摘要目的 探讨认知疗法对伴有临床体像障碍(body- image disturbance,BID)口腔正畸患者的疗效.方法 对21例伴有体像障碍的正畸患者在常规正畸同时给予认知治疗(治疗组),对另15例只进行常规正畸(对照组).在正畸治疗前后采用症状自评量表(SCL-90)、认知偏差问卷(CBQ)、情绪自评量表(SDS、SAS)和体像自评问卷(BIQ)对两组患者进行测试.结果 (1)治疗组SDS和SAS得分于治疗后显著下降,SDS得分下降差值大于对照组;(2)SCL-90测试结果:两组各因子得分都有不同程度下降,治疗组强迫、人际关系、抑郁、焦虑、恐怖、偏执得分下降幅度大于对照组; (3)BIQ测试结果:治疗组各维度(除功能影响维度外)的改善程度大于对照组;(4)CBQ测试结果:治疗组各维度(除非抑郁-歪曲维度外)的改善程度大于对照组.结论 认知治疗能改善伴有体像障碍的口腔正畸患者的认知偏差和心理健康水平.

abstractsObjective To examine the effectiveness of cognitive therapy on orthodontic patients with body image disturbance (BID).Methods 21 orthodontic patients with BID in study group re ceived routine orthopedic treatment and cognitive therapy,and 15 orthodontic patients with BID in control group received only routine orthopedic treatment.All patients were tested with Symptom Checklist 90 (SCL-90),Cognitive Bias Questionnaire (CBQ),Self-Rating Depression Scale (SDS),Self-Rating Anxiety Scale (SAS),and Body Image Questionnaire (BIQ) at prior and post treatment.Results SAS and SDS scores in the study group were decreased after treatment,and SDS decrease in the study group was larger than that in control group.The factor scores of both groups on the SCL- 90were decreased after treatment,and most factor scores decrease in study group was larger than that in control group.Three dimensions (except for function impairment) of the BIQ were improved in the study group as compared with control group.Cognitive styles were improved on the study group as compared with control group.Conclusions The cognitive therapy can improve cognitive bias and mental health of patients with BID.