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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