PREDICTORS OF TREATMENT OUTCOME IN THE BEHAVIORAL TREATMENT OF OBSESSIVE-COMPULSIVE DISORDER
PREDICTORS OF TREATMENT OUTCOME IN THE BEHAVIORAL TREATMENT OF OBSESSIVE-COMPULSIVE DISORDER
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DOI：
10.1192/bjp.165.6.781
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发表时间：
1994-12-01
影响因子：
10.5
通讯作者：
SCHAAP, CPDR
中科院分区：
文献类型：
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作者：
KEIJSERS, GPJ;HOOGDUIN, CAL;SCHAAP, CPDR
背景。一项旨在确定哪些预后变量与强迫症（OCD）行为治疗失败相关的调查。在治疗开始时经实证确定的预后变量可能会为这些患者带来调整后的治疗方案。
方法。40名被诊断为强迫症的患者接受了标准化治疗，包括18次现场暴露与反应预防疗程。强迫行为（MOCI）和强迫性恐惧（ADS）是评估结果的指标。所包含的预后变量包括强迫症症状的初始严重程度、初始抑郁水平、患病时长、患者的治疗动机、治疗关系的质量以及婚姻不满意程度。
结果。症状初始严重程度越高（P
Background. An investigation to determine which prognostic variables are associated with behavioural treatment failure in obsessive-compulsive disorder (OCD). Empirically established prognostic variables measured at the start of treatment may lead to adjusted treatment programmes for these patients.Method. Forty patients, diagnosed with OCD, received a standardised treatment consisting of 18 sessions in vivo exposure and response prevention. Compulsive behaviour (MOCI) and obsessive fear (ADS) were the outcome measures. Prognostic variables included were initial severity of OC complaints, initial level of depression, problem duration, patients' motivation for treatment, quality of the therapeutic relationship, and marital dissatisfaction.Results. Greater initial severity of complaints (P