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认知行为疗法治疗强迫性囤积症:一项单案例研究。

Cognitive behaviour therapy with compulsive hoarding: a single case study.

机构信息

Institute of Applied Psychology, University of the Punjab, Lahore, Pakistan.

Government College for Women University Sialkot (GCWUS), Sialkot, Pakistan.

出版信息

J Pak Med Assoc. 2021 Jan;71(1(B)):356-359. doi: 10.47391/JPMA.1016.

Abstract

The current case study used cognitive behaviour treatment (CBT) for the management of a 35-year-old, married man who presented with complaint of compulsive hoarding. The complaint of compulsive hoarding (excessive acquisition, difficulty in discarding saved material and cluttering) was accompanied by feeling of anger, sad mood, low confidence, decreased sleep and appetite, poor problem solving ability, indecisiveness and interpersonal conflicts. The study was approved by the institutional research committee (Departmental Doctoral Programme Committee) and followed by the university research committee (Advance Studies and Review Board) as academic requirement for the duration of 2013-2020. Written consent was also taken from the individual to publish the results of the case. Twenty-eight CBT sessions of one-hour duration were conducted, over a period of six months. Management plan mainly comprised decision-making techniques, cognitive restructuring, behavioural experiments, problem solving and social skills training. The individual was assessed on pre, mid, post and follow up levels. Assessment showed significant decrease in the symptoms. The present case report will help clinicians dealing with individuals with compulsive hoarding and its associated features, effectively with CBT.

摘要

本案例研究采用认知行为治疗(CBT)来管理一名 35 岁已婚男性,他抱怨自己有强迫囤积的问题。强迫囤积的抱怨(过度获取、难以丢弃保存的物品和杂物)伴随着愤怒、悲伤情绪、自信心下降、睡眠和食欲减少、解决问题能力差、优柔寡断和人际冲突。该研究获得了机构研究委员会(部门博士课程委员会)的批准,并随后获得了大学研究委员会(高级研究和审查委员会)的批准,作为 2013-2020 年期间的学术要求。个人也签署了书面同意书,同意公布该案例的结果。在六个月的时间里,进行了 28 次一小时的 CBT 疗程。管理计划主要包括决策技巧、认知重构、行为实验、解决问题和社交技能训练。个人在治疗前、中期、后期和随访期进行评估。评估显示症状显著减轻。本案例报告将有助于临床医生有效地使用 CBT 治疗有强迫囤积及其相关特征的个体。

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