Safak Yasir, Karadere Mehmet Emrah, Ozdel Kadir, Ozcan Türkan, Türkçapar Mehmet Hakan, Kuru Erkan, Yücens Bengü
Turk Psikiyatri Derg. 2014 Winter;25(4):225-33.
The aim of this study was to determine the effectiveness of cognitive behavioral group therapy (CBGT) in the treatment of the obsessive-compulsive disorder (OCD).
The study included 82 patients diagnosed as OCD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). In all, 37 patients that had their diagnosis confirmed via the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and agreed to participate were provided group therapy as 14 weekly 90-120-min sessions. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Yale-Brown Obsessive Compulsive Scale-Symptom Checklist (Y-BOCS-SC), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were administered to the patients prior to group therapy (baseline) and again after sessions 2, 5, 8, 12, and 14.
In all, 8 patients dropped out of the study for various reasons and 29 completed the group therapy. There were significant reductions in BAI, BDI, and Y-BOCS scores in the patients that completed the group therapy. Additionally, BAI, BDI, and Y-BOCS score did not differ according to age, gender, or level of education.
CBGT was associated with significant improvement in OCD symptoms. Neither demographic characteristics (age, gender, and education level), nor clinical characteristics (disease duration, type of obsession, compulsion type, treatment history, and comorbidity pattern) had an effect on treatment outcome. In light of these findings, we think CBGT is an effective option for the treatment of OCD.
本研究旨在确定认知行为团体治疗(CBGT)对强迫症(OCD)的治疗效果。
该研究纳入了82例根据《精神障碍诊断与统计手册》第四版修订版(DSM-IV-TR)诊断为强迫症的患者。共有37例通过《DSM-IV轴I障碍结构化临床访谈》(SCID-I)确诊且同意参与的患者接受了团体治疗,共进行14次每周90 - 120分钟的 sessions。在团体治疗前(基线)以及第2、5、8、12和14次 sessions 后,对患者进行耶鲁-布朗强迫症量表(Y-BOCS)、耶鲁-布朗强迫症量表症状清单(Y-BOCS-SC)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)评估。
共有8例患者因各种原因退出研究,29例完成了团体治疗。完成团体治疗的患者的BAI、BDI和Y-BOCS评分有显著降低。此外,BAI、BDI和Y-BOCS评分在年龄、性别或教育水平方面无差异。
CBGT与强迫症症状的显著改善相关。人口统计学特征(年龄、性别和教育水平)以及临床特征(病程、强迫观念类型、强迫行为类型、治疗史和共病模式)均对治疗结果无影响。鉴于这些发现,我们认为CBGT是治疗强迫症的有效选择。