强迫症的认知行为团体治疗：1年随访
Cognitive-behavioral group therapy for obsessive-compulsive disorder: a 1-year follow-up.
作者信息
Braga D T, Cordioli A V, Niederauer K, Manfro G G
机构信息
Anxiety Disorders Program, Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
出版信息
Acta Psychiatr Scand. 2005 Sep;112(3):180-6. doi: 10.1111/j.1600-0447.2005.00559.x.
OBJECTIVE
The aim of this study was to evaluate the results of cognitive-behavioral group therapy (CBGT) for obsessive-compulsive disorder (OCD) over a 1-year follow-up period.
METHOD
Forty-two OCD patients, who completed 12 sessions of CBGT, were followed for 1 year. Measures of the severity of symptoms were obtained at the end of the acute treatment and at 3, 6, and 12 months post-treatment using the Yale-Brown obsessive-compulsive scale (Y-BOCS) and the clinical global impression (CGI).
RESULTS
The reduction in the severity of symptoms observed at the end of the treatment was maintained during 1 year (F2,41=1.1; P=0.342). Eleven patients (35.5%) relapsed in the follow-up period. The intensity of improvement (log rank=12.97, GL=1, P=0.0003) and full remission (log rank=6.17; GL=1; P=0.001) were strong predictors for non-relapsing.
CONCLUSION
The CBGT is an effective treatment for OCD and its results are maintained for 1 year. However, further long-term randomized controlled trials are needed in order to confirm this finding.
目的
本研究旨在评估为期1年的随访期内，认知行为团体治疗（CBGT）对强迫症（OCD）的治疗效果。
方法
42名完成12次CBGT治疗的强迫症患者接受了为期1年的随访。在急性治疗结束时以及治疗后3个月、6个月和12个月，使用耶鲁-布朗强迫症量表（Y-BOCS）和临床总体印象量表（CGI）获取症状严重程度的测量数据。
结果
治疗结束时观察到的症状严重程度减轻在1年内得以维持（F2,41=1.1；P=0.342）。11名患者（35.5%）在随访期内复发。改善程度（对数秩=12.97，GL=1，P=0.0003）和完全缓解（对数秩=6.17；GL=1；P=0.001）是无复发的有力预测因素。
结论
CBGT是治疗强迫症的有效方法，其效果可维持1年。然而，需要进一步开展长期随机对照试验以证实这一发现。
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