Visser S, Bouman T K
Department of General Practice, University of Groningen, The Netherlands.
Behav Res Ther. 1992 May;30(3):301-6. doi: 10.1016/0005-7967(92)90076-s.
This study evaluates a cognitive and a behavioural treatment protocol for hypochondrical complaints. In a cross-over design, six patients with a primary diagnosis of hypochondriasis were treated. Three of them first received a block of behavioural therapy (exposure in vivo and response prevention), followed by a block of cognitive therapy. The other three patients were first treated with cognitive therapy followed by behavioural therapy. The results were promising: four patients made significant improvements. The behavioural therapy sessions appeared to account more often for improvement than did the cognitive sessions. The sequence of behavioural therapy followed by cognitive therapy tended to be more successful than the other way around. The results of these six case studies suggest that exposure in vivo with response prevention and cognitive therapy may both be useful in the treatment of hypochondriasis. A journal controlled study is recommended.
本研究评估了针对疑病症主诉的认知和行为治疗方案。采用交叉设计，对六名初步诊断为疑病症的患者进行了治疗。其中三人首先接受了一个疗程的行为疗法（现场暴露与反应阻止），随后接受一个疗程的认知疗法。另外三名患者首先接受认知疗法，然后接受行为疗法。结果令人鼓舞：四名患者有显著改善。行为治疗 sessions 似乎比认知治疗 sessions 更常带来改善。先进行行为疗法再进行认知疗法的顺序往往比相反顺序更成功。这六个案例研究的结果表明，现场暴露与反应阻止以及认知疗法在疑病症治疗中可能都有用。建议进行一项期刊对照研究。
