Buchanan A W, Meng K S, Marks I M
Bethlem Royal Hospital, Beckenham, Kent, United Kingdom.
Anxiety. 1996;2(1):22-7. doi: 10.1002/(SICI)1522-7154(1996)2:1<22::AID-ANXI3>3.0.CO;2-F.
The aim of the study was to identify factors associated with treatment compliance and clinical improvement when obsessive compulsive disorder is treated with graded exposure and response prevention. The sample consisted of all patients with a diagnosis of obsessive compulsive disorder admitted over a 3-year period to a unit specialising in behavioral treatment. All subjects were diagnosed using reliable diagnostic criteria and all were followed-up for 12 months. A range of social and clinical variables was examined using stepwise regression analysis. Treatment compliance was associated with being employed during treatment and living with one's family. Clinical improvement was associated with never having been treated previously, being employed during treatment, having a fear of contamination, having overt ritualistic behaviour, the absence of depression and living with one's family.
本研究的目的是确定在采用逐级暴露和反应阻止法治疗强迫症时，与治疗依从性和临床改善相关的因素。样本包括在3年期间入住一家专门进行行为治疗的科室的所有被诊断为强迫症的患者。所有受试者均使用可靠的诊断标准进行诊断，并全部随访12个月。使用逐步回归分析检查了一系列社会和临床变量。治疗依从性与治疗期间就业和与家人同住有关。临床改善与既往未接受过治疗、治疗期间就业、有污染恐惧、有明显的仪式行为、无抑郁以及与家人同住有关。
