叙事治疗与萨提亚模式整合干预拔毛障碍1例报告OACHSSCD
A case report of integrated narrative and Satir model intervention for trichotillomania
对1例28岁女性拔毛障碍患者实施为期2 年的叙事治疗与萨提亚转化系统疗法的整合干预.采用马萨诸塞总医院拔毛量表(MGH-HPS)、焦虑自评量表(SAS)、个人和社会功能量表(PSP)、临床疗效总评量表(CGI),分别在基线期、治疗中期(12 个月)、治疗终期及 1 年随访期实施动态评估.结果显示,经过2 年的整合心理治疗,拔毛频率由日均 150 次降至5 次;MGH-HPS评分从28 分降至9 分,SAS评分从68 分降至32 分,PSP评分从60 分升至 85 分,CGI评分显示治疗效果显著;随访 1 年未复发.
A 28-year-old female with trichotillomania received a two-year integrated psychotherapy combi-ning narrative therapy and the Satir Transformational System.Dynamic assessments were conducted using the Mas-sachusetts General Hospital Hair Pulling Scale(MGH-HPS),Self-Rating Anxiety Scale(SAS),Personal and Social Performance Scale(PSP),and Clinical Global Impression Scale(CGI)at baseline,mid-treatment(12 months),post-treatment,and one-year follow-up.After two years of psychotherapy,daily hair-pulling frequency decreased from 150 times to 5 times.The MGH-HPS score declined from 28 to 9,the SAS from 68 to 32,the PSP score im-proved from 60 to 85,and the CGI scale indicated significant therapeutic effects.No relapse was observed during the one-year follow-up.
刘海燕;万小超;王丹;刘婷;陈志国
中国人民解放军陆军第八十二集团军医院,河北 保定 071000中国人民解放军陆军第八十二集团军医院,河北 保定 071000中国人民解放军陆军第八十二集团军医院,河北 保定 071000中国人民解放军陆军第八十二集团军医院,河北 保定 071000中国人民解放军陆军第八十二集团军医院,河北 保定 071000
医药卫生
拔毛癖整合模式叙事治疗萨提亚模式个案报告
trichotillomaniaintegrated modelnarrative therapySatir modelcase report
《中国心理卫生杂志》 2026 (4)
291-296,6
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