The Bergen 4-Day OCD Treatment Delivered in a Group Setting: 12-Month Follow-Up
The Bergen 4-Day OCD Treatment Delivered in a Group Setting: 12-Month Follow-Up
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DOI：
10.3389/fpsyg.2018.00639
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发表时间：
2018-05-03
影响因子：
3.8
通讯作者：
Kvale, Gerd
中科院分区：
文献类型：
--
作者：
Hansen, Bjarne;Hagen, Kristen;Kvale, Gerd
卑尔根4天集中暴露治疗强迫症（OCD）已被证明是高度可接受的；几乎没有人退出，6个月的缓解率接近70%。本研究的目的是评估该方法的长期收益，并将结果与我们最近的荟萃分析结果进行比较。在连续转诊到专科医疗保健门诊的95名患者中，有69人接受了卑尔根4天治疗。在开始治疗的65人中，60.0%的人被归类为“严重”到“极端”强迫症。没有一个病人在治疗期间中途退出。独立的耶鲁-布朗强迫症量表访谈在治疗后进行，随访3个月和12个月。根据国际共识标准，在12个月的随访中，83.1%的患者对治疗有反应，67.7%的患者被分类为康复。通过患者健康问卷-9和广泛性焦虑量表（通过广泛性焦虑障碍-7量表）测量，抑郁症和广泛性焦虑也发生了显著变化。总共有89%的患者认为这种治疗非常好，100%的患者会向朋友推荐这种治疗。与最近的荟萃分析结果相比，Bergen 4天治疗在损耗、反应和12个月的恢复方面是有利的。综上所述，Bergen 4天治疗是一种可行的治疗强迫症的方法，并且在12个月的随访中效果稳定。讨论了对传播的影响。
The Bergen 4-day concentrated exposure treatment (cET) for obsessive-compulsive disorder (OCD) has proven highly acceptable; with practically no drop-out and a 6 month remission rate of nearly 70%. The aim of the present study was to evaluate long term gains of the approach, and to compare the results to findings from our recent meta-analysis. Sixty-nine of 95 patients consecutively referred to an outpatient clinic in the specialist health care, were offered the Bergen 4-day treatment. Among the 65 who initiated treatment, 60.0% were classified with "severe" to "extreme" OCD. None of the patients dropped-out during treatment. Independent Yale-Brown Obsessive-Compulsive Scale interviews were conducted post-treatment, and at 3- and 12-month follow-up. Using the international consensus criteria, 83.1% responded to treatment at 12-month follow-up, and 67.7% of patients were classified as recovered. Significant changes were also seen in depression, as measured by Patient Health Questionnaire-9, and in generalized anxiety, as measured by Generalized Anxiety Disorder-7 scale. A total of 89% of the patients rated the treatment as very good and 100% would recommend the treatment to a friend. Compared to results in a recent meta-analysis, the Bergen 4-day treatment is favorable in respect to attrition, response and 12-month recovery. In sum the Bergen 4-day treatment is a feasible way to deliver treatment for OCD, and the effects are stable at 12-month follow-up. Implications for dissemination are discussed.