120).After 3 and 6 months of treatment,the scores of compulsive symptoms in the observation group were lower than those in the control group(P=0.005,0.009).After treatment,the difference of anxiety and depression scores before and after treatment in observation group was larger than that in control group(P＜0.05).After treatment,the differences of masking fac-tor,immature defense mechanism score and mature defense mechanism score in observation group were larger than those in control group(P＜0.05),and there was no statistical significance in the difference of intermediate defense mecha-nism score between the two groups(P=0.292).Conclusion Modified Morita therapy combined with fluvoxamine can effectively reduce the obsessive symptoms of OCD patients treated with fluvoxamine alone,improve negative emotions,regulate psychological defense mechanism,and improve clinical efficacy.
关键词
改良森田疗法/氟伏沙明/强迫障碍/负性情绪/心理防御机制Key words
Modified Morita therapy/Fluvoxamine/Obsessive compulsive disorder/Negative emotions/Psy-chological defense mechanism引用本文复制引用
出版年
2024
NETL
NSTL
万方数据