Metcalfe Robyn E, Pental Preeti, Duke Danny C
Eugene, OR USA.
Tacoma, WA USA.
J Health Serv Psychol. 2022;48(3):117-125. doi: 10.1007/s42843-022-00068-3. Epub 2022 Jul 9.
Engaging children and caregivers in exposure and response-prevention (ERP) is a critical element in effective treatment of obsessive-compulsive disorder (OCD) in young children. Several clinical challenges pose barriers to participation and implementation of successful treatment such as specific parenting behaviors (e.g., accommodation of obsessions and compulsions) and child motivation for treatment. The authors offer strategies to address common clinical challenges in engaging young children with OCD and to promote effective implementation of ERP with children and caregivers.
让儿童及其照料者参与暴露与反应预防(ERP)是幼儿强迫症(OCD)有效治疗的关键要素。一些临床挑战对成功治疗的参与和实施构成障碍,例如特定的养育行为(如对强迫观念和强迫行为的迁就)以及儿童的治疗动机。作者提供了应对让患有强迫症的幼儿参与治疗的常见临床挑战的策略,并促进与儿童及其照料者有效实施ERP。