With a little help from my friends: Changes in symptoms, cognitions and self-ambivalence after a group based cognitive-behavioral treatment for obsessive-compulsive disorder

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2023-07-01 DOI:10.1016/j.jocrd.2023.100823

Richard Moulding , Maja Nedeljkovic , Sunil Bhar , Jeromy Anglim , Stephanie Fernandez , Michael Kyrios

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Abstract

Obsessive Compulsive Disorder (OCD) is a debilitating illness affecting 2% of the population. Psychological treatments consisting of exposure and response prevention (ERP) and cognitive behavioral based methods are efficacious for most individuals with OCD and have been found to yield long-term positive outcomes. Most research on such outcomes have focused on individual treatment and the outcomes associated with group-based treatments are less well established. Further, the mechanisms that account for outcomes of individual and group based treatments for OCD remain unclear. Cognitive theories suggest that changes in cognitive structures including self-related beliefs may account for treatment related changes, yet limited research has empirically examined such suggestions. This study examined the outcomes of a low-intensity 10-session group CBT program for OCD in real-world effectiveness. The final sample consisted of 78 participants (M = 34.9 years, 50% Males), who answered symptom and cognition measures following each session. Overall, using hierarchical linear modelling, it was found that the program was effective in reducing symptoms (modelled fall of 7.64 on the YBOCS). In addition, both OCD-relevant beliefs and self-ambivalence also reduced significantly, and both significantly related to symptom level. Implications are discussed.

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在我朋友的一点帮助下:在对强迫症进行基于群体的认知行为治疗后，症状、认知和自我矛盾心理的变化

强迫症是一种影响2%人口的衰弱性疾病。由暴露和反应预防（ERP）和基于认知行为的方法组成的心理治疗对大多数强迫症患者有效，并已被发现能产生长期的积极结果。大多数关于此类结果的研究都集中在个体治疗上，而与基于群体的治疗相关的结果则不太确定。此外，解释基于个体和群体的强迫症治疗结果的机制尚不清楚。认知理论表明，包括自我相关信念在内的认知结构的变化可能是治疗相关变化的原因，但有限的研究对这些建议进行了实证检验。这项研究考察了低强度10节课小组强迫症CBT项目在现实世界中的有效性。最终样本包括78名参与者（M=34.9岁，50%为男性），他们在每次治疗后回答症状和认知测量。总的来说，使用分层线性模型，发现该程序在减少症状方面是有效的（YBOCS上的7.64的模型下降）。此外，强迫症相关信念和自我矛盾心理也显著降低，且均与症状水平显著相关。讨论了影响。

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

Journal of Obsessive-Compulsive and Related Disorders PSYCHIATRY-

CiteScore

4.00

自引率

5.60%

发文量

审稿时长

47 days

期刊介绍： Journal of Obsessive-Compulsive and Related Disorders (JOCRD) is an international journal that publishes high quality research and clinically-oriented articles dealing with all aspects of obsessive-compulsive disorder (OCD) and related conditions (OC spectrum disorders; e.g., trichotillomania, hoarding, body dysmorphic disorder). The journal invites studies of clinical and non-clinical (i.e., student) samples of all age groups from the fields of psychiatry, psychology, neuroscience, and other medical and health sciences. The journal''s broad focus encompasses classification, assessment, psychological and psychiatric treatment, prevention, psychopathology, neurobiology and genetics. Clinical reports (descriptions of innovative treatment methods) and book reviews on all aspects of OCD-related disorders will be considered, as will theoretical and review articles that make valuable contributions. Suitable topics for manuscripts include: -The boundaries of OCD and relationships with OC spectrum disorders -Validation of assessments of obsessive-compulsive and related phenomena -OCD symptoms in diverse social and cultural contexts -Studies of neurobiological and genetic factors in OCD and related conditions -Experimental and descriptive psychopathology and epidemiological studies -Studies on relationships among cognitive and behavioral variables in OCD and related disorders -Interpersonal aspects of OCD and related disorders -Evaluation of psychological and psychiatric treatment and prevention programs, and predictors of outcome.