为强迫症患者寻求互联网治疗的原因。

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Maral Melkonian, Sarah McDonald, Eyal Karin, Nickolai Titov, Blake F Dear, Bethany M Wootton
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引用次数: 0

摘要

目的:强迫症(OCD)患者在寻求治疗时面临多重障碍,并且在寻求帮助时很少接受最佳实践认知行为疗法(CBT)。远程治疗,如互联网提供的CBT (ICBT),提高了获得循证治疗的机会。迄今为止,没有已知的研究调查了强迫症患者寻求远程治疗而不是传统的面对面治疗的原因。因此,本研究的目的是检查因强迫症而完成ICBT的个体的治疗史以及他们寻求ICBT的原因。方法:166名受试者(Mage = 33.88;SD = 13.41, 71.7%为女性)纳入研究。结果:近四分之三的样本之前曾向健康专业人士谈论过他们的强迫症症状。全科医生是最常被咨询的健康专业人员(41.7%),而心理学家是最常被咨询的整体(81.7%)。支持性咨询(74.2%)和药物治疗(72.5%)是最常见的治疗形式。在那些接受CBT治疗强迫症的患者中,只有20.0%(占总样本的12.5%)可能接受了最佳实践CBT。与面对面治疗相比,寻求ICBT最常见的原因与无法在社区获得面对面治疗有关(25.9%),并且发现以前的面对面治疗没有帮助(24.1%)。在寻求ICBT而非面对面治疗的原因上,群体差异基于地理位置、强迫症严重程度和是否存在共病抑郁症状。结论:基于证据的OCD治疗在社区中未得到充分利用,需要开发和推广基于证据的OCD远程治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reasons for seeking internet-delivered treatment for individuals with obsessive-compulsive disorder.

Objectives: Patients with obsessive-compulsive disorder (OCD) face multiple barriers when accessing treatment and rarely receive best-practice cognitive behaviour therapy (CBT) when they seek help. Remote treatments, such as internet-delivered CBT (ICBT), enhance access to evidence-based treatments. To date, no known studies have examined the reasons individuals seek remote treatment over traditional in-person treatment for OCD. Thus, the aim of the current study was to examine the treatment histories of individuals who completed ICBT for OCD and their reasons for seeking ICBT.

Methods: One hundred and sixty-six participants (Mage = 33.88; SD = 13.41, 71.7% female) were included in the study.

Results: Almost three-quarters of the sample had previously spoken to a health professional about their OCD symptoms. General practitioners were the most frequently consulted health professionals initially (41.7%), while psychologists were the most frequently consulted overall (81.7%). Supportive counselling (74.2%) and medication (72.5%) were the most common forms of treatment ever received. Of those who had received CBT for OCD, only 20.0% (12.5% of the overall sample) likely received best-practice CBT. The most frequently endorsed reasons for seeking ICBT over in-person treatment related to having no access to face-to-face treatment in the community (25.9%) and having found previous face-to-face treatment unhelpful (24.1%). Group differences in reasons for seeking ICBT over face-to-face treatment emerged based on geographical location, OCD severity and presence of comorbid depressive symptoms.

Conclusions: Evidence-based treatment for OCD is underutilized in the community highlighting the need to develop and disseminate evidence-based remote treatments for OCD.

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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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