将正念作为强迫症的一种治疗方法。

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY
Expert Review of Neurotherapeutics Pub Date : 2024-08-01 Epub Date: 2024-06-18 DOI:10.1080/14737175.2024.2365945
Andreas Reis, Marlon Westhoff, Hicham Quintarelli, Stefan G Hofmann
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引用次数: 0

摘要

简介强迫症(OCD)是一种普遍存在的精神健康问题,其特征是干扰性思维(强迫症)和重复性行为(强迫症),可导致严重的生活障碍。尽管认知行为疗法(CBT)是最有效的治疗方法,但有些患者的症状减轻不足或复发:本特别报告探讨了正念干预作为强迫症辅助疗法的潜力,研究了所使用的具体技术及其实际应用。在第一部分,作者研究了 Chien 等人(2022 年)进行的荟萃分析中包含的十项随机对照试验研究,这些研究证明了正念干预的有效性。作者重点阐明了这些研究中使用的具体正念技术。然后,作者讨论了将这些正念策略整合到 CBT 中的问题,重点是加强情绪调节、认知灵活性以及对侵入性想法的接受:虽然正念干预(MBIs)有望成为强迫症的辅助治疗方法,但强迫症症状和治疗反应的多变性要求采用个性化的治疗方法。需要进一步研究以完善正念技术并优化其有效性。将正念疗法纳入标准的 CBT 方案可改善强迫症持续症状患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mindfulness as a therapeutic option for obsessive-compulsive disorder.

Introduction: Obsessive-compulsive disorder (OCD) is a prevalent mental health issue characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) that can cause significant life impairment. Despite cognitive-behavioral therapy (CBT) being the most effective treatment, some individuals experience insufficient symptom reduction or relapse.

Areas covered: This special report explores the potential of mindfulness-based interventions as complementary treatments for OCD, examining the specific techniques used and their practical application. In the initial section, the authors examine ten randomized control trial studies included in the meta-analysis conducted by Chien et al. (2022), demonstrating the effectiveness of mindfulness interventions. The authors focus on elucidating the specific mindfulness techniques used in these studies. Then, the authors discuss the integration of these mindfulness strategies into CBT, focusing on enhancing emotional regulation, cognitive flexibility, and acceptance of intrusive thoughts.

Expert opinion: While mindful based interventions (MBIs) show promise as adjunctive treatments for OCD, variability in OCD symptoms and treatment responses necessitate individualized therapeutic approaches. Further research is required to refine mindfulness-based techniques and optimize their effectiveness. Incorporating MBIs into standard CBT protocols may improve outcomes for patients with persistent OCD symptoms.

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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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