Effect of group cognitive behavioral therapy on cognitive function of patients with obsessive-compulsive disorder
10.3760/cma.j.issn.1006-7884.2018.06.008
- VernacularTitle:团体认知行为治疗对强迫症患者认知功能的影响
- Author:
Zhixian ZHU
1
;
Ruoqin CHENG
;
Yanhong GAO
Author Information
1. 430060,武汉大学人民医院临床心理科
- Publication Type:Journal Article
- Keywords:
Obsessive-compulsive disorder;
Cognition;
Group cognitive behavior therapy
- From:
Chinese Journal of Psychiatry
2018;51(6):378-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of group cognitive behavior therapy (GCBT) on symptom relief and cognitive function improvement of patients with obsessive-compulsive disorder (OCD).Methods Fourty-eight OCD patients who met the DSM-IV-TR diagnostic criteria were introduced into this study,and they were divided into GCBT combination therapy group (n＝24) and drug therapy group (n＝24).The GCBT combination therapy group was treated with 8 times of cognitive behavior therapy on the basis of drug therapy,and the drug therapy group was treated only with drug therapy.The Y-BOCS was used to evaluate the symptoms of obsessive-compulsive before and after the therapy.Neuropsychological tests (including Trail Making Test (TMT),Digit-Symbol Test (DST),Digit Span Test (DST),Category Fluency Test (CFT)) were used to evaluate the cognitive function before and after the treatment.Results Before the treatment,there was no significant difference between GCBT combination therapy group and drug therapy group on Y-BOCS and neuropsychological test results.After the treatment,the Y-BOCS score of GCBT combination therapy group was significantly lower than that of the drug therapy group (18.7:t:3.1 vs.20.7:t:1.8;t＝-2.75,P＜0.05).Meanwhile,there were significant differences between the GCBT combination therapy group and drug therapy group in the TMT (B time),Digit-Symbol Test,DST (Forward Digit Span),DST (Backward Digit Span),CFF(the correct number;t＝-2.93,3.47,2.06,2.54,7.22;P＜0.05 or P＜0.01).Conclusion GCBT show significant effect on relieving the severity of obsessive compulsive symptoms and improving the cognitive function of OCD patients.
