Acceptance and Commitment Therapy as a Treatment for OCD

接受和承诺疗法作为强迫症的治疗方法

• 批准号: 7100731
• 负责人: STEVEN C HAYES
• 金额: $ 19.4万
• 依托单位: UNIVERSITY OF NEVADA RENO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7100731
• 关键词: anxiety; anxiety disorders; attitude; clinical research; clinical trials; coping; emotional adjustment; human subject; human therapy evaluation; locus of control; obsessive compulsive disorder; psychotherapy; questionnaires; self concept; stimulus /response; therapy design /development; thinking; videotape /videodisc

DESCRIPTION (provided by applicant): Obsessive compulsive disorder (OCD) is the third most common psychological disorder and is often very debilitating for those inflicted. Current treatments provide promise for those inflicted but between 15-40 % of those treated in studies do not respond to the treatments. Additionally, 25% of participants will refuse treatment and another 3-12% will drop out of treatment. Thus, further research needs to be conducted on the treatment of OCD. Our intervention for OCD has emerged from a new, empirically-based behavioral approach focusing on strategies designed to promote acceptance, rather than the suppression or change of problematic thoughts and feelings. Promising pilot data suggesting that an abbreviated version of our intervention significantly decreases compulsions in those with OCD while maintaining high treatment acceptability. The difference between the proposed treatment, Acceptance and Commitment Therapy (ACT), and current treatments is that ACT does not assist the client in changing or altering his or her obsessions in an attempt to decrease compulsions. Instead, it focuses on stepping back from ones obsessions and focusing behavior change on following ones values rather than decreasing uncomfortable private events such as anxiety or obsessions. This is an extremely novel approach to the treatment of OCD that could possibly have very high impact. Our overall goals for this project are to develop and implement an intervention for OCD and to do so from a conceptually and functionally different avenue than is generally practiced in the psychological community. This investigation also includes measures to assess the psychological processes through which changes of compulsive behavior occur.

描述（由申请人提供）： 强迫症 (OCD) 是第三大常见的心理障碍，通常会使患者非常虚弱。目前的治疗方法为患者带来了希望，但研究中 15-40% 的患者对治疗没有反应。此外，25% 的参与者将拒绝治疗，另外 3-12% 的参与者将退出治疗。因此，需要对强迫症的治疗进行进一步的研究。我们对强迫症的干预源于一种新的、基于经验的行为方法，重点是旨在促进接受的策略，而不是抑制或改变有问题的想法和感受。有希望的试点数据表明，我们的干预的简化版本可以显着减少强迫症患者的强迫行为，同时保持较高的治疗可接受性。拟议的治疗、接受和承诺疗法 (ACT) 与当前治疗之间的区别在于，ACT 不会帮助客户改变或改变他或她的强迫观念以试图减少强迫行为。相反，它的重点是摆脱痴迷，将行为改变集中在遵循价值观上，而不是减少焦虑或痴迷等不舒服的私人事件。这是治疗强迫症的一种极其新颖的方法，可能会产生非常大的影响。我们这个项目的总体目标是开发和实施针对强迫症的干预措施，并从概念和功能上不同于心理学界普遍实践的途径来实现这一目标。这项调查还包括评估强迫行为发生变化的心理过程的措施。