Evaluation of an Inference‐Based Approach to Treating Obsessive‐Compulsive Disorder
Evaluation of an Inference‐Based Approach to Treating Obsessive‐Compulsive Disorder
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基于推理的治疗强迫症方法的评估
DOI：
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发表时间：
2005
影响因子：
4.7
通讯作者：
Denise Pitre
中科院分区：
文献类型：
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作者：
K. O'Connor;F. Aardema;D. Bouthillier;S. Fournier;Stéphane Guay;S. Robillard;M. Pelissier;P. Landry;C. Todorov;M. Tremblay;Denise Pitre
本研究评估了基于推理的方法(IBA)治疗强迫症(OCD)的有效性，将其与基于认知评估模型(CAM)和暴露与反应预防(ERP)的治疗进行了比较。IBA考虑强迫症的初始侵入(例如“也许门是开着的”，“我的手可能是脏的”)，这是通过归纳推理得出的关于可能的事态的特殊推论。在IBA中，这样的主要推论代表了强迫症怀疑的起点，而维持怀疑的推理形成了治疗的焦点。这与CAM不同，CAM将对入侵的评估视为强迫症的维持因素。54名强迫症参与者，其中44名完成测试，被随机分配到CAM、ERP或IBA。经过20周的治疗，所有组在耶鲁-布朗强迫量表(Y-BOCS)和帕多瓦问卷上的得分都有显着下降。强迫症信念水平高的参与者显示出从IBA中获得的好处比CAM更多。在所有治疗条件下，对入侵的评估都发生了变化。除强迫症信念较强外，初步推理的强度与症状量度均不相关。初级推理强度与Y-BOCS自知力项目显著相关。分别与IBA和CAM的高和低定罪水平相匹配的治疗可能会优化治疗结果。
This study evaluated an inference‐based approach (IBA) to the treatment of obsessive‐compulsive disorder (OCD) by comparing its efficacy with a treatment based on the cognitive appraisal model (CAM) and exposure and response prevention (ERP). IBA considers initial intrusions in OCD (e.g. “Maybe the door is open”, “My hands could be dirty”) as idiosyncratic inferences about possible states of affairs arrived at through inductive reasoning. In IBA such primary inferences represent the starting point of obsessional doubt, and the reasoning maintaining the doubt forms the focus for therapy. This is unlike CAM, which regards appraisals of intrusions as the maintaining factors in OCD. Fifty‐four OCD participants, of whom 44 completed, were randomly allocated to CAM, ERP or IBA. After 20 weeks of treatment all groups showed a significant reduction in scores on the Yale‐Brown Obsessive Compulsive Scale (Y‐BOCS) and the Padua Inventory. Participants with high levels of obsessional conviction showed greater benefit from IBA than CAM. Appraisals of intrusions changed in all treatment conditions. Strength of primary inference was not correlated with symptom measures except in the case of strong obsessional conviction. Strength of primary inference correlated significantly with the Y‐BOCS insight item. Treatment matching for high and low conviction levels to IBA and CAM, respectively, may optimize therapy outcome.
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影响因子：
5.9
作者：
Hiss,H;Foa,EB;Kozak,MJ
通讯作者：
Kozak,MJ
影响因子：
--
作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne
通讯作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;Roberta L. Fleischmann;Candy L. Hill;G. Heninger;D. Charne
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA
影响因子：
--
作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;P. Delgado;G. Heninger;D. Charney
通讯作者：
W. Goodman;L. Price;S. Rasmussen;C. Mazure;P. Delgado;G. Heninger;D. Charney