Rowa Karen, Antony Martin M, Summerfeldt Laura J, Purdon Christine, Young Lisa, Swinson Richard P
Anxiety Treatment and Research Centre, St Joseph's Healthcare, Hamilton, ONT, Canada.
Behav Res Ther. 2007 Aug;45(8):1883-92. doi: 10.1016/j.brat.2007.02.009. Epub 2007 Mar 2.
The current study investigated whether exposure with response prevention (ERP) for obsessive compulsive disorder (OCD) is more effective when administered in a participant's home or other natural environments where symptoms tend to occur, than in a therapist's office. Twenty-eight outpatients with a principal diagnosis of OCD were randomly assigned to receive ERP in their therapist's office vs. wherever their symptoms usually occur (e.g., at home, at work, in public places, in the car, etc.). Participants received 14, 90-min sessions of ERP with an individual therapist. Participants were assessed at pretreatment, post-treatment, and at 3- and 6-month follow-up. Assessments included both self-report as well as clinician-rated indicators of OCD symptom severity, depression, and functional impairment. Results suggested that participants improved significantly, regardless of where treatment occurred. There were no differences in efficacy between the home-based and office-based treatment for OCD. Implications of these findings are discussed.
当前研究调查了，对于强迫症（OCD）患者，暴露与反应阻止疗法（ERP）在参与者家中或症状容易出现的其他自然环境中实施时，是否比在治疗师办公室更有效。28名主要诊断为强迫症的门诊患者被随机分配，分别在治疗师办公室或症状通常出现的地方（如家中、工作场所、公共场所、车内等）接受ERP治疗。参与者与一名个体治疗师进行了14次、每次90分钟的ERP治疗。在治疗前、治疗后以及3个月和6个月随访时对参与者进行评估。评估包括强迫症症状严重程度、抑郁和功能损害的自我报告以及临床医生评定指标。结果表明，无论治疗在哪里进行，参与者都有显著改善。基于家庭和基于办公室的强迫症治疗在疗效上没有差异。讨论了这些发现的意义。
