Oxleas Phoenix Children's Resource Centre, Bromley, UK.
Behav Cogn Psychother. 2013 Jan;41(1):117-22. doi: 10.1017/S1352465812000562. Epub 2012 Aug 16.
Breaking Free from OCD is a cognitive behavioural self-help book for young people with obsessive compulsive disorder (OCD). The book is written for 11-16 year olds as a first step intervention for reducing mild to moderate symptoms of OCD.
This report describes a preliminary evaluation of the feasibility and acceptability of the book as a self-help intervention.
Using a case-series design, eight 11-16 year olds with OCD were monitored for symptom stability 3 weeks prior to receiving Breaking Free from OCD for use over an 8-week period. Weekly telephone calls were received to complete the CY-BOCS for symptom severity and to monitor adherence to the intervention. The CHOCI and SDQ were sent to participants and their parents pre-, mid- and post-intervention.
There was a significant reduction in CY-BOCS symptom severity over the course of the intervention; however, there were no statistically significant changes on the self-report measures. The intervention was well received by the majority of young people who took part.
Breaking Free from OCD may help young people with OCD and is an acceptable low intensity intervention. This evaluation is the first step in developing low intensity approaches for child OCD.
《摆脱强迫症》是一本针对患有强迫症（OCD）的年轻人的认知行为自助书籍。这本书是为 11-16 岁的孩子编写的，作为减轻轻度至中度 OCD 症状的第一步干预措施。
本报告描述了作为自助干预措施的《摆脱强迫症》的可行性和可接受性的初步评估。
采用病例系列设计，在接受《摆脱强迫症》治疗的 8 周前，对 8 名 11-16 岁的强迫症患者进行了 3 周的症状稳定性监测。每周通过电话完成 CY-BOCS 以评估症状严重程度，并监测对干预措施的依从性。在干预前、中、后向参与者及其家长发送 CHOCI 和 SDQ。
在干预过程中，CY-BOCS 症状严重程度显著降低；然而，自我报告测量指标没有统计学上的显著变化。大多数参与的年轻人都对干预措施表示欢迎。
《摆脱强迫症》可能对患有强迫症的年轻人有帮助，是一种可接受的低强度干预措施。本评估是为儿童强迫症开发低强度方法的第一步。
