中国临床心理学杂志

一例严重强迫症的暴露与仪式行为阻止治疗

作者：刘兴华李萌

分类号：R395.5

出版年,卷(期):页码：2009,17(2):246-249

摘要：

目的：探讨暴露与仪式行为阻止法对强迫症患者的治疗效果。方法：以1例严重的强迫症患者为对象，进行为期3周的密集型暴露与仪式行为阻止治疗。采用症状自评量表(SCL-90)和耶鲁-布朗强迫症量表(Y-BOCS)，对患者治疗前、治疗中期和后期进行了测评，以评估患者症状的改善情况。结果：与治疗前相比，治疗后患者在多数指标上均有改善，其中耶鲁-布朗强迫症量表总分从治疗前38分降低到9分，其强迫清洗的时间和次数显著减少，主观困扰指数减少。结论：暴露与仪式阻止法能够有效治疗该强迫症个案，缓解其主观痛苦，恢复其生活功能。

Objective: To investigate effectiveness of exposure and ritual prevention of patients with obsession-compul sive disorder(OCD), so as to provide references for professionals in clinical psychology. Methods: One female patient with severe OCD received 3 weeks intensive exposure and ritual prevention treatment. In order to investigate the effectiveness, she completed Symptom Check List 90 and Yale Brown Obsessive Compulsive Scale (SCL-90 and YBOCS) at pre-treat ment, mid-treatment and post-treatment. Results: After treatment, the patient's scores of questionnaires reduced, such as score on YBOCS reduced from 38 to 9. She reported that her washing time reduced obviously and her own measure of dis tress index reduced. Conclusion: Exposure and ritual prevention could treat the patient with OCD effectively. Her distress reduced and life function was improved.

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参考文献：

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