针对强迫症的认知疗法。
Cognitive therapy with obsessive-compulsive disorder.
作者信息
James I A, Blackburn I M
机构信息
Cognitive Therapy Centre, Collingwood Clinic, Gosforth, Newcastle upon Tyne, UK.
出版信息
Br J Psychiatry. 1995 Apr;166(4):444-50. doi: 10.1192/bjp.166.4.444.
BACKGROUND
People with obsessive-compulsive disorders (OCD) are widely treated with a combination of medication and behavioural techniques. The success rate is 50-85%, but both relapse and drop-out rates appear high. The use of cognitive therapy (CT) for the treatment of OCD has been suggested. The empirical evidence supporting the use of CT for OCD is examined.
METHOD
A manual and computer (Medline) literature search was performed.
RESULTS
Fifteen empirical studies were found: ten non-controlled, and five controlled.
CONCLUSIONS
There are few controlled CT studies, and these show little evidence of improvement when CT is added to existing therapeutic techniques.
背景
强迫症患者广泛接受药物治疗与行为疗法相结合的治疗。成功率为50 - 85%，但复发率和退出率似乎都很高。有人建议使用认知疗法（CT）来治疗强迫症。本文对支持使用认知疗法治疗强迫症的实证证据进行了研究。
方法
进行了手工检索和计算机（医学文献数据库）文献检索。
结果
共找到15项实证研究：10项非对照研究和5项对照研究。
结论
对照的认知疗法研究较少，且这些研究几乎没有证据表明在现有治疗技术基础上增加认知疗法会有改善效果。
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