Cognitive Behavior Therapy for Obsessive-Compulsive and Related Disorders

被引:45
作者
Lewin, Adam B. [1 ,2 ,3 ]
Wu, Monica S. [1 ,3 ]
McGuire, Joseph F. [1 ,3 ]
Storch, Eric A. [1 ,2 ,3 ]
机构
[1] Univ S Florida, Rothman Ctr Neuropsychiat, Dept Pediat, St Petersburg, FL 33701 USA
[2] Univ S Florida, Dept Psychiat & Behav Neurosci, Tampa, FL 33616 USA
[3] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA
关键词
OCD; Obsessive-compulsive disorder; CBT; Cognitive behavior therapy; Exposure therapy; BODY DYSMORPHIC DISORDER; PLACEBO-CONTROLLED TRIAL; RESPONSE PREVENTION THERAPY; SIGNAL-DETECTION ANALYSIS; GLUCOSE METABOLIC-RATE; HABIT REVERSAL; D-CYCLOSERINE; FOLLOW-UP; TOURETTE SYNDROME; TIC SUPPRESSION;
D O I
10.1016/j.psc.2014.05.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cognitive behavior therapy (CBT) is considered a first-line intervention for obsessive-compulsive disorder (OCD) across the lifespan. Efficacy studies of CBT with exposure and response prevention suggest robust symptom reduction, often with sustained remission. Acceptability of CBT is high, and the treatment is devoid of adverse side effects. The primary mechanism of CBT is based on operant principles, specifically extinction learning. The efficacy of extinction-based treatments such as CBT is being shown for other obsessive-compulsive spectrum disorders. This article reviews the theoretic basis, clinical application, and relevant treatment outcome research for CBT and related therapies for several obsessive-compulsive spectrum disorders.
引用
收藏
页码:415 / +
页数:32
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