Havnen Audun, Hansen Bjarne, Öst Lars-Göran, Kvale Gerd
The OCD-team,Haukeland University Hospital,Bergen,Norway.
Behav Cogn Psychother. 2017 Sep;45(5):530-536. doi: 10.1017/S1352465817000091. Epub 2017 Mar 13.
In a previous effectiveness study (Havnen et al., 2014), 35 obsessive compulsive disorder (OCD) patients underwent Concentrated Exposure Treatment (cET), which is a newly developed group treatment format delivered over four consecutive days.
The primary aims of the present study were to evaluate the treatment results for a new sample of OCD patients receiving the cET treatment approach and to replicate the effectiveness study described in Havnen et al. (2014).
Forty-two OCD patients underwent cET treatment. Treatment was delivered by different therapists than in Havnen et al. (2014), except for two groups led by the developers of the treatment. Assessments of OCD symptom severity, treatment satisfaction, and occupational impairment were included.
The results showed a significant reduction in Yale-Brown Obsessive Compulsive Scale scores from pre-treatment to post-treatment, which was maintained at 6-month follow-up. At post-treatment, 74% of the sample was remitted; at 6-month follow-up, 60% were recovered. The sample showed a very high degree of overall treatment satisfaction. The results from the present study were statistically compared with those obtained in the previous study. The analyses showed that the study samples had comparable demographic data and equal application of treatment. The outcome of the present and original study did not differ significantly on primary and secondary outcome measures.
This study shows that cET was successfully replicated in a new patient sample treated by different therapists than the original study. The results indicate that cET is well accepted by the patients, and the potential for dissemination is discussed.
在之前的一项疗效研究中(哈夫嫩等人,2014年),35名强迫症(OCD)患者接受了集中暴露疗法(cET),这是一种新开发的连续四天进行的团体治疗形式。
本研究的主要目的是评估接受cET治疗方法的新样本强迫症患者的治疗结果,并重复哈夫嫩等人(2014年)描述的疗效研究。
42名强迫症患者接受了cET治疗。除了由该治疗方法开发者带领的两组外,治疗由与哈夫嫩等人(2014年)研究中不同的治疗师实施。评估内容包括强迫症症状严重程度、治疗满意度和职业障碍。
结果显示,从治疗前到治疗后,耶鲁-布朗强迫症量表得分显著降低,且在6个月随访时保持这一结果。治疗后,74%的样本症状缓解;6个月随访时,60%的样本康复。样本显示出非常高的总体治疗满意度。本研究结果与之前研究结果进行了统计学比较。分析表明,研究样本的人口统计学数据具有可比性,治疗应用情况相同。在主要和次要结局指标方面,本研究与原研究的结果没有显著差异。
本研究表明,cET在一个由与原研究不同的治疗师治疗的新患者样本中成功得到重复。结果表明,cET被患者很好地接受,并对其传播潜力进行了讨论。