Maqbool Masood, Sengar K S, Kumar Mohit, Uparikar Premkant Damodhar
Department of Clinical Psychology, Ranchi Institute of Neuro-Psychiatry and Allied Sciences, Ranchi, Jharkhand, India.
Department of Clinical Psychology, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Indian J Psychol Med. 2017 Jul-Aug;39(4):523-526. doi: 10.4103/0253-7176.211754.
Obsessive-compulsive disorder (OCD) is characterized by obsessions and compulsions. Treatment usually consists of serotonergic medications along with exposure therapies. Danger ideation reduction therapy (DIRT) is an alternative therapy predominantly for washing compulsions and focuses on reduction of danger ideations. DIRT was tried on Ms. S. with a history of OCD for 15 years and improvement was noticed on Yale-Brown Obsessive Compulsive Scale, Padua Inventory, Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale after 15 sessions of DIRT though she was not fully symptom-free. Thus, DIRT was found to improve OCD symptoms and improved her insight into illness.
强迫症（OCD）的特征是存在强迫观念和强迫行为。治疗通常包括使用血清素能药物以及暴露疗法。降低危险观念疗法（DIRT）是一种主要针对洗涤强迫行为的替代疗法，其重点在于减少危险观念。对有15年强迫症病史的S女士尝试了DIRT疗法，在进行了15次DIRT治疗后，耶鲁-布朗强迫症量表、帕多瓦量表、汉密尔顿焦虑量表和汉密尔顿抑郁量表均显示有所改善，尽管她并未完全摆脱症状。因此，发现DIRT疗法可改善强迫症症状，并提高她对疾病的认知。
