Concentrated ERP delivered in a group setting: An effectiveness study

Concentrated ERP delivered in a group setting: An effectiveness study
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DOI:
10.1016/j.jocrd.2014.08.002
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发表时间:
2014-10-01
影响因子:
1.8
通讯作者:
Kvale, Gerd
Kvale, Gerd
中科院分区:
医学4区
文献类型:
--
作者:
Havnen, Audun;Hansen, Bjarne;Kvale, Gerd

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本研究的目的是评估高度集中的暴露和反应预防(ERP)对强迫症(OCD)的可接受性和长期收益。治疗是在门诊强迫症治疗单位连续四天以小组形式进行的,这是普通专家医疗保健的一部分。共有35名患者接受了治疗;其中23名患者被归类为“严重”至“极端”强迫症,74%的样本先前接受过强迫症治疗(其中20%患有ERP)。结果表明,90%以上的患者对集中ERP表示高度满意。在6个月的随访中,27例(77%)被归类为恢复,抑郁症状也有显着改善。大多数样本在治疗后12个月的就业状况也有所改善。结果表明,这种高度集中的处理可能是一种可行的模式,提供ERP。(C)由Elsevier Inc.出版。
The aims of the present study were to evaluate the acceptability and long term gains of a highly concentrated exposure and response prevention (ERP) for obsessive compulsive disorder (OCD). Treatment was individually tailored and delivered in a group format over four consecutive days in an outpatient OCD treatment unit, part of the ordinary specialist health care. A total of 35 patients accepted the offer of treatment; 23 of the patients were classified with "severe" to "extreme" OCD, and 74% of the sample had previously received treatment for their OCD (20% of these with ERP). The results showed that more than 90% of the patients expressed a high degree of satisfaction with the concentrated ERP. At six months follow-up 27 (77%) were classified as recovered and a significant improvement was seen in depressive symptoms as well. The majority of the sample also showed improvement with regard to employment status 12 months after treatment. The results indicate that this highly concentrated treatment may be a feasible format of delivering ERP. (C) 2014 Published by Elsevier Inc.