An Open Trial of Acceptance and Commitment Therapy With Exposure and Response Prevention in an Intensive Outpatient Setting for Adults With OCD

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-05-01 DOI:10.1016/j.cbpra.2022.01.004

Leila K. Capel, Patricia Zurita Ona, Clara Moller, Michael P. Twohig

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引用次数: 1

Abstract

Intensive outpatient treatment settings for adults with obsessive-compulsive disorder (OCD) are common, but data on their effectiveness are limited. The effectiveness of IOP treatment for adults with OCD using combined acceptance and commitment therapy (ACT) and exposure and response prevention (ERP) was studied with eight adults. The intervention was 15 hours per week for 3 weeks. Measures were collected at pretreatment, 1-week, 2-weeks, posttreatment, and at 1-month follow-up. At the end of treatment, all participants were in the mild range of OCD symptom severity with a mean symptom decrease of 58%. Psychological inflexibility, depression, anxiety, and stress significantly decreased through treatment and participants ended treatment below clinical range for psychological inflexibility and nonclinical to mild range for depression, anxiety, and stress. The results of this study provide preliminary support for the effectiveness of ACT and ERP in an intensive outpatient setting for adults with OCD. The focus of this paper is on the clinical application of this treatment.

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接受和承诺疗法与暴露和反应预防在重症门诊治疗成人强迫症的公开试验

强化门诊治疗设置成人强迫症(OCD)是常见的，但其有效性的数据是有限的。采用接受与承诺联合疗法(ACT)和暴露与反应预防(ERP)治疗成人强迫症的IOP效果。干预为每周15小时，持续3周。在治疗前、1周、2周、治疗后和随访1个月时收集测量数据。在治疗结束时，所有参与者的强迫症症状严重程度都在轻度范围内，平均症状减轻了58%。通过治疗，心理不灵活、抑郁、焦虑和压力显著减少，参与者在治疗结束时，心理不灵活的程度低于临床范围，抑郁、焦虑和压力的程度低于非临床到轻度范围。本研究的结果为ACT和ERP在成人强迫症的密集门诊设置中的有效性提供了初步支持。本文的重点是该疗法的临床应用。

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

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.