The Efficacy of Combined Transcranial Magnetic Stimulation and Exposure Prevention Response on Symptoms of Resistant Obsessive Compulsive Disorder: An Intensive Day Care Program

Q3 Health Professions

Frontiers in Biomedical Technologies Pub Date : 2023-12-26 DOI:10.18502/fbt.v11i1.14509

Roshanak Khodabakhsh Pirklani, S. Khomami

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Abstract

Purpose: Obsessive-Compulsive Disorder (OCD) is a mental and behavioral disorder in which an individual has intrusive thoughts and rituals which decrease the distress. It seems that there are many treatments such as EX/RP, repetitive Transcranial Magnetic Stimulation (rTMS), medications or mindfulness for OCD, but there is no single effective treatment yet. In this study, we investigated a multi-element daily program on symptom reduction of OCD people. Materials and Methods: In a quasi-experimental design 13 patients were included in the study and received daily rTMS with EX/RP and biofeedback. We utilized BDI, BAI, and YBOCS tools to collect data before and after the treatment and in the subsequent one-month follow-up. Results: According to the BDI, BAI, and YBOCS results, the decrease in score was observed at the p<0.001 level and the changes were significant after a one-month follow-up period. Conclusion: The results indicated that the combination of sequenced treatments simultaneously such as rTMS and biofeedback with exposure therapy can facilitate the engagement and enhancement of self-control and distress tolerance.

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经颅磁刺激与暴露预防反应相结合对顽固性强迫症症状的疗效：强化日间护理计划

目的：强迫症（OCD）是一种精神和行为障碍，患者会产生侵入性思维和仪式，从而减少痛苦。强迫症的治疗方法似乎有很多，比如经颅磁刺激（rTMS）、药物或正念，但目前还没有一种有效的治疗方法。在本研究中，我们探讨了一种多元素日常程序对强迫症患者症状缓解的影响。材料与方法：本研究采用准实验设计，纳入了 13 名患者，他们每天都接受经颅磁刺激和生物反馈治疗。我们利用 BDI、BAI 和 YBOCS 工具收集了治疗前后及随后一个月随访的数据。结果显示根据 BDI、BAI 和 YBOCS 的结果，观察到得分的下降达到了 p<0.001 的水平，并且在一个月的随访后变化显著。结论结果表明，经颅磁刺激和生物反馈等序贯疗法同时与暴露疗法相结合，可促进自控能力和痛苦耐受能力的参与和提高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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