The role of between-session homework in cognitive-behavioral therapy for comorbid obsessive-compulsive disorder and autism: A case vignette

被引:1
作者
Church, Molly J. J. [1 ]
Mangen, Katie H. H. [1 ]
Stiede, Jordan T. T. [1 ]
Spencer, Samuel D. D. [1 ]
Storch, Eric A. A. [1 ]
机构
[1] Baylor Coll Med, Dept Psychiat & Behav Sci, 1977 Butler Blvd, Houston, TX 77054 USA
基金
美国国家卫生研究院;
关键词
autism; case vignette; cognitive behavioral therapy; exposure and response prevention; homework; obsessive-compulsive disorder; SPECTRUM DISORDERS; ANXIETY DISORDERS; ADOLESCENTS; PREVALENCE; CHILDREN; PEOPLE;
D O I
10.1002/jclp.23580
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectiveCognitive-behavioral therapy (CBT), which includes a decided emphasis on exposure and response/ritual prevention (ERP) and between-session practice of treatment principles, has consistently demonstrated efficacy for the treatment of obsessive-compulsive disorder (OCD) and is a gold standard, recommended first-line treatment. CBT with ERP has been successfully adapted to fit the needs of autistic individuals with OCD. The present article provides a brief overview of CBT for OCD and outlines special considerations and adaptations needed when working with patients with OCD and comorbid autism, with an emphasis on the importance of between-session homework. MethodA case vignette is presented. ResultsThis case study illustrates the role of homework in the exposure-based treatment of an adult autistic individual with comorbid OCD. ConclusionImplications of this case vignette are discussed, and recommendations are offered for clinicians working with autistic individuals with OCD, especially in regard to bolstering completion of between-session ERP homework.
引用
收藏
页码:855 / 870
页数:16
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