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嗅觉幻觉及相关妄想的认知行为疗法:一例报告

Cognitive-Behavioral Therapy for Olfactory Hallucinations and Associated Delusions: A Case Report.

作者信息

Kimhy David

机构信息

Department of Psychiatry, Columbia University, NY, USA.

出版信息

Am J Psychother. 2016;70(1):117-23. doi: 10.1176/appi.psychotherapy.2016.70.1.117.

Abstract

Olfactory hallucinations (OH) are experienced by a substantial minority of people with schizophrenia, often leading to social anxiety, depression and suffering. Yet, despite their prevalence and clinical significance, OH in schizophrenia are under-researched and poorly understood, with scarce information about potential treatments. To address this gap in the literature, the author describes a case report of successfully using Cognitive-Behavioral Therapy for psychosis (CBTp) to address OH, related delusions, as well as mood and social functioning difficulties in a male patient with schizophrenia. The results provide preliminary support for the feasibility and effectiveness of using CBTp to address OH and related delusions in individuals with schizophrenia.

摘要

相当一部分精神分裂症患者会出现幻嗅(OH),这常常导致社交焦虑、抑郁和痛苦。然而,尽管幻嗅在精神分裂症中普遍存在且具有临床意义,但对其研究不足且了解甚少,关于潜在治疗方法的信息也很匮乏。为了填补文献中的这一空白,作者描述了一个病例报告,该报告成功地运用针对精神病的认知行为疗法(CBTp)来解决一名男性精神分裂症患者的幻嗅、相关妄想以及情绪和社交功能障碍问题。研究结果为使用CBTp解决精神分裂症患者的幻嗅及相关妄想的可行性和有效性提供了初步支持。

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