在强迫症中管理家庭住宿:以兄弟姐妹为中心的案例研究
Archana Gupta1, Ajay Kumar1, Ts Jaisoorya2
1Dept. of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian journal of psychological medicine
|January 22, 2026
概括
强迫症 (OCD) 家庭住宿 (FA) 对强迫症 (OCD) 显著影响护理人员. 一项以护理人员为中心的干预措施减少了当强迫症患者拒绝治疗时的FA和痛苦,突出了护理人员支持的需要.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
背景情况:
- 家庭住宿 (FA) 在强迫症 (OCD) 中很常见,恶化结果和增加护理人员负担,特别是当患者拒绝治疗时.
- 针对强迫症成年人的结构化,文化敏感的干预措施和护理人员负担,特别是当患者不坚持时,是不充分记录的.
- 在容纳拒绝治疗的强迫症患者时,护理人员的倦怠是一个重要问题.
研究的目的:
- 描述一个以护理人员为中心的干预,用于管理家庭住宿和护理人员负担,在成人强迫症 (OCD) 患者拒绝治疗时.
- 在集体主义文化背景下,评估以护理者为导向的方法的可行性和临床效用.
- 评估干预对护理人员痛苦和家庭动态的影响.
主要方法:
- 一个案例研究详细介绍了基于认知行为原则的八次护理人员专注干预.
- 干预的目标是不适应的照顾者模式,边界设置和照顾者行为.
- 利用干预后的评估和一个月的随访来衡量结果.
主要成果:
- 这项干预措施导致了家庭住宿和护理人员的情感痛苦的显著减少.
- 在一个月后的后续评估中,护理人员的收益保持不变.
- 该案例证明了护理人员指导的策略在管理强迫症相关的家庭动态方面的有效性.
结论:
- 对强迫症成年人来说,以照顾者为中心的干预措施是可行的,并且在临床上是有用的,即使患者不参与治疗.
- 对护理人员的结构化支持至关重要,特别是在集体主义文化中.
- 针对护理人员的间接干预可以破坏症状维持周期并改善整体家庭福祉.
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