Baer L, Minichiello W E, Jenike M A, Holland A
Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114.
J Behav Ther Exp Psychiatry. 1988 Sep;19(3):237-40. doi: 10.1016/0005-7916(88)90047-x.
This case study describes the development and use of a portable computer program to assist in behavioral treatment of obsessive compulsive disorder. A 58-year-old female with a 37-year history of compulsive checking rituals, who had mild improvement following 36 months of standard behavioral techniques and pharmacotherapy, showed improved compliance with behavioral treatments of exposure and response prevention following use of the portable computer program. Computer records indicated marked reductions in frequency of checking rituals and a 91-week follow-up indicated that treatment effects were maintained at home where the patient had resumed using the laptop computer. She had stopped using the pocket computer outside the home, and there her checking rituals had returned to baseline levels.
本案例研究描述了一个便携式计算机程序的开发与应用，该程序旨在辅助强迫症的行为治疗。一名58岁女性，有37年的强迫检查仪式病史，在接受了36个月的标准行为技术和药物治疗后有轻度改善。在使用该便携式计算机程序后，她在暴露与反应阻止行为治疗中的依从性有所提高。计算机记录显示，检查仪式的频率显著降低，91周的随访表明，在患者家中，治疗效果得以维持，她已重新开始使用笔记本电脑。她已不再在家外使用便携式计算机，在那里她的检查仪式又恢复到了基线水平。
