Department of Clinical Psychology, University of Bergen, Bergen, Norway.
OCD-Team, Haukeland University Hospital, Bergen, Norway.
Child Psychiatry Hum Dev. 2019 Dec;50(6):975-986. doi: 10.1007/s10578-019-00898-1.
Findings suggest that increased levels of family accommodation are associated with a poorer treatment outcome in obsessive-compulsive disorder (OCD). A concentrated treatment format, the Bergen 4-day treatment (B4DT), has previously demonstrated promising results in the treatment of adolescents with OCD. The present paper examined changes in family accommodation and investigated whether family accommodation predicted outcome, in a sample of 63 adolescents (age range 11-18) participating in the B4DT. There were significant reductions on CY-BOCS and FAS from pre- to post-treatment and from pre-treatment to follow-up (p < 0.001), with large within-group effect sizes on both measures. Pre-treatment levels of symptom severity or family accommodation was not found to predict outcome at post-treatment or at follow-up. Less OCD-related functional impairment at pre-treatment predicted a better outcome at both post-treatment and follow-up. The findings suggest that the B4DT significantly reduces OCD-symptoms regardless of pre-treatment levels of family accommodation or OCD severity.
研究结果表明，家庭迁就程度的增加与强迫症（OCD）的治疗效果较差有关。集中治疗模式，即卑尔根 4 天治疗（B4DT），先前已证明对青少年 OCD 的治疗有良好的效果。本研究在 63 名青少年（年龄在 11-18 岁之间）中研究了家庭迁就的变化，并调查了家庭迁就是否预测治疗结果，这些青少年参与了 B4DT。从治疗前到治疗后，再到随访，CY-BOCS 和 FAS 都有显著降低（p<0.001），两个指标的组内效应量都很大。治疗前的症状严重程度或家庭迁就程度均不能预测治疗后或随访时的结果。治疗前 OCD 相关的功能障碍程度较低，预示着在治疗后和随访时的结果更好。研究结果表明，B4DT 可显著降低 OCD 症状，而与治疗前的家庭迁就程度或 OCD 严重程度无关。
