Utah State University, Logan, UT 84322-2810, USA.
Behav Modif. 2013 May;37(3):409-30. doi: 10.1177/0145445512475134. Epub 2013 Feb 11.
This study evaluated acceptance and commitment therapy (ACT) for scrupulosity-based obsessive compulsive disorder (OCD). Five adults were treated with eight sessions of ACT, without in-session exposure, in a multiple baseline across participants design. Daily monitoring of compulsions and avoided valued activities were tracked throughout the study. The Obsessive Compulsive Inventory-Revised, Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Penn Inventory of Scrupulosity, Beck Depression Inventory-II, Quality of Life Scale, Santa Clara Strength of Religious Faith Questionnaire, and the Acceptance and Action Questionnaire-II were completed at pretreatment, posttreatment, and 3-month follow-up. The Treatment Evaluation Inventory was completed at posttreatment. Average daily compulsions reduced as follows: pretreatment = 25.0, posttreatment = 5.6, and follow-up = 4.3. Average daily avoided valued activities reduced as follows: pretreatment = 6.0, posttreatment = 0.7, and follow-up = 0.5. Other measures showed similar patterns. Religious faith only slightly declined: 4% at posttreatment and 7% at follow-up. Treatment acceptability was high.
本研究评估了基于强迫观念的强迫症（OCD）的接纳与承诺疗法（ACT）。5 名成年人接受了 8 次 ACT 治疗，治疗过程中没有进行室内暴露，采用了参与者间的多个基线设计。在整个研究过程中，对强迫行为和避免有价值的活动进行了日常监测。治疗前、治疗后和 3 个月随访时，使用修订后的强迫清单、耶鲁-布朗强迫量表（Y-BOCS）、宾夕法尼亚强迫观念清单、贝克抑郁量表 II 版、生活质量量表、圣克拉拉宗教信仰强度问卷和接纳与行动问卷-II 进行了评估。治疗评估问卷在治疗后完成。平均每日强迫行为减少如下：治疗前=25.0，治疗后=5.6，随访=4.3。平均每日避免有价值的活动减少如下：治疗前=6.0，治疗后=0.7，随访=0.5。其他措施也呈现出类似的模式。宗教信仰仅略有下降：治疗后下降 4%，随访时下降 7%。治疗的可接受性很高。
