Norwegian University of Science and Technology (NTNU), Trondheim, Department of Psychology, N-7491 Trondheim, Norway.
J Anxiety Disord. 2012 Jan;26(1):158-64. doi: 10.1016/j.janxdis.2011.10.009. Epub 2011 Nov 6.
For most patients with obsessive-compulsive disorder (OCD) the availability of exposure-based therapy is limited. In our study six outpatients with obsessive-compulsive disorder (OCD) received 15 sessions of therapy delivered only over teleconference (six sessions) and cell phones (nine sessions) over a 3-month period of time. Five of the patients were women and the average age of the participants was 31.5 (SD=8.1). Patients presented a variety of OCD symptoms which were treated with standard exposure and response prevention exercises both during treatment sessions and as a part of homework exercises. All patients rated the treatment format as acceptable and rated the quality of the working alliance as high. At the end of therapy four of the six patients were highly improved and no longer met diagnostic criteria for OCD according to the Anxiety Disorders Interview Schedule for DSM-IV and the Yale-Brown Obsessive Compulsive Scale. The same was true at 3-month follow-up although some small increases in OCD symptoms had occurred. The innovative treatment format shows promise as a method of delivery that may make treatment accessible for patients with poor access to specialty clinics.
对于大多数强迫症（OCD）患者来说，暴露疗法的可及性有限。在我们的研究中，六名强迫症（OCD）门诊患者在 3 个月的时间内接受了仅通过电话会议（六次）和手机（九次）进行的 15 次治疗。五名患者为女性，参与者的平均年龄为 31.5 岁（SD=8.1）。患者表现出各种强迫症症状，通过标准的暴露和反应预防练习进行治疗，既在治疗期间，也作为家庭作业的一部分。所有患者均认为治疗形式可接受，并对工作联盟的质量评价很高。治疗结束时，六名患者中有四名高度改善，根据 DSM-IV 焦虑障碍访谈表和耶鲁-布朗强迫症量表，不再符合强迫症的诊断标准。在 3 个月的随访中也是如此，尽管强迫症症状略有增加。这种创新的治疗模式有望成为一种治疗方法，使那些难以进入专业诊所的患者能够获得治疗。
