O'Leary Emily Marie McHugh, Barrett Paula, Fjermestad Krister W
Pathways Health and Research Centre, PO Box 5699, West End, Brisbane, QLD, 4101, Australia.
J Anxiety Disord. 2009 Oct;23(7):973-8. doi: 10.1016/j.janxdis.2009.06.009. Epub 2009 Jun 26.
This study evaluated the long-term durability of individual and group cognitive-behavioral family-based therapy (CBFT) for childhood obsessive-compulsive disorder (OCD). Thirty-eight participants (age 13-24 years) from a randomized controlled trial of individual or group CBFT for childhood OCD were assessed 7 years post-treatment. Diagnostic, symptom severity interviews and self-report measures of OCD, anxiety, and depression were administered. Seven years after treatment, 79% of participants from individual therapy and 95% from group therapy had no diagnosis of OCD. These results are near identical to results found at 12 and 18 months follow-ups of the same sample. No significant differences were found between treatment conditions, self-reports of symptom severity, except that depressive symptoms were significantly more pronounced for individual treatment condition, and those in the older age group (19-24 years of age). Results suggest that CBFT for obsessive-compulsive disorder is effective 7 years post-treatment.
本研究评估了针对儿童强迫症（OCD）的个体及团体认知行为家庭疗法（CBFT）的长期疗效。从一项针对儿童强迫症的个体或团体CBFT随机对照试验中选取了38名参与者（年龄在13 - 24岁之间），在治疗7年后进行评估。进行了诊断、症状严重程度访谈以及强迫症、焦虑和抑郁的自我报告测量。治疗7年后，个体治疗组79%的参与者和团体治疗组95%的参与者未被诊断为强迫症。这些结果与对同一样本在12个月和18个月随访时发现的结果几乎相同。除了个体治疗组以及年龄较大组（19 - 24岁）的抑郁症状明显更显著外，治疗条件、症状严重程度的自我报告之间未发现显著差异。结果表明，针对强迫症的CBFT在治疗7年后仍然有效。
