OCD and Comorbid Depression: Assessment, Conceptualization, and Cognitive-Behavioral Treatment.

Pub Date : 2022-04-04 DOI:10.1891/JCP-2021-0003
Jonathan S Abramowitz
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Abstract

Many individuals with obsessive-compulsive disorder (OCD) also meet criteria for additional diagnoses. Among the most common co-occurring diagnoses are mood disorders-especially depression. This article focuses on the comorbidity between OCD and major depression. After discussing nature of OCD and depression, the rates and clinical impact of depression on OCD, the conceptualization, assessment, and treatment of OCD when it appears along with depression is covered in detail. The derivation and implementation of a cognitive-behavioral treatment program specifically for depressed OCD patients is described and illustrated using a case example.

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强迫症和共病抑郁症:评估、概念化和认知行为治疗。
许多强迫症患者还符合其他诊断标准。最常见的合并诊断包括情绪障碍,尤其是抑郁症。本文重点讨论强迫症与重度抑郁症之间的并发症。在讨论了强迫症和抑郁症的性质、抑郁症的发病率和对强迫症的临床影响之后,详细介绍了强迫症与抑郁症同时出现时的概念化、评估和治疗。书中介绍了专门针对抑郁强迫症患者的认知行为治疗方案的推导和实施,并通过一个案例进行了说明。
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