在传统和ACT增强ERP中用于强迫症障碍的不同心理过程
Jennifer L Buchholz1, Jonathan S Abramowitz2, Samantha N Hellberg2
1University of North Carolina at Chapel Hill, Chapel Hill, NC, USA jbuchholz@unc.edu.
Journal of cognitive psychotherapy
|July 18, 2023
概括
通过接受和承诺疗法 (ACT) 增加与响应预防 (ERP) 的接触,显著减少了强迫症 (OCD) 患者控制侵入性思想的需要. 这种ACT+ERP方法比单独使用标准ERP更改了思维控制评估.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 认知行为疗法是认知行为疗法.
背景情况:
- 接受和承诺疗法 (ACT) 促进了在强迫症 (OCD) 中体验侵入性思想的意愿.
- 以ACT为基础的暴露与响应预防 (ACT+ERP) 可能会改变患者侵入性思维关系.
研究的目的:
- 与标准ERP相比,调查ACT+ERP对侵入性思维评估的影响.
- 评估强迫症患者如何与不必要的内在体验相关的变化.
主要方法:
- 一项随机对照试验将标准ERP与ACT+ERP在16个会议中进行比较.
- 48名强迫症成年人在治疗前,治疗后和随访期间完成了入侵的解释清单 (III).
主要成果:
- 所有III分级都显示出显著的时间效应,表明治疗期间侵入性思维评估的转变.
- 在思想控制子级别中发现了显著的条件×时间相互作用,ACT+ERP显示了更大的减少.
- 没有观察到关于思想子尺度的重要性或责任的显著相互作用.
结论:
- 通过ACT增加ERP可以改善人们对强迫症患者控制思想的必要性的信念.
- 与标准ERP相比,ACT+ERP并没有显著改变人们对侵入性思想的重要性或责任的看法.
- 研究结果表明,ACT+ERP是解决强迫症治疗中思想控制的宝贵补充.
相关概念视频
Obsessive-Compulsive Disorder
164
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
164
Personality Disorders: Dependent and Obsessive-Compulsive
93
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
93
Operant Conditioning Intervention
87
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
87
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Introduction to Psychological Disorders
462
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
462
Rational Emotive Behavior Therapy
81
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
81


