Hambridge John, Loewenthal Mark
Department of Psychiatry, John Hunter Hospital, Newcastle, Australia.
Int J Infect Dis. 2003 Jun;7(2):152-5. doi: 10.1016/s1201-9712(03)90012-9.
Patients with psychiatric disorders are often seen by infectious disease physicians. Sometimes the psychiatric condition is the primary disorder, and the physician's main task is the early identification of the disorder and referral to specialist psychiatric services. On other occasions, the psychiatric condition will need to be addressed in addition to the infectious disease, and the physician aims to treat in conjunction with a psychiatrist. It is rare for referrals to be made from psychiatry to infectious diseases physicians.
A single case study is used to describe a modification of Danger Ideation Reduction Therapy (DIRT), a novel intervention for obsessive compulsive disorder (OCD). In our modification the infectious diseases physician plays a key, collaborative role in the psychological treatment of the patient.
Although an uncontrolled trial, results from the modified DIRT protocol are encouraging and warrant replication in a randomised controlled trial.
A collaborative approach by the infectious diseases physician, the microbiology laboratory and the psychologist can provide a valuable means of retaining patients with OCD in treatment and in the management of this common, disabling condition.
患有精神疾病的患者常常会求诊于传染病科医生。有时精神状况是主要病症，医生的主要任务是尽早识别该病症并转诊至专业精神科服务机构。在其他情况下，除了传染病之外还需要处理精神状况，医生的目标是与精神科医生联合进行治疗。从精神科转诊至传染病科医生的情况很少见。
采用单病例研究来描述对危险观念减少疗法（DIRT）的一种改良，DIRT是一种针对强迫症（OCD）的新型干预措施。在我们的改良方法中，传染病科医生在患者的心理治疗中发挥关键的协作作用。
尽管这是一项非对照试验，但改良后的DIRT方案的结果令人鼓舞，值得在随机对照试验中进行重复验证。
传染病科医生、微生物实验室和心理学家的协作方法可为使强迫症患者坚持治疗以及管理这种常见的致残病症提供一种有价值的手段。
