Group Metacognitive Therapy for Obsessive-Compulsive Disorder in a Routine Clinical Setting: An Open Trial

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
J. Carter, E. Helliwell, J. Jordan, Colette Woolcock, Caroline Bell, C. Gilbert
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引用次数: 0

Abstract

Obsessive-compulsive disorder (OCD) is often a chronic disorder characterised by uncontrollable, reoccurring thoughts (obsessions), and/or behaviours (compulsions). Accumulating evidence suggests that metacognitive beliefs may underlie many of the processes implicated in the formation and perpetuation of OCD. Metacognitive therapy (MCT) for OCD aims to modify these maladaptive metacognitive beliefs and processes to treat this debilitating disorder. The current study examines the outcome of a pilot trial of MCT for OCD in 26 (17 females; 9 males) adults (18–64 years) referred to a specialist outpatient service. Results were promising, with significant decreases in OCD and depression symptoms, which were maintained at the 3-month follow-up. The improvement in Yale-Brown Obsessive-Compulsive Scale scores between pre-treatment and follow-up in the completer sample (n=22) was large (d=1.29), and comparable to outcomes of well-established treatments. These encouraging results add to early empirical support for the effectiveness of group MCT as an OCD treatment alternative, as well as reinforcing the role of metacognitions contributing to this disorder.
常规临床环境中强迫症的群体元认知疗法:一项公开试验
强迫症(OCD)通常是一种慢性疾病,其特征是无法控制,反复出现的想法(强迫)和/或行为(强迫)。越来越多的证据表明,元认知信念可能是强迫症形成和延续的许多过程的基础。强迫症的元认知疗法(MCT)旨在改变这些不适应的元认知信念和过程,以治疗这种使人衰弱的疾病。目前的研究检查了26例(17例女性;9名男性)成年人(18-64岁)转介到专科门诊服务。结果令人鼓舞,强迫症和抑郁症状显著减少,并在3个月的随访中得以维持。在完整样本(n=22)中,耶鲁-布朗强迫症量表得分在治疗前和随访期间的改善很大(d=1.29),与成熟治疗的结果相当。这些令人鼓舞的结果为群体MCT作为强迫症治疗方案的有效性提供了早期的经验支持,同时也强化了元认知在这种疾病中的作用。
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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