Zucker Bonnie G, Craske Michelle G, Blackmore Michelle A, Nitz Ashley
University of California, Los Angeles, USA.
Behav Res Ther. 2006 Feb;44(2):289-304. doi: 10.1016/j.brat.2005.03.015. Epub 2005 Dec 22.
The present study investigates the effectiveness of a 3-h cognitive behavioral workshop for individuals, ages 18-22, with subclinical obsessions and compulsions. It was hypothesized that, compared to individuals in an assessment-only waitlist group (n = 42), individuals assigned to the workshop group (n = 43) would experience a significant decrease in obsessive-compulsive (OC) symptomatology, comorbidity, and thought action fusion endorsement at 1-month and 5-month follow-up assessments. An additional outcome of interest was the number of incident cases of obsessive-compulsive disorder (OCD) over the course of the study. The results indicated that the workshop group reported a significantly fewer number of OC symptoms at 5-month follow-up and endorsed significantly less thought action fusion at both follow-up points. However, there were no differences between groups in severity of OC symptoms and number of comorbid diagnoses endorsed. Only one incident case of OCD was observed during the study, from a participant in the waitlist group. These results are discussed in reference to treatment of subclinical anxiety symptoms.
本研究调查了一个为时3小时的认知行为工作坊对年龄在18至22岁、有亚临床强迫观念和强迫行为的个体的有效性。研究假设，与仅参与评估的等待名单组（n = 42）的个体相比，被分配到工作坊组（n = 43）的个体在1个月和5个月的随访评估中，其强迫症状、共病情况以及思维-行动融合认同度会显著降低。另一个感兴趣的结果是在研究过程中强迫症（OCD）的发病例数。结果表明，工作坊组在5个月随访时报告的强迫症状数量显著减少，且在两个随访点上对思维-行动融合的认同度也显著降低。然而，两组在强迫症状的严重程度和认可的共病诊断数量上没有差异。在研究期间仅观察到1例强迫症发病病例，来自等待名单组的一名参与者。将结合亚临床焦虑症状的治疗对这些结果进行讨论。
