强迫症的模块化认知疗法：一项等待列表对照试验。
Modular Cognitive Therapy for Obsessive-Compulsive Disorder: A Wait-List Controlled Trial.
作者信息
Wilhelm Sabine, Steketee Gail, Fama Jeanne M, Buhlmann Ulrike, Teachman Bethany A, Golan Elana
机构信息
Massachusetts General Hospital and Harvard Medical School.
出版信息
J Cogn Psychother. 2009;23(4):294-305. doi: 10.1891/0889-8391.23.4.294.
Abstract
The current study examined the efficacy of cognitive therapy (CT) in reducing symptoms of obsessive-compulsive disorder (OCD). Twenty-nine individuals with OCD were assigned according to therapist availability to a 12-week wait period or the immediate start of 22 sessions (over 24 weeks) of flexible, modular CT. After 12 weeks of treatment, the CT group, but not the wait-list group, exhibited significant improvement in OCD symptoms. The combined sample of patients who underwent 24 weeks of CT improved significantly from pre- to post-treatment and symptoms remained significantly improved at 3-month follow-up. OCD symptoms rose slightly between posttreatment and 12-month follow-up, but, remained significantly lower than at pretreatment. Overall, modular CT appears to be an effective and acceptable treatment for OCD.
摘要
当前研究检验了认知疗法（CT）在减轻强迫症（OCD）症状方面的疗效。根据治疗师的可提供时间，将29名强迫症患者分配到为期12周的等待期，或立即开始为期24周的22节灵活、模块化认知疗法治疗。治疗12周后，认知疗法组而非等待名单组的强迫症症状有显著改善。接受24周认知疗法治疗的患者合并样本从治疗前到治疗后有显著改善，且在3个月随访时症状仍有显著改善。强迫症症状在治疗后和12个月随访之间略有上升，但仍显著低于治疗前。总体而言，模块化认知疗法似乎是一种有效且可接受的强迫症治疗方法。
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本文引用的文献
1
Treatment of obsessive-compulsive disorder: cognitive behavior therapy vs. exposure and response prevention.强迫症的治疗：认知行为疗法与暴露与反应阻止疗法
Behav Res Ther. 2005 Dec;43(12):1559-76. doi: 10.1016/j.brat.2004.11.012.
2
Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder.暴露与仪式预防、氯米帕明及其联合治疗强迫症的随机安慰剂对照试验。
Am J Psychiatry. 2005 Jan;162(1):151-61. doi: 10.1176/appi.ajp.162.1.151.
3
A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder.强迫症认知疗法与强化行为疗法的随机对照试验。
Psychother Psychosom. 2001 Nov-Dec;70(6):288-97. doi: 10.1159/000056269.
4
A cognitive theory of obsessions.一种关于强迫观念的认知理论。
Behav Res Ther. 1997 Sep;35(9):793-802. doi: 10.1016/s0005-7967(97)00040-5.
5
Cognitive assessment of obsessive-compulsive disorder. Obsessive Compulsive Cognitions Working Group.强迫症的认知评估。强迫性认知工作组。
Behav Res Ther. 1997 Jul;35(7):667-81. doi: 10.1016/s0005-7967(97)00017-x.
6
Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: a quantitative review.
J Consult Clin Psychol. 1997 Feb;65(1):44-52. doi: 10.1037//0022-006x.65.1.44.
7
Correcting faulty appraisals of obsessional thoughts.纠正对强迫观念的错误评估。
Behav Res Ther. 1996 May-Jun;34(5-6):433-46. doi: 10.1016/0005-7967(95)00076-3.
8
Cognitive therapy and exposure in vivo in the treatment of obsessive compulsive disorder.
Behav Res Ther. 1995 May;33(4):379-90. doi: 10.1016/0005-7967(94)00052-l.
9
The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability.耶鲁-布朗强迫量表。I. 编制、使用及信度
Arch Gen Psychiatry. 1989 Nov;46(11):1006-11. doi: 10.1001/archpsyc.1989.01810110048007.
10
Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems.
Behav Res Ther. 1989;27(6):677-82; discussion 683-4. doi: 10.1016/0005-7967(89)90152-6.
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