Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder

被引:61
作者
McKay, Dean [1 ]
Sookman, Debbie [2 ,3 ]
Neziroglu, Fugen [4 ]
Wilhelm, Sabine [5 ,6 ]
Stein, Dan J. [7 ]
Kyrios, Michael [8 ]
Matthews, Keith [9 ]
Veale, David [10 ,11 ]
机构
[1] Fordham Univ, Bronx, NY 10458 USA
[2] McGill Univ, Dept Psychol, Ctr Hlth, Obsess Compuls Disorder Clin, Montreal, PQ, Canada
[3] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[4] Biobehav Inst, Great Neck, NY USA
[5] Harvard Univ, Boston, MA 02115 USA
[6] Massachusetts Gen Hosp, Boston, MA 02114 USA
[7] Univ Cape Town, ZA-7925 Cape Town, South Africa
[8] Univ Melbourne, Melbourne, Vic, Australia
[9] Univ Dundee, Dundee, Scotland
[10] South London & Maudsley NHS Fdn Trust, NIHR Specialist Biomed Res Ctr Mental Hlth, London, England
[11] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
关键词
Obsessive-compulsive disorder; Exposure with response prevention; Cognitive therapy; Meta-analysis; Treatment adherence; OVERVALUED IDEAS SCALE; 2-YEAR FOLLOW-UP; INDIVIDUAL TREATMENT; RESPONSE PREVENTION; ANXIETY DISORDERS; PATIENT ADHERENCE; EXPOSURE; SUBTYPES; SYMPTOM; CLOMIPRAMINE;
D O I
10.1016/j.psychres.2015.02.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cognitive-behavioral therapy (CBT), which encompasses exposure with response prevention (ERP) and cognitive therapy (CT), has demonstrated efficacy in the treatment of obsessive-compulsive disorder (OCD). However, the samples studied (reflecting the heterogeneity of OCD), the interventions examined (reflecting the heterogeneity of CBT), and the definitions of treatment response vary considerably across studies. This review examined the meta-analyses conducted on ERP and cognitive therapy (CT) for OCD. Also examined was the available research on long-term outcome associated with ERP and CT. The available research indicates that ERP is the first line evidence based psychotherapeutic treatment for OCD and that concurrent administration of cognitive therapy that targets specific symptom-related difficulties characteristic of OCD may improve tolerance of distress, symptom-related dysfunctional beliefs, adherence to treatment, and reduce drop out. Recommendations are provided for treatment delivery for OCD in general practice and other service delivery settings. The literature suggests that ERP and CT may be delivered in a wide range of clinical settings. Although the data are not extensive, the available research suggests that treatment gains following ERP are durable. Suggestions for future research to refine therapeutic outcome are also considered. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
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页码:104 / 113
页数:10
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