Moritz Steffen, Jelinek Lena, Hauschildt Marit, Naber Dieter
University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Hamburg, Germany.
Dialogues Clin Neurosci. 2010;12(2):209-20. doi: 10.31887/DCNS.2010.12.2/smoritz.
Despite advances in the understanding and treatment of obsessive-compulsive disorder (OCD), many patients undergoing interventions display incomplete symptom reduction, Our research group has developed a self-help manual entitled "My Metacognitive Training for OCD" (myMCT) aimed at raising patients' awareness about cognitive biases that seem to subserve OCD. The training is particularly intended for patients currently unable or unwilling to attend standard therapy, or in cases where such a treatment option is not available. For the present study, 86 individuals suffering from OCD were recruited over the Internet. Following the initial assessment, participants were either immediately emailed the myMCT manual or allocated to a waitlist group. After 4 weeks, a second assessment was performed, The myMCT group showed significantly greater improvement for OCD symptoms according to the Y-BOCS total score compared with the waitlist group (d = .63), particularly for obsessions (d= .69). Medium to strong differences emerged for the OCI-R (d = .70) and the BDI-SF (d = .50). The investigation provides the first evidence for the effectiveness of the myMCT for OCD.
尽管在强迫症（OCD）的理解和治疗方面取得了进展，但许多接受干预的患者症状减轻并不完全。我们的研究小组开发了一本名为《我的强迫症元认知训练》（myMCT）的自助手册，旨在提高患者对似乎助长强迫症的认知偏差的认识。该训练特别适用于目前无法或不愿意接受标准治疗的患者，或在没有这种治疗选择的情况下。在本研究中，通过互联网招募了86名患有强迫症的个体。在初始评估后，参与者要么立即通过电子邮件收到myMCT手册，要么被分配到等待名单组。4周后，进行了第二次评估。与等待名单组相比，根据Y-BOCS总分，myMCT组在强迫症症状方面有显著更大的改善（d = 0.63），特别是在强迫观念方面（d = 0.69）。在OCI-R（d = 0.70）和BDI-SF（d = 0.50）方面出现了中度到强度的差异。该调查为myMCT对强迫症的有效性提供了首个证据。
