习惯逆转训练配合认知行为疗法对拔毛癖患者生活质量及症状的影响

N. Hamid, Maryam Bordbar, Seyed Ali Marashy
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摘要

背景。本研究旨在探讨习惯逆转训练对拔毛症患者焦虑、生活质量及症状的影响。本准实验研究分为前测后测组和对照组。方法。统计人口包括在马什哈德医疗诊所就诊的所有女性拔毛狂躁症患者。24名受试者的样本有进入研究的标准,从年龄、教育程度、没有急性身心障碍和本研究考虑的其他标准中选择和匹配。然后随机分为实验组(12)和对照组(12)。实验组采用认知行为疗法进行习惯逆转训练,每组8次,每次1小时,对照组不进行此训练。采用SPSS-21软件对数据进行ANCOVA和MANCOVA检验。结果。结果显示,与前测组和对照组相比,习惯逆转训练对实验组的生活质量、焦虑和拔毛癖症状均有显著的正向影响(P<0.001),实验组在干预后拔毛癖症状减少,生活质量提高。结论。根据本研究的结果,可以得出,习惯逆转训练对拔毛癖患者的生活质量和症状有积极的影响。因此,习惯逆转训练可能被认为是治疗这种疾病的主要方法之一。实际意义。拔毛癖(TTM)患者有很高的压力,这种压力通常通过脱发的习惯来缓解。认知行为疗法联合习惯逆转疗法对拔毛癖患者的生活质量有积极的影响。认知行为疗法联合习惯逆转疗法对拔毛癖患者的症状有积极的影响。建议使用认知行为结合习惯逆转干预来加强药物治疗的拔毛狂(TTM)患者的意志。
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The effectiveness of habit reversal training with cognitive behavior therapy on quality of life and symptoms of trichotillomania patients
Background. The aim of this research was to investigate the effect of Habit Reversal Training on Anxiety, Quality of life and Symptoms of Trichotillomania patients. This quasi experimental study was designed with pretest-posttest and control group. Methods. The statistical population consisted of all female patients with trichotillomania disorder referring to the Mashhad medical clinics. A sample of 24 subjects had criteria for entering the research, were available selected and matched from age, educational status, not suffering from acute physical and mental disorder and other criteria considered in this research. Then randomly divided into two experimental (12) and control (12) groups. The experimental administered habit reversal training with cognitive behavior therapy for 8 sessions of 1 hour, while the control group did not receive such training. The data was analyzed by ANCOVA & MANCOVA test using SPSS-21. Results. The results showed that habit reversal training had a significant positive effect on quality of life, anxiety and symptoms of trichotillomania in experimental group in comparison with pretest and control group (P<0.001), so that the experimental group showed less symptoms of trichotillomania after the intervention and showed higher quality of life. Conclusion. According to the results of this study, it can be concluded that habit reversal training has a positive effect on quality of life and symptoms of trichotillomania of patients with trichotillomania. Therefore, habit reversal training may be considered as one of the main treatments for this disorder. Practical Implications. Patients with Trichotillomania (TTM) have a high level of stress, which is often alleviated by the habit of hair loss. Cognitive-behavioral therapy combined with habit reversal has a positive effect on the quality of life of patients with Trichotillomania (TTM). Cognitive-behavioral therapy combined with habit reversal has a positive effect on symptoms of patients with Trichotillomania (TTM). The use of cognitive-behavioral with habit reversal interventions to strengthen the will of Trichotillomania (TTM) patients with drug therapy is recommended.
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