Clinical efficacy of sequential psychotherapy combined with selective serotonin reuptake inhibitors on refractory obsessive-compulsive disorder
10.3760/cma.j.issn.1674-6554.2010.12.004
- VernacularTitle:序贯心理治疗合并5-羟色胺再摄取抑制剂治疗难治性强迫症的临床疗效
- Author:
Chaoyun ZHOU
;
Deqin GENG
;
Weiwei SHA
;
Xiaobin ZHANG
;
Xiaoxing DONG
;
Cailong FANG
- Publication Type:Journal Article
- Keywords:
Sequential Psychotherapy;
Selective serotonin reuptake inhibitors;
Refractory obsessive compulsive disorder
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2010;19(12):1066-1068
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of sequential psychotherapy combined with selective serotonin reuptake inhibitors(SSRI) s on refractory obsessive-compulsive disorder(OCD). Methods 50 patients with refractory OCD were given to sequential psycho therapy in the original basis of the SSRIs drugs treatment. The patients were given psychoanalysis,cognitive behavioral therapy and reality therapy for 8 weeks at the end of in the first stage, second stage and the third stage. The efficacy was assessed by the Yale-Brown Obsessive Compulsive Scale(Y-BOCS) before treatment,8 weeks, 16 weeks, and 24 weeks after treatment, respectively. Results The total score of the YBOCS before the treatment and at the 24th week after treatment was (21.10 ±4.69) and ( 10.18±6. 14). According to the score-reducing rate of the YBOCS , recovery rate was 34.0%, effective rate was 42.0%. Conclusion Sequential psychotherapy combined with SSRIs is an effective treatment for refractory OCD.
