上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2015, Vol. 35 ›› Issue (10): 1589-.doi: 10.3969/j.issn.1674-8115.2015.10.032

• 病例报告 • 上一篇    

运用暴露反应预防疗法治疗强迫症1例报告

王建玉，王振，范青，张海音   

  1. 上海交通大学 医学院附属精神卫生中心， 上海200030
  • 出版日期:2015-10-20 发布日期:2015-12-22
  • 通讯作者: 张海音, 电子信箱: haiyinz2001@126.com
  • 作者简介:王建玉（1974—）， 女， 住院医师， 硕士; 电子信箱: 364743849@qq.com
  • 基金资助:

     国家临床重点专科-上海市精神卫生中心（卫生部医政司2011-873）； 上海市科委“科技创新行动计划”医学和农业领域科技支撑项目子课题(15411950203)； 上海市精神卫生中心重点特色专科（2013-YJTSZK-02）; 上海市精神疾病临床医学中心(2014)

Treatment of obsessive-compulsive disorder by exposure response prevention therapy: a case report

WANG Jian-yu, WANG Zhen, FAN Qing, ZHANG Hai-yin   

  1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine， Shanghai 200030， China
  • Online:2015-10-20 Published:2015-12-22
  • Supported by:

    National Key Clinical Disciplines at Shanghai Mental Health Center, OMA-MH 2011-873; Shanghai Science and Technology Commission “Science and Technology Innovation Action Plan”  Supporting Project Sub Topics in the Field of Medicine and Agriculture, 15411950203; The Key Characteristic Specialist Department of Shanghai Mental Health Center, 2013-YJTSZK-02; Shanghai Clinical Center for Mental Disorders, 2014

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摘要：

目的探讨暴露反应预防（ERP）疗法治疗强迫症（OCD）患者的有效性和起效因素。方法根据治疗手册采用ERP疗法治疗OCD患者，总计8周，每周1次，每次1 h；用耶鲁-布朗强迫量表定期评估疗效。结果经过8周治疗，患者症状严重程度减分率为40%。结论采用ERP疗法治疗OCD患者是有效的，起效因素与患者、治疗师与治疗联盟有关。

关键词: 强迫症, 暴露反应预防疗法, 起效因素

Abstract:

Objective To explore the therapeutic effect and acting factors of exposure response prevention (ERP) therapy for the treatment of patients with obsessive-compulsive disorder (OCD).MethodsA patient with OCD was treated by ERP therapy for 8 weeks, once a week and 1h per time according to the treatment manual. The therapeutic effect was periodically assessed by the Yale-Brown obsessive-compulsive scale.ResultsThe score of severity decreased 40% after 8 weeks of treatment.ConclusionThe ERP therapy is effective for the treatment of patient with OCD. The acting factors are relevant to patients, therapists, and the therapeutic alliance.

Key words: obsessive-compulsive disorder, exposure response prevention, acting factor