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頁籤選單縮合
| 題 名 | 認知行為團體治療對強迫症之療效因子=The Effectiveness of Cognitive-Behavior Group Therapy in Treating Obsessive-Compulsive Disorder |
|---|---|
| 作 者 | 湯華盛; 黃政昌; 黃智卿; | 書刊名 | 北市醫學雜誌 |
| 卷 期 | 12:1 2015.03[民104.03] |
| 頁 次 | 頁42-56 |
| 分類號 | 415.991 |
| 關鍵詞 | 團體認知行為治療; 強迫症; 療效因子; Cognitive-behavioral group therapy; CBGT; Therapeutic factors; Obsessive-compulsive disorder; OCD; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 目的:分析強迫症患者在團體認知行為治療過程中出現的療效因子,包括Yalom的團體療效因子和認知行為治療技術的療效因子。方法:本研究經「人體試驗委員會」(IRB)審核通過後,邀請北部某醫院精神科強迫症門診中,藥物治療穩定、強迫症狀嚴重度接近、無嚴重共病診斷的11位患者為研究對象。參加為期11週,每週1次120分鐘的團體認知行為治療,團體治療過程中逐次觀察團體歷程及結束後每位研究對象接受1次的半結構式訪談,以找出強迫症團體認知行為治療過程中的療效因子。使用工具包括:團體歷程觀察記錄表、團體療效訪談指引。結果:研究發現團體主要出現:宣洩、普同感、灌輸希望、傳達訊息、團體凝聚力、利他主義和人際學習等7個團體療效因子;認知行為治療技術的療效因子則出現:相信認知行為治療有效、暴露練習的成功經驗、能完成指定作業、對治療師的遵從性高、能改變自己的認知及其他等6個認知行為治療技術的療效因子。結論:找出強迫症團體認知行為治療之療效因子,能對強迫症臨床治療人員提供具體之治療建議,及未來相關研究之參考。 |
| 英文摘要 | Objectives: This study was to analyze the therapeutic factors in cognitive-behavioral group therapy (CBGT) for obsessive compulsive outpatients, based on Yalom's theories and cognitive-behavioral therapy (CBT). Methods: With approval from the institutional review board (IRB), this study recruited 11 outpatients as research subjects from a hospital in northern Taiwan. The research subjects met the following criteria: steady medication, same level of OCD (moderate and severe) and without serious comorbidity. They attended CBGP 2 hours a week for 11 weeks. The study methods included process observations of each session and a semi-structured interview for each subject after group therapy, and the study tools comprised observation forms and interview guidelines. Results: Seven major group therapeutic factors were found: catharsis, universality, instillation of hope, imparting of information, group cohesiveness, altruism, and interpersonal learning. For CBT, the following therapeutic factors were discovered: subjects' trust in CBT, successful experience of executing “exposure and response prevention" technique, accomplishment of homework, compliance with leader's instruction, change in the rigid recognition and other. Conclusions: Based on the results, the research further proposed several suggestions for clinical practice and future studies. |
本系統中英文摘要資訊取自各篇刊載內容。