University of Pennsylvania.
Behav Ther. 2013 Sep;44(3):408-16. doi: 10.1016/j.beth.2013.03.007. Epub 2013 Apr 2.
Despite severe functional impairment, only 35% to 40% of individuals with obsessive-compulsive disorder (OCD) seek treatment, and fewer than 10% receive evidence-based treatment. The current study examined the characteristics of 525 individuals who contacted the clinic of the Center for the Treatment and Study of Anxiety at the University of Pennsylvania to inquire about OCD treatment and completed a phone screen. Callers who were deemed appropriate for the clinic (n=396, 75%) were invited to participate in an in-person intake evaluation. Only 137 (35%) of the eligible individuals completed the intake evaluation ("treatment intake group") whereas the majority (n=259, 65%) did not ("phone screen-only group"). Compared to individuals in the phone screen-only group, those in the treatment intake group were younger, less likely to endorse depressed mood, and more likely to have received a diagnosis of OCD, to have previously sought psychological services, and to have taken psychotropic medication. The findings suggest that familiarity with their diagnosis and past contact with mental health professionals enhance openness to explore yet another treatment. In contrast, lack of awareness about the problem and depressed mood may reduce openness to seek treatment.
尽管强迫症（OCD）患者的功能严重受损，但只有 35%至 40%的人寻求治疗，而接受循证治疗的人则不到 10%。本研究调查了 525 名联系宾夕法尼亚大学治疗和焦虑研究中心诊所询问 OCD 治疗的个人的特征，并完成了电话筛查。被认为适合诊所的来电者（n=396，75%）被邀请参加面对面的摄入评估。只有 137 名（35%）符合条件的个人完成了摄入评估（“治疗摄入组”），而大多数（n=259，65%）没有（“仅电话筛查组”）。与仅电话筛查组的个体相比，治疗摄入组的个体更年轻，不太可能出现抑郁情绪，更有可能被诊断为 OCD，以前曾寻求过心理服务，并服用过精神药物。研究结果表明，对其诊断的熟悉程度和过去与心理健康专业人员的接触增强了对探索另一种治疗方法的开放性。相比之下，对问题缺乏认识和抑郁情绪可能会降低寻求治疗的开放性。
