An Educational Program to Enhance the Identification of Obsessive-Compulsive Disorder and the Utilization of Exposure and Response Prevention Among Outpatient Mental Health Providers.

IF 1.7 4区 医学 Q2 NURSING
Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI:10.1080/01612840.2025.2464688
Jena Lerch, Deborah Witt Sherman
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引用次数: 0

Abstract

Background: Obsessive-compulsive disorder (OCD) is a prevalent and impairing psychiatric disorder that is frequently misdiagnosed. Further, despite a breadth of evidence in support of Exposure and Response Prevention (ERP) in the treatment of OCD, it is often underutilized or used incorrectly.

Methods: This quality improvement project was conducted utilizing the Plan Do Study Act Cycle at an outpatient group mental health facility with a sample of 19 mental health providers. A pretest post-test design was utilized to assess whether a 1-h educational program would result in an improvement in knowledge, attitudes, and behaviors of mental health providers.

Results: Changes in knowledge toward the diagnosis of OCD and use of ERP from pre to post-test showed an increase. Mental health providers' attitudes surrounding perceived comfort in their ability to diagnose OCD, to use ERP, to identify taboo obsessional content, and to utilize exposures in patients with covert compulsions showed statistically significant improvement. The majority of participants indicated that they would change how they assess for OCD, how often they use ERP, and how they conduct ERP.

Conclusion: This educational program shows promise as a relatively simple, cost-effective intervention to enhance the diagnosis and treatment of OCD among outpatient mental health providers.

一个教育计划,以提高识别强迫症和利用暴露和反应预防门诊精神卫生服务提供者。
背景:强迫症(Obsessive-compulsive disorder, OCD)是一种常见的精神障碍,常被误诊。此外,尽管有广泛的证据支持暴露和反应预防(ERP)治疗强迫症,但它往往未被充分利用或使用不当。方法:本质量改进项目采用计划-做-研究-行动周期在一家门诊集体精神卫生机构进行,样本为19名精神卫生提供者。采用前测后测设计来评估1小时教育计划是否会改善心理健康提供者的知识、态度和行为。结果:对强迫症诊断的认知变化和ERP的使用从测试前到测试后都有所增加。心理健康服务提供者在诊断强迫症、使用ERP、识别禁忌强迫内容以及在隐蔽强迫患者中利用暴露的能力方面,对感知舒适的态度有统计学上的显著改善。大多数参与者表示,他们将改变评估强迫症的方式、使用ERP的频率以及实施ERP的方式。结论:该教育项目有望作为一种相对简单、成本效益高的干预措施,提高门诊心理健康提供者对强迫症的诊断和治疗。
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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来源期刊
Issues in Mental Health Nursing
Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY
CiteScore
3.30
自引率
4.80%
发文量
111
期刊介绍: Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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