| کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
|---|---|---|---|---|
| 912171 | 1473197 | 2016 | 7 صفحه PDF | دانلود رایگان |
کلمات کلیدی
1.مقدمه
جدول 1. آمارهای توصیفی برای معیارهای پایه
2. روش
2. 1. شرکت کنندگان
2. 2. معیارها
2. 3. روش کار
2. 4. تهیه داده ها
3. نتایج
3. 1. الگوهای تغییر
3. 2. آیا نتایج درمان با خوشه تفاوت دارد؟
جدول 2. توصیف جزئیات تجزیه و تحلیل خوشه ای برای هر ریزمقیاس OCI-R
3. 3. آیا الگوهای تغییر با نوع علائم مرتبط اند؟
3. 4. آیا تفاوت خط پایه وابسته به الگوهای تغییر متفاوت است؟
جدول 3. نتایج از پیگیری تست های بونفرونی برای ریزمقیاس هایی که بسته به عضو خوشه تفاوت معناداری داشتند.
شکل 2. تعامل بین انواع خوشه ها بر امتیاز z قبل از درمان افسردگی
4. بحث و نتیجه گیری
• Exposure and response prevention (ERP) for OCD is effective in a real-world setting.
• People who complete 8 of 12 treatment sessions show different change trajectories.
• Early symptom change, but not OCD severity, was related to overall better outcome.
• Depression severity impacted change differently for low vs. high OCD severity.
• Obsession symptoms benefitted least from ERP-based cognitive-behavioral therapy.
Many studies attest to the efficacy of exposure-based cognitive-behavioral therapy for obsessive-compulsive disorder (OCD), yet there is little research assessing varying patterns of change throughout the course of this treatment. Given recent research showing that change patterns during cognitive-behavioral treatment predict long-term maintenance of gains, identifying different patterns of OCD symptom change is important. In the present investigation, we conducted a cluster analysis on session-by-session measures of OCD symptom severity from 54 clients who completed group exposure-based cognitive-behavioral therapy. Four distinct change patterns emerged that showed noticeable differences in both the pace of symptom reduction and the extent of overall treatment response. Among two clusters with relatively higher initial severity, one cluster experienced more noticeable early symptom reduction as well as superior response by post-treatment. We found this same pattern among the other two clusters with initially lower OCD severity. We also saw differential treatment response in relation to depressive severity. Similar cluster patterns emerged across symptom types; however, obsessions appeared to benefit least from exposure-based CBT. The present findings offer possible explanations for previous inconsistencies in the literature on the effect of OCD and depression severity on treatment outcomes for OCD.
Journal: Journal of Obsessive-Compulsive and Related Disorders - Volume 10, July 2016, Pages 35–41