Family involvement in the psychological treatment of obsessive-compulsive disorder: a meta-analysis.
Family involvement in the psychological treatment of obsessive-compulsive disorder: a meta-analysis.
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家庭参与强迫症心理治疗：荟萃分析。
DOI：
10.1037/a0036709
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Comer,JonathanS
中科院分区：
文献类型：
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作者：
Thompson-Hollands,Johanna;Edson,Aubrey;Tompson,MarthaC;Comer,JonathanS
强迫症（OCD）的心理治疗越来越多地旨在通过直接纳入家庭成员来解决家庭破裂，功能障碍或症状调节来改善结果。关于强迫症的“家庭包容性治疗”（FIT）的综合效应以及可能解释反应变化的因素，仍有很多有待了解。随机效应荟萃分析程序进行实证评估的总体效果，强迫症和治疗调节。研究检索标准产生了29项研究，检查了1，366名强迫症患者的FIT反应。结果变量包括强迫症症状和整体功能。审查主持人包括年龄组，性别，少数民族地位，治疗长度和格式，并列入特定的家庭为重点的治疗元素。强迫症的FIT表现出对强迫症症状（汇总d= 1.68，SE= 0.14）和整体功能（汇总d= 0.98，SE= 0.14）的较大总体影响。主持人分析发现，个别家庭治疗（与组）和FIT针对症状的家庭住宿（与那些没有目标的住宿）与患者功能的更大改善相关。结果表明，一个强大的整体响应，以适应强迫症，并澄清关键主持人，通知最佳的情况下，有效的治疗。调查结果强调，需要继续势头的发展，评估和传播适合强迫症。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
Psychological treatments for obsessive–compulsive disorder (OCD) are increasingly aimed at improving outcomes by directly incorporating family members to address family disruption, dysfunction, or symptom accommodation. Much remains to be learned about the pooled effects of “family inclusive treatment”(FIT) for OCD and factors that may explain variation in response. Random-effects meta-analytic procedures were conducted to empirically evaluate the overall effect of FITs on OCD, and treatment moderators. Study search criteria yielded 29 studies examining FIT response in 1,366 OCD patients. Outcome variables included OCD symptoms and global functioning. Examined moderators included age group, gender, minority status, treatment length and format, and inclusion of specific family focused treatment elements. FITs for OCD demonstrated a large overall effect on OCD symptoms (pooled d= 1.68, SE= 0.14) and global functioning (pooled d= 0.98, SE= 0.14). Moderator analyses found that individual family treatments (vs. group) and FITs targeting family accommodation of symptoms (vs. those that did not target accommodation) were associated with greater improvements in patient functioning. Results indicate a robust overall response to FITs for OCD and clarify key moderators that inform optimal circumstances for effective treatment. Findings underscore the need for continued momentum in the development, evaluation, and dissemination of FITs for OCD.(PsycINFO Database Record (c) 2016 APA, all rights reserved)