Evaluation of Inference-Based Therapy (Doubt Therapy) as a Self-Help Tool for Obsessive-Compulsive Disorder
Evaluation of Inference-Based Therapy (Doubt Therapy) as a Self-Help Tool for Obsessive-Compulsive Disorder
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DOI：
10.1891/0889-8391.29.4.315
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发表时间：
2015-01-01
影响因子：
0.7
通讯作者：
O'Connor, Kieron
中科院分区：
文献类型：
--
作者：
Moritz, Steffen;Dietl, Chantal;O'Connor, Kieron
简介：基于推理的治疗（IBT）是一种旨在减轻强迫症症状的新型治疗方法。对于这项研究，最初的治疗师指导的协议是适应自助管理。方法：通过专门的在线论坛招募的50名强迫症患者被随机分配到IBT或等待列表控制条件。在基线和4周后，调查问卷进入精神病理学，生活质量和错误的推理管理。结果：完成率是可以接受的（74%），各组之间没有显著差异。与对照组相比，IBT组患者的强迫症状（Yale-Brown强迫量表[Y-BOCS]自我报告和强迫症量表-修订版[OCI-R]）和洗涤强迫症（OCI-R）随时间推移表现出适度但显著的症状下降。在抑郁、生活质量和推理混乱方面没有显著差异。评估后的评分表明，患者对培训的接受程度很高。重测信度较高，表明数据质量良好。讨论：本研究证实了先前的研究，即IBT作为一种独立技术是有效的。需要进行后续研究，以阐明培训的长期效果，以及如果IBT作为标准治疗的附加治疗（即，认知行为疗法/药物）。
Introduction: Inference-based therapy (IBT) is a novel therapeutic approach aimed at reducing obsessive-compulsive symptoms. For this study, the original therapist-guided protocol was adapted for self-help administration. Method: Fifty patients with obsessive-compulsive disorder who had been recruited via specialized online fora were randomly allocated to either IBT or a wait-list control condition. At baseline and 4 weeks later, questionnaires tapping into psychopathology, quality of life, and faulty reasoning were administered. Results: The completion rate was acceptable (74%) and not significantly different across groups. Relative to controls, patients in the IBT group showed modest but significant symptom decline on obsessions (Yale-Brown Obsessive-Compulsive Scale [Y-BOCS] self-report and Obsessive-Compulsive Inventory-Revised [OCI-R]) and washing compulsions (OCI-R) across time. No significant differences emerged for depression, quality of life, and inferential confusion. Ratings at the post-assessment suggest that the training was well accepted among patients. Test-retest reliability was high indicating good quality of the data. Discussion: This study confirms prior research suggesting that IBT is effective as a stand-alone technique. Follow-up studies are needed to elucidate the long-term effects of the training and whether positive effects are maintained if IBT is introduced as an add-on to standard treatment (i.e., cognitive behavioral therapy/medication).