Turner Cynthia, Heyman Isobel, Futh Annabel, Lovell Karina
South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London, UK.
Behav Cogn Psychother. 2009 Jul;37(4):469-74. doi: 10.1017/S1352465809990178. Epub 2009 Jun 23.
Cognitive-behaviour therapy (CBT) is the recommended psychological treatment for obsessive compulsive disorder (OCD) in young people. Access to CBT may be limited by a number of factors, including lack of trained therapists, and geographic or financial factors preventing access to a specialized service. Telephone delivery of CBT represents one way of overcoming some of these accessibility issues. This pilot study describes outcomes for a telephone-based cognitive-behavioural treatment for obsessive-compulsive disorder (OCD) in young people.
Ten participants, aged 13 to 17 years, and their parents received up to 16 sessions of telephone CBT (TCBT). Measures of OCD symptoms were obtained using multiple informants and a repeated measures design. Assessments were conducted at pre-treatment, post-treatment, and at 6- and 12-month follow-up.
Improvements were found for OCD symptoms across all informants. Family satisfaction with treatment over the telephone was high.
The findings suggest that TCBT is a clinically effective, feasible and acceptable means of service delivery that offers the potential to make CBT a more accessible treatment for young people. TCBT requires further evaluation in randomized, controlled trials to compare effectiveness with face-to-face CBT, which currently represents the usual care model.
认知行为疗法（CBT）是针对青少年强迫症（OCD）的推荐心理治疗方法。获得CBT治疗可能受到多种因素限制，包括缺乏训练有素的治疗师，以及地理或经济因素导致无法获得专业服务。通过电话提供CBT是克服其中一些可及性问题的一种方式。这项试点研究描述了针对青少年强迫症（OCD）的基于电话的认知行为治疗的结果。
10名年龄在13至17岁的参与者及其父母接受了多达16次的电话CBT（TCBT）治疗。使用多名信息提供者和重复测量设计来获取强迫症症状的测量数据。在治疗前、治疗后以及6个月和12个月随访时进行评估。
所有信息提供者的强迫症症状均有改善。家庭对电话治疗的满意度很高。
研究结果表明，电话CBT是一种临床有效的、可行的且可接受的服务提供方式，有可能使CBT成为青少年更容易获得的治疗方法。电话CBT需要在随机对照试验中进一步评估，以与目前作为常规护理模式的面对面CBT比较疗效。
