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强迫症与共病性抑郁症:评估、概念化及认知行为治疗

OCD and Comorbid Depression: Assessment, Conceptualization, and Cognitive-Behavioral Treatment.

作者信息

Abramowitz Jonathan S

机构信息

Department of Psychology and Neuroscience University of North Carolina at Chapel Hill

出版信息

J Cogn Psychother. 2022 Apr 4. doi: 10.1891/JCP-2021-0003.

Abstract

Many individuals with obsessive-compulsive disorder (OCD) also meet criteria for additional diagnoses. Among the most common co-occurring diagnoses are mood disorders-especially depression. This article focuses on the comorbidity between OCD and major depression. After discussing nature of OCD and depression, the rates and clinical impact of depression on OCD, the conceptualization, assessment, and treatment of OCD when it appears along with depression is covered in detail. The derivation and implementation of a cognitive-behavioral treatment program specifically for depressed OCD patients is described and illustrated using a case example.

摘要

许多患有强迫症(OCD)的个体也符合其他诊断标准。最常见的共病诊断包括情绪障碍,尤其是抑郁症。本文重点关注强迫症与重度抑郁症之间的共病情况。在讨论了强迫症和抑郁症的本质、抑郁症对强迫症的发生率及临床影响之后,将详细阐述强迫症与抑郁症同时出现时的概念化、评估及治疗。本文将描述并通过一个案例示例说明专门针对患有抑郁症的强迫症患者的认知行为治疗方案的推导与实施。

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