Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.
Department of Clinical Psychology, University of Bergen, Bergen, Norway.
BMC Psychiatry. 2018 Oct 4;18(1):323. doi: 10.1186/s12888-018-1887-4.
Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%.
Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format.
Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD.
We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.
挪威奥斯陆大学医院截至 2016 年秋季，积累了 101 名强迫症（OCD）患者的等候名单，这些患者有权接受专业 OCD 团队的治疗。在这种具有挑战性的情况下，卑尔根 OCD 团队建议通过为所有患者提供快速卑尔根 4 天治疗（B4DT）的选择来解决问题。B4DT 是一种在六名患者组成的小组中连续四天进行的个体治疗，治疗师人数相同。该方法以前显示出治疗后 90%的反应率和 3 个月的缓解率为 70%。
97 名等候名单上的患者可在预定时段使用，90 名患者在 8 天内接受 4 天治疗方案（每周各 45 名患者）。治疗师是从挪威各地的 22 个不同的 OCD 专业团队中招募的，其中 44 名（68%）以前没有提供 4 天的治疗方案。
治疗后，91.1%的患者被归类为有反应者，72.2%的患者处于缓解状态。在 3 个月的随访中，84.4%的患者被归类为有反应者，缓解率为 67.7%。奥斯陆大学医院现在将 4 天治疗方案作为 OCD 的标准治疗方法。
我们得出结论，B4DT 是一种可接受且可能有效的 OCD 治疗方法。
