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强迫症的认知行为疗法:强化治疗与每周治疗方法的非随机比较

Cognitive-behavioral therapy for obsessive-compulsive disorder: a non-randomized comparison of intensive and weekly approaches.

作者信息

Storch Eric A, Merlo Lisa J, Lehmkuhl Heather, Geffken Gary R, Jacob Marni, Ricketts Emily, Murphy Tanya K, Goodman Wayne K

机构信息

Department of Psychiatry, University of Florida, Gainesville, FL 32610, USA.

出版信息

J Anxiety Disord. 2008 Oct;22(7):1146-58. doi: 10.1016/j.janxdis.2007.12.001. Epub 2007 Dec 23.

Abstract

This study examined the relative efficacy of intensive versus weekly cognitive-behavioral therapy (CBT) for adults with obsessive-compulsive disorder (OCD). Sixty-two adults with OCD received either 14 sessions of weekly (n=30) or intensive CBT (n=32; daily psychotherapy sessions) in a non-randomized format. Assessments were conducted at Pre-treatment, Post-treatment, and 3-month Follow-up by raters who were blind to treatment group at the Pre-treatment assessment. Intensive and weekly CBT were similar in efficacy at Post-treatment and Follow-up and associated with large treatment effect sizes. Since many people with OCD do not have access to trained CBT providers, intensive treatment may be a viable option in such cases.

摘要

本研究考察了强化认知行为疗法(CBT)与每周一次的认知行为疗法对患有强迫症(OCD)的成年人的相对疗效。62名患有强迫症的成年人以非随机形式接受了14次每周一次的治疗(n = 30)或强化认知行为疗法(n = 32;每日心理治疗)。在治疗前、治疗后和3个月随访时进行评估,评估者在治疗前评估时对治疗组情况不知情。强化认知行为疗法和每周一次的认知行为疗法在治疗后和随访时疗效相似,且治疗效果显著。由于许多强迫症患者无法获得经过培训的认知行为疗法治疗师的帮助,在这种情况下,强化治疗可能是一种可行的选择。

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