Concentrated ERP Delivered in a Group Setting: A Replication Study
Concentrated ERP Delivered in a Group Setting: A Replication Study
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DOI：
10.1017/s1352465817000091
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发表时间：
2017-09-01
影响因子：
1.8
通讯作者：
Kvale, Gerd
中科院分区：
文献类型：
--
作者：
Havnen, Audun;Hansen, Bjarne;Kvale, Gerd
背景：在先前的有效性研究中(Havnen等人，2014)，35名强迫症(OCD)患者接受了集中暴露治疗(CET)，这是一种新开发的连续四天的团体治疗形式。目的：本研究的主要目的是评估接受CET治疗方法的强迫症患者的新样本的治疗结果，并复制Havnen等人描述的有效性研究。(2014)。方法：对42例强迫症患者进行CET治疗。治疗是由不同于Havnen等人的治疗师提供的。(2014)，但由治疗开发商领导的两组除外。包括对强迫症症状严重程度、治疗满意度和职业损害的评估。结果：Yale-Brown强迫量表评分从治疗前到治疗后均有显著下降，并维持在6个月随访期。在治疗后，74%的样本被释放；在6个月的随访中，60%的样本被恢复。样本显示出非常高的总体治疗满意度。本研究的结果与前一项研究的结果进行了统计比较。分析表明，研究样本具有可比的人口学数据和平等的治疗应用。目前的研究结果和最初的研究结果在主要和次要结果指标上没有显著差异。结论：这项研究表明，CET在一个新的患者样本中得到了成功的复制，该样本由不同的治疗师治疗，而不是最初的研究。结果表明，CET被患者很好地接受，并讨论了传播的潜力。
Background: In a previous effectiveness study (Havnen et al., 2014), 35 obsessive compulsive disorder (OCD) patients underwent Concentrated Exposure Treatment (cET), which is a newly developed group treatment format delivered over four consecutive days. Aims: The primary aims of the present study were to evaluate the treatment results for a new sample of OCD patients receiving the cET treatment approach and to replicate the effectiveness study described in Havnen et al. (2014). Method: Forty-two OCD patients underwent cET treatment. Treatment was delivered by different therapists than in Havnen et al. (2014), except for two groups led by the developers of the treatment. Assessments of OCD symptom severity, treatment satisfaction, and occupational impairment were included. Results: The results showed a significant reduction in Yale-Brown Obsessive Compulsive Scale scores from pre-treatment to post-treatment, which was maintained at 6-month follow-up. At post-treatment, 74% of the sample was remitted; at 6-month follow-up, 60% were recovered. The sample showed a very high degree of overall treatment satisfaction. The results from the present study were statistically compared with those obtained in the previous study. The analyses showed that the study samples had comparable demographic data and equal application of treatment. The outcome of the present and original study did not differ significantly on primary and secondary outcome measures. Conclusions: This study shows that cET was successfully replicated in a new patient sample treated by different therapists than the original study. The results indicate that cET is well accepted by the patients, and the potential for dissemination is discussed.