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群体接受和承诺疗法与认知行为疗法/强迫症障碍暴露反应预防:一组随机对照试验
S K K Nielsen1,2, A C Stuart1, C Winding2
1Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Psychotherapy and psychosomatics
|February 23, 2025
概括
接受和承诺疗法 (ACT) 和认知行为疗法 (CBT) 与暴露反应预防 (ERP) 在治疗强迫症治疗中同样有效. 这项研究发现,ACT对于在门诊环境中患有强迫症的成年人来说是一个可行的替代方案.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 强迫症 (OCD) 是一种令人虚弱的心理健康状况.
- 认知行为疗法 (CBT) 与暴露反应预防 (ERP) 是强迫症的黄金标准治疗方法.
- 接受和承诺治疗 (ACT) 对强迫症治疗有希望,但在随机对照试验中没有直接与CBT/ERP进行比较.
研究的目的:
- 为了比较基于小组的ACT和CBT/ERP对强迫症成年人的疗效.
- 为了确定ACT是否在减少强迫症症状方面与CBT/ERP不逊色.
- 评估这两种疗法对患者生活质量的影响.
主要方法:
- 一个单盲,非劣势,随机受控试验 (RCT) 涉及176名强迫症成年患者.
- 参与者被分配到每周14个ACT (n=101) 或CBT/ERP (n=75) 的会议中.
- 主要结局:耶鲁-布朗强迫症强迫性尺度 (Y-BOCS) 分数;次要结局:生活质量库存 (QOLI) 分数.
主要成果:
- 在治疗后和6个月和12个月的随访期间,ACT在降低Y-BOCS得分方面与CBT/ERP不逊色.
- 在ACT和CBT/ERP组之间没有观察到生活质量库存 (QOLI) 评分的显著差异.
- 这两种治疗方法都在控制强迫症症状和改善生活质量方面表现出有效性.
结论:
- 在门诊精神卫生服务中,小组交付的ACT是成年人患有强迫症的CBT/ERP的非劣质治疗选择.
- ACT为强迫症治疗提供了一种可行的替代方案,有可能增加获得有效护理的机会.
- 建议进行进一步的研究,以复制这些发现并探索长期结果.
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