Intensive cognitive behavioural therapy for obsessive-compulsive disorder: A systematic review and meta-analysis

被引:39
|
作者
Jonsson, Hjalti [1 ,2 ,3 ]
Kristensen, Maria [1 ]
Arendt, Mikkel [3 ]
机构
[1] Aarhus Univ, Dept Psychol, Anxiety Disorder Clin Children & Adolescents, DK-8000 Aarhus, Denmark
[2] Univ Southern Denmark, Dept Psychol, DK-5320 Odense, Denmark
[3] Aarhus Univ Hosp, Clin Anxiety & Obsess Compuls Disorders, DK-8240 Risskov, Denmark
关键词
Obsessive compulsive disorder; Meta-analysis; Cognitive behavioural therapy; Intensive treatment; RITUAL PREVENTION; PHARMACOLOGICAL-TREATMENTS; PSYCHOLOGICAL TREATMENT; RESIDENTIAL-TREATMENT; RESPONSE PREVENTION; CONTROLLED-TRIAL; FOLLOW-UP; EXPOSURE; CHILDREN; ADOLESCENTS;
D O I
10.1016/j.jocrd.2015.04.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Despite promising results from intensive formats of cognitive-behavioural therapy (CBT) for obsessive-compulsive disorder (OCD) the format is rarely used. The aim of the study was to systematically review the literature within this area of research and provide a meta-analysis of the effectiveness of intensive CBT for youths or adults with OCD. The meta-analysis was based on 17 trials (11 adult and 6 youth) including a total of 646 participants. Large overall pre-post effect sizes (ES) of 2.44 (95% CI 2.03-2.85) for clinical ratings (n=16) and 1.23 (95% CI 1.01-1.45) for self-reports (n=5) were found (Hedges g). Based on two comparative nonrandomized studies and one RCT, a larger post-treatment effect of intensive treatment compared to standard weekly or twice weekly CBT was found (between group ES=0.39 (95% CI 0.05-0.74) for clinical ratings). This difference was no longer present at 3 month follow-up, mainly due to slight deterioration among patients who had received intensive CBT while patients from weekly conditions changed little. In sum, the meta-analysis indicates that intensive CBT is an effective treatment for youths and adults with OCD, and could be a promising format to enhance immediate treatment effects compared to standard CBT. Focus on how to maintain superior post-treatment effects of intensive CBT could be a promising research area. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:83 / 96
页数:14
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