Emmelkamp P M, Beens H
Department of Clinical Psychology, Academic Hospital, Groningen, The Netherlands.
Behav Res Ther. 1991;29(3):293-300. doi: 10.1016/0005-7967(91)90120-r.
After a 4-week waiting period 21 obsessive-compulsives were randomly allocated to two treatment conditions (1) Rational Emotive Therapy (RET) and (2) exposure in vivo. RET consisted of analysing irrational thoughts; exposure in vivo was self-controlled. After six sessions and another 4-week waiting period all patients received six sessions of exposure in vivo. Both treatments resulted in significant improvement on anxiety/discomfort, Maudsley Obsessional Compulsive Inventory, and Dutch Obsessional Compulsive Questionnaire and in a reduction of scores on the Irrational Beliefs Test. Results were maintained to a follow-up 6 months later. No significant differences were found between the two conditions.
经过4周的等待期后，21名强迫症患者被随机分配到两种治疗条件下：（1）理性情绪疗法（RET）和（2）现场暴露疗法。理性情绪疗法包括分析非理性思维；现场暴露疗法是自我控制的。经过六次治疗以及又一个4周的等待期后，所有患者都接受了六次现场暴露疗法。两种治疗方法在焦虑/不适、莫兹利强迫症量表和荷兰强迫症问卷方面都带来了显著改善，并且在非理性信念测试中的得分有所降低。6个月后的随访中结果得以维持。两种治疗条件之间未发现显著差异。
