共 63 条
Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993-2014
被引:387
作者:
Ost, Lars-Goran
[1
,2
,3
,4
]
Havnen, Audun
[3
,4
]
Hansen, Bjarne
[3
,4
]
Kvale, Gerd
[3
,4
]
机构:
[1] Karolinska Inst, Dept Clin Neurosci, S-17177 Stockholm, Sweden
[2] Stockholm Univ, Dept Psychol, Stockholm, Sweden
[3] Univ Bergen, Dept Clin Psychol, N-5020 Bergen, Norway
[4] OCT Team, Haukeland Univ Hosp, N-5021 Bergen, Norway
关键词:
Obsessive-compulsive disorder;
Exposure and response prevention;
Cognitive therapy;
Meta-analysis;
Systematic review;
RANDOMIZED CONTROLLED-TRIAL;
PSYCHOLOGICAL TREATMENT;
CLINICAL-SIGNIFICANCE;
RESPONSE PREVENTION;
EXPOSURE THERAPY;
POSTTREATMENT;
COMORBIDITY;
COMPETENCE;
ACCEPTANCE;
SEVERITY;
D O I:
10.1016/j.cpr.2015.06.003
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
Obsessive-compulsive disorder is ranked by the WHO as among the 10 most debilitating disorders and tends to be chronic without adequate treatment. The only psychological treatment that has been found effective is cognitive behavior therapy (CBT). This meta-analysis includes all RCTs (N = 37) of CBT for OCD using the interview-based Yale-Brown Obsessive Compulsive Scale, published 1993 to 2014. The effect sizes for comparisons of CBT with waiting-list (1.31), and placebo conditions (1.33) were very large, whereas those for comparisons between individual and group treatment (0.17), and exposure and response prevention vs. cognitive therapy (0.07) were small and non-significant. CBT was significantly better than antidepressant medication (0.55), but the combination of CBT and medication was not significantly better than CBT plus placebo (0.25). The RCTs have a number of methodological problems and recommendations for improving the methodological rigor are discussed as well as clinical implications of the findings. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:156 / 169
页数:14
相关论文