中国临床心理学杂志

内观行为疗法治疗强迫症一例报告

作者：东振明

单位：上海盖德神经症研究中心上海200063

关键词：强迫症内观行为疗法个案

分类号：R749.7

出版年,卷(期):页码：2011,19(5):703-707

摘要：

目的：探讨内观行为疗法对强迫症患者的治疗效果。方法：以1例强迫检查患者为对象，进行为期12周共计24次的内观行为治疗。采用症状自评量表(SCL-90)和耶鲁-布朗强迫症严重程度量表(Y-BOCS)，对患者进行治疗前和治疗后测评。结果：治疗后患者的Y-BOCS得分从治疗前的34分降低到9分，患者花费在检查上的时间和遍数显著减少，主观痛苦程度明显减低。在症状自评量表(SCL-90)上的多项指标的得分也均有显著降低。结论：内观行为疗法能够有效治疗该强迫症个案，缓解其症状，降低其主观痛苦程度，恢复其社会生活功能。

Objective:investigate the effect of Vipassana Behavioral Therapy on patients with obsessive-compulsivedisorder (OCD).Methods:One patient with severe OCD received total 24-time Vipassana Behavioral treatments for12 weeks.In order to investigate the effect,the patient completed Symptom Check List 90 and Yale Brown ObsessiveCompulsive Scale (SCL-90 and YBOCS) at pre-treatment,and post-treatment.Results:After treatment,the patient’sscores YBOCS reduced from 34 to 9.He reported that his inspection time and frequency reduced obviously and his distressdecreases obviously.The patient’s scores of SCL-90 also evidently reduced.Conclusion:Vipassana BehavioralTherapy could treat the patient with OCD effectively.

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