Individual versus group cognitive behavioral treatment for obsessive-compulsive disorder: Follow up

被引:22
作者
Jaurrieta, Nuria [1 ,2 ]
Jimenez-Murcia, Susana [1 ,3 ]
Alonso, Pino [1 ,4 ]
Granero, Roser [5 ]
Segalas, Cinto [1 ]
Labad, Javier [1 ]
Menchon, Jose M. [1 ,4 ]
机构
[1] Bellvitge Univ Hosp, Dept Psychiat, Obsess Compuls Disorder Clin & Res Unit, Barcelona, Spain
[2] Adult Mental Hlth Ctr St Feliu Llobregat, Sacred Heart Mental Serv, Barcelona, Spain
[3] Autonomous Univ Barcelona, Inst Salud Carlos III, CIBEROBN, CIBER Fisiopatol Obesidad & Nutr, Barcelona, Spain
[4] Autonomous Univ Barcelona, Inst Salud Carlos III, CIBERSAM, CIBER Salut Mental, Barcelona, Spain
[5] Autonomous Univ Barcelona, Fac Psychol, Dept Psychobiol & Methodol Hlth Sci, Barcelona, Spain
关键词
cognitive behavioral treatment; efficacy; follow up; group; obsessive-compulsive disorder;
D O I
10.1111/j.1440-1819.2008.01873.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To compare the effectiveness of two forms of cognitive behavioral treatment (CBT; group and individual) in a sample of patients with obsessive-compulsive disorder (OCD) at 6-month and 12-month follow up. Thirty-eight subjects meeting DSM-IV-TR OCD criteria completed 20 sessions of individual and group CBT. They were assessed using the Yale-Brown Obsessive-Compulsive Scale and the Hamilton Anxiety and Depression Scales at baseline, after treatment and at 6-month and 12-month follow up. The clinical improvement obtained at the end of the treatment was maintained at 6-month and 12-month follow up. The clinical outcome of the individual treatment (IT) and the group treatment (GT) was the same. The dropout rates were significantly higher in women than in men, but were similar for IT and GT. CBT was effective in a sample of OCD patients. Individual and group CBT had similar results at 6-month and 12-month follow up. The clinical implications of these findings are discussed.
引用
收藏
页码:697 / 704
页数:8
相关论文
共 35 条
[21]   Obsessive-compulsive symptom dimensions as predictors of compliance with and response to behaviour therapy: Results from a controlled trial [J].
Mataix-Cols, D ;
Marks, IM ;
Greist, JH ;
Kobak, KA ;
Baer, L .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 2002, 71 (05) :255-262
[22]  
McGinn L, 1999, TREATMENT OBSESSIVE
[23]   Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder [J].
McLean, PD ;
Whittal, ML ;
Thordarson, DS ;
Taylor, S ;
Söchting, I ;
Koch, WJ ;
Paterson, R ;
Anderson, KW .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2001, 69 (02) :205-214
[24]   Diagnostic and Statistical Manual of Mental Disorders [J].
Mittal, Vijay A. ;
Walker, Elaine F. .
PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159
[25]  
National Institute for Clinical Excellence (NICE), 2005, OBS COMP DIS COR INT, V31
[26]  
Nicolini H, 1996, SALUD MENT, V19, P13
[27]   Group versus individual treatment in obsessions without compulsions [J].
O'Connor, K ;
Freeston, MH ;
Gareau, D ;
Careau, Y ;
Dufour, MJ ;
Aardema, E ;
Todorov, C .
CLINICAL PSYCHOLOGY & PSYCHOTHERAPY, 2005, 12 (02) :87-96
[28]  
Rachman S., 1980, OBSESSIONS COMPULSIO
[29]  
Ramos-Brieva J A, 1986, Actas Luso Esp Neurol Psiquiatr Cienc Afines, V14, P324
[30]   Symptom dimensions in obsessive-compulsive disorder: prediction of cognitive-behavior therapy outcome [J].
Rufer, M ;
Fricke, S ;
Moritz, S ;
Kloss, M ;
Hand, I .
ACTA PSYCHIATRICA SCANDINAVICA, 2006, 113 (05) :440-446