Jones M K, Menzies R G
Department of Behavioural Sciences, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia.
Behav Res Ther. 1997 Oct;35(10):955-60. doi: 10.1016/s0005-7967(97)00042-9.
Three obsessive-compulsive patients received Danger Ideation Reduction Therapy (DIRT) in an initial treatment trial. All three subjects presented with contamination/washing concerns but refused to participate in exposure and response prevention. DIRT is solely directed at decreasing danger-related expectancies concerning contamination. DIRT procedures do not attempt to address inflated personal responsibility. In addition, DIRT does not involve direct or filmed exposure to contamination-related stimuli, or behavioural experiments. Components of DIRT include corrective information cognitive restructuring, filmed interviews, microbiological experiments, attentional focusing and Hoekstra's (1989) probability of catastrophe estimation task. Treatment consisted of between six and ten 1-hr weekly sessions. At post-treatment, substantial reductions in scores on the Padua Inventory, Maudsley Obsessional-Compulsive Inventory and two global rating scales were apparent for all subjects. These improvements were maintained at a 3-month follow-up. The theoretical and clinical implications of these preliminary findings are discussed.
三名强迫症患者在初步治疗试验中接受了危险观念减少疗法（DIRT）。所有三名受试者都表现出对污染/清洗的担忧，但拒绝参与暴露与反应阻止疗法。DIRT仅旨在减少与污染相关的危险预期。DIRT程序并不试图解决夸大的个人责任感问题。此外，DIRT不涉及直接或拍摄的与污染相关刺激的暴露，也不涉及行为实验。DIRT的组成部分包括纠正性信息认知重构、拍摄的访谈、微生物实验、注意力集中以及霍克斯特拉（1989）的灾难概率估计任务。治疗包括每周六至十次1小时的疗程。治疗后，所有受试者在帕多瓦量表、莫兹利强迫症量表和两个整体评定量表上的得分都有显著降低。这些改善在3个月的随访中得以维持。讨论了这些初步发现的理论和临床意义。
