心理健康治疗提供者对强迫症和创伤后应激障碍的误解

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy Pub Date : 2024-09-28 DOI:10.1016/j.beth.2024.09.003

Caitlin M. Pinciotti, Gabriella T. Ponzini, Gianna M. Colombo, Carmen P. McLean, Terri L. Fletcher, Natalie E. Hundt, Lauren P. Wadsworth, Nathaniel Van Kirk, Stephanie Y. Wells, Jonathan S. Abramowitz, Wayne K. Goodman, Eric A. Storch

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引用次数: 0

摘要

强迫症（OCD）和创伤后应激障碍（PTSD）具有重叠的特征，可以采用类似的认知行为治疗（CBT）策略。然而，这些情况的共病存在提出了独特的临床考虑，在与同时发生强迫症和创伤后应激障碍的个体一起工作时，需要采用细致入微的方法来评估、概念化和治疗。治疗提供者可能没有意识到这些细微差别，并且可能对强迫症和创伤后应激障碍同时发生持有误解，从而影响他们评估、概念化和治疗的方法。目前的研究试图检查不同专业的心理健康治疗提供者之间可能存在的误解。在146名主要以cbt为导向的治疗提供者中（通才20.3%，PTSD专科13.0%，OCD专科32.6%，OCD/PTSD专科34.1%），探索性因素分析分类了与恐惧、鉴别诊断、灵活性、OCD是创伤、创伤误解和区隔相关的误解。总的来说，强迫症专家最常认同误解，包括恐惧和低估了强迫症患者创伤和创伤后应激障碍的患病率。相比之下，创伤后应激障碍专家更倾向于为患者提供与强迫症相关的恐惧的安慰，而强迫症/创伤后应激障碍提供者更倾向于采用没有研究或诊断标准支持的严格的鉴别诊断标准来处理侵入性想法和安全行为。误解是通过不同的概念和专业领域之间的治疗方法的镜头解释。

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Misconceptions Among Mental Health Treatment Providers About OCD and PTSD

Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) share overlapping features for which similar cognitive behavioral treatment (CBT) strategies can be employed. However, the comorbid presence of these conditions poses unique clinical considerations, and a nuanced approach to assessment, conceptualization, and treatment is needed when working with individuals with co-occurring OCD and PTSD. Treatment providers may not be aware of these nuances and may hold misconceptions about co-occurring OCD and PTSD, impacting their approach to assessment, conceptualization, and treatment. The current study sought to examine possible misconceptions among mental health treatment providers of differing specializations. Among 146 primarily CBT-oriented treatment providers (20.3% generalist, 13.0% PTSD specialist, 32.6% OCD specialist, and 34.1% OCD/PTSD specialist), exploratory factor analysis categorized misconceptions relating to Trepidation, Differential Diagnosis, Flexibility, OCD is Trauma, Trauma Misconceptions, and Compartmentalization. Overall, OCD specialists endorsed misconceptions most frequently, including those of Trepidation and underestimating the prevalence of trauma and PTSD in individuals with OCD. In contrast, PTSD specialists were more likely to endorse providing patients reassurance for their OCD-related fears, and OCD/PTSD providers were more likely to apply rigid Differential Diagnosis criteria not supported by research or diagnostic criteria to intrusive thoughts and safety behaviors. Misconceptions are explained through the lens of differing conceptualization and treatment approaches between areas of specialization.

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来源期刊

Behavior Therapy Multiple-

CiteScore

7.40

自引率

2.70%

发文量

113

审稿时长

121 days

期刊介绍： Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.