強迫癥的團體認知-行為治療.pdf

1、首都師范大學碩士學位論文強迫癥的團體認知行為治療姓名：周芳申請學位級別：碩士專業(yè)：發(fā)展與教育心理學指導教師：崔麗霞20080526一塑墊塞塑里笪墜墊查壟塑壁—————一一—————————————————————————————————一一Abstract0b∞黯ivc啪mpnlsivedisorder(OCT))ischaracterizcdbyrecunentandunwantedthoughts，im叫∞鳥o『images(obs

2、essions)andrep。etitivebehaviorsormentalacts(compulsions)thatthepersonfeelsdriven的pc喲哪inresponsetoobsessions(AmedcanPsychiatricAssociation1994)Onceco璐ide億da均鵬姐dlar鰣y皿掃瞎ata曲econdition，obsessivecompulsivedisorder(OCD)isnowk

3、nownrobe凼efollnhmost劃姍商psychiatricdisorder，whichcausesagreatdealofimpairmenttothelifeoftheclientsin鼢deInjc’occupational，andsocialfunctioningPreviousresearchathomeandabroadhasdemonstratedthatindividuaJ協(xié)dcognitivebehaviora

4、ltherapyisaneffectivetreatmentforObsessiveCompulsiveDisorder’butthc他islitneTe∞缸chonthegroupcognitive—behavioraltherapy(GCBT)forOCD，whichisconsideredtobecos№ffecfiveInthisresearch，weapplygroupcognitivebehavioraltherapycon

5、tainingexposure柚dritlIalp代veqtion(EX／RP)tothetreatmentofOCDtomodifythedistortedbeliefsandexposethe碰ents的thc剎etyprovpkingsituationwithoutanyritualizationorcompulsionSOasto舢叭thes)rInpto瑚0fOCDhthere∞arch’12cfientSarerandoml

6、yassignedtOtheexperimentalgrouporwaitlistgroupeach鯽僦t蛐g6d觚Theclientsintheexperimental醐撇ive8淵；io籃ol∞鰣細e拋撕硎恤rapywhiletheclientsinthewaitlistgroupreceivenopsychotherapync幽ofSCL90姐dYBOCSareusedtOmeasurethechangesoftheclients

7、“aftertherapyResults。1AccordiIlgtothescalesofSCL90andYBOCS，almostalltheclientsinthe啡ri撇ⅡtalgroupbenefitfromgroupcognitivebehaviortherapytheymakegreatimprovementsonthesymptomsofOCD、枷iktllec№ntsiBthewairlistgroupmadenoimpr

8、ovementatalLThescoresofSCl，90andYBOCSof出edicntsaftcfnlerapyintheexperimentalgroupaxesignificantlydifferentfromthosebeforetherapyn吡cm0豫，theimprovementismaintainedat2monthfollowupwhichindicatesthesig啦鋤te黝ofthegroupcognitiv

9、ebehavioraltherapy2ThescorcsofYBOCSofthreecfientSintheexperimentalgroupfalldowntO15，withonlyslight跚叩to心ofOCD，whiletheotherthreedeclineto25，indicatingmildseveresymptomsAocord咄tothed蛐ratc(decliningrate20％)itprovedtobeeffec