中国临床心理学杂志

计算机认知矫正训练治疗强迫症的临床初探

作者：王玲芝郭耀光沈峰

单位：广州市脑科医院广州 510370

分类号：R749.7

出版年,卷(期):页码：2014,22(4):749-751

摘要：

目的:探讨计算机认知矫正训练(CCRT)改善强迫症症状和认知功能的效果。方法:根据精神科检查和耶鲁布朗强迫量表(Y-BOCS)纳入强迫症患者61例,其中实验组28例接受药物结合为期4周的CCRT治疗;对照组33例接受单纯药物治疗。采用背数测验、视觉再生测验、连线测验(TMT)和威斯康星卡片分类测验(WCST)评定两组训练前后的认知功能,使用Y-BOCS评定强迫症症状。结果:4周后实验组视觉再生测验的图形A、B测验得分较对照组提高,WCST的持续错误数较对照组减少(P<0.05);实验组和对照组认知功能得分的变化值与Y-BOCS变化值无明显相关关系(P>0.05)。结论:CCRT可有效改善强迫症患者部分认知功能,但不能直接促进强迫症症状的缓解。

Objective:To explore the effect of Computerized Cognitive Remediation Therapy(CCRT) on obsessive-compulsive disorder(OCD).Methods: 61 patients with OCD were recruited according to Yale-Brown Obsessive Compulsive Scale(Y-BOCS) and psychiatric diagnosis.28 of them were in the experiment group for CCRT and medications.33 of them were in the controls for medications only.WCST, TMT, Numbers Recalling and Visual Reproduction tests were used to assess the cognitive functions and Y-BOCS were used to assess symptoms before and after the 4-week training.Results: 4weeks later, the Visual Reproduction scores(Picture A and B) of the experiment group increased obviously higher than the controls, and continue errors of WCST reduced obviously lower than the controls(P0.05); the relative relationship did not found between the changes of cognitive function score and Y-BOCS(P0.05).Conclusion: The CCRT could improve parts of cognitive function of OCD, but had no effect on improve symptoms of OCD.

基金项目：

广东省医学科研基金立项课题:计算机神经认知矫正训练治疗强迫症——-种新技术的探索(A2013532)

作者简介：

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