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针对亚临床强迫观念和强迫行为的认知行为工作坊。

A cognitive behavioral workshop for subclinical obsessions and compulsions.

作者信息

Zucker Bonnie G, Craske Michelle G, Blackmore Michelle A, Nitz Ashley

机构信息

University of California, Los Angeles, USA.

出版信息

Behav Res Ther. 2006 Feb;44(2):289-304. doi: 10.1016/j.brat.2005.03.015. Epub 2005 Dec 22.

Abstract

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.

摘要

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。

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