摘要
强迫障碍(obsessive-compulsive disorder,OCD)是常见的难治性精神疾病,经过心理治疗和药物治疗仅有40%~60%患者获得缓解,患者残留各种症状和功能障碍。心理治疗是OCD治疗的重要组成部分,家庭因素在疾病的发生、维持和预后中起重要作用,以家庭为基础的心理治疗越来越受到重视。文章就对OCD采用基于家庭的心理治疗的必要性和进展进行综述,研究显示患者家属的精神心理状态和家庭顺应性等因素与OCD治疗效果密切相关,而家庭成员高度参与,针对家庭因素干预的基于家庭的心理治疗策略可以增强治疗效果,改善患者家庭功能。文章为强迫障碍的临床优化治疗提供了实践依据。
Obsessive-compulsive disorder(OCD) is a common refractory mental disorder. Only 40% ~ 60% of patients get remission after treatment of psychotherapy and drug medicine. Patients still have various symptoms and dysfunction. Psychotherapy is an important part of OCD therapy. Family factors play an important role in the onset, maintenance and prognosis of diseases. This paper reviews the necessity and progress of adopting family-based psychotherapy in ocd. The studies show that the mental state of family members and family accommodation are closely related to treatment response of OCD. The high involvement of family members and psychotherapy intervention for family factors can enhance the therapeutic effect, and improve the family function of patients. This reviews provides a practical basis for the clinical optimization of obsessivecompulsive disorder.
作者
张治坤
郁缪宇
ZHANG Zhikun;YU Miuyu(Department of Psychiatry,The Second Affiliated Hospital of Guangxi Medical University,Nanning Guangxi 530007,China)
出处
《中国继续医学教育》
2020年第14期125-127,共3页
China Continuing Medical Education
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(名称:强迫症患者父母的焦虑特质和强迫信念对不同起病年龄强迫症治疗的影响,编号:Z20170090)
广西医疗卫生适宜技术开发与推广应用项目(名称:综合家庭干预与舍曲林治疗强迫障碍的应用研究,编号:S2018010)。
关键词
强迫障碍
基于家庭的心理治疗
家庭因素
认知行为治疗
家庭成员
治疗效果
obsessive-compulsive disorders
family-based psychotherapy
family factors
cognitive behavioral therapy
family members
response of treatment
