Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment.

Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment.
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DOI:
10.1186/s12888-018-1887-4
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发表时间:
2018-10-04
期刊:
影响因子:
4.4
通讯作者:
Öst LG
Öst LG
中科院分区:
医学2区
文献类型:
--
作者:
Kvale G;Hansen B;Björgvinsson T;Børtveit T;Hagen K;Haseth S;Kristensen UB;Launes G;Ressler KJ;Solem S;Strand A;van den Heuvel OA;Öst LG

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挪威奥斯陆大学医院截至2016年秋季,已累积了101名强迫症(OCD)患者的等候名单,这些患者有法律的权利接受专门的OCD团队的治疗。在这种具有挑战性的情况下,卑尔根OCD团队建议通过为所有患者提供快速卑尔根4天治疗(B4 DT)的选择来解决问题。B4 DT是一种连续四天在一组六名患者中提供的个体治疗,治疗师人数相同。该方法先前显示治疗后反应率为90%,3个月缓解率为70%。97名等待名单患者可在预定时间段接受治疗,90名患者在8天内接受4天治疗(每周45名患者)。这些治疗师是从挪威各地的22个不同的专业OCD团队中招募的,其中44人(68%)以前没有提供过4天的格式。治疗后; 91.1%的患者被归类为应答者,72.2%的患者处于缓解状态。3个月随访时,84.4例被归类为应答者,缓解率为67.7%。奥斯陆大学医院现在提供4天的治疗作为强迫症的标准治疗。我们的结论是,B4 DT是一种可接受的和潜在有效的OCD治疗。
Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%. Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format. Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD. We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.
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