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认知行为疗法对一例女性大学生强迫症状干预的个案报告

Cognitive Behavior Therapy for Obsessive-Compulsive Symptoms: A Case Study of a Female College Student

Theory and Practice of Psychological Counseling / 2025,7(8): 508-517 / 2025-08-29 17 12

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• Authors: 吕文宇
• Information:

  湖南农业大学，长沙

• Keywords:
  Cognitive Behavioral Therapy; Obsessive-compulsive symptoms; Exposure and Response Prevention (ERP); Case study
  认知行为疗法; 强迫症状; 暴露与反应阻止技术（ERP）; 个案报告
• Abstract: This study applied Cognitive Behavioral Therapy (CBT) to intervene in a female college student with obsessive-compulsive symptoms, adopting an intervention program that combined Exposure and Response Prevention (ERP) with cognitive intervention techniques. The Yale-Brown Obsessive- Compulsive Scale (Y-BOCS) and the client’s subjective evaluation were used to assess the obsessivecompulsive symptoms. The results showed that the frequency and severity of obsessions and compulsions decreased, the client’s emotional experience improved, and her social function was enhanced. Specifically, the Y-BOCS score decreased from 24 (before consultation) to 18; the client’s degree of belief in her core belief decreased from 50 to 30; subjective assessment indicated a 40% reduction in anxiety, and a 30% reduction in the overall impact of symptoms. Additionally, the interference of symptoms on the client’s daily life was significantly reduced. 本研究应用认知行为疗法对一例女性大学生的强迫症状开展了5个阶段、共17次的干预，采用暴露与行为阻止技术和认知干预技术结合的干预方案。通过耶鲁—布朗强迫量表（Y-BOCS）及来访者主观评价对强迫症状进行评估，结果显示：来访者强迫思维与强迫行为频率下降、严重程度减弱，情绪体验得到改善，社会功能有所提升。具体数据为：Y-BOCS得分从咨询前的24分降至18分，来访者对核心信念相信程度从50分降至30分，主观评估焦虑程度下降40%，症状总体影响程度下降30%，症状对来访者日常生活的干扰显著减少。
• DOI: https://doi.org/10.35534/tppc.0708057
• Cite: 吕文宇. (2025). 认知行为疗法对一例女性大学生强迫症状干预的个案报告. 心理咨询理论与实践, 7(8), 508-517.