Melchior Kim, Franken Ingmar H A, van der Heiden Colin
Outpatient Treatment Centre PsyQ and Erasmus University Rotterdam, the Netherlands.
Erasmus University Rotterdam, the Netherlands.
Bull Menninger Clin. 2018 Fall;82(4):375-389. doi: 10.1521/bumc.2018.82.4.375.
Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for OCD focuses primarily on modifying metacognitive beliefs about obsessions and compulsions, instead of their actual content. Based on a few small preliminary studies, there are some indications for the effectiveness of MCT for OCD. In the present article, the metacognitive model and treatment are discussed, as well as empirical support for its efficacy. Because detailed descriptions of the application of this treatment modality for patients with OCD are scarce, the authors report a case study to illustrate the content of this form of therapy.
强迫症（OCD）是一种常见且致残的疾病。目前，针对强迫症最有效的心理治疗方法是暴露与反应阻止疗法（ERP）。尽管ERP是一种有效的治疗方法，但康复率相对不高，因此仍有改进的空间。针对强迫症的元认知疗法（MCT）主要侧重于改变对强迫观念和强迫行为的元认知信念，而非其实际内容。基于一些小型的初步研究，有迹象表明MCT对强迫症有效。在本文中，将讨论元认知模型与治疗方法，以及其疗效的实证支持。由于针对强迫症患者应用这种治疗方式的详细描述较少，作者报告了一个案例研究以说明这种治疗形式的内容。
