Supply with Cognitive Behaviour Therapy as First-line Therapy in Patients with Obsessive-Compulsive Disorder

被引：12

作者：

Voderholzer, Ulrich ^{[1
,2
]}

Schlegl, Sandra ^{[3
]}

Diedrich, Alice ^{[3
]}

Kuelz, Anne Katrin ^{[2
]}

Thiel, Nicola ^{[2
]}

Hertenstein, Elisabeth ^{[2
]}

Schwartz, Caroline ^{[3
]}

Rufer, Michael ^{[4
]}

Herbst, Nirmal ^{[2
]}

Nissen, Christoph ^{[2
]}

Hillebrand, Thomas ^{[5
]}

Osen, Bernhard ^{[6
]}

Stengler, Katarina ^{[7
]}

Jelinek, Lena ^{[8
]}

Moritz, Steffen ^{[8
]}

机构：

[1] Schon Klin Roseneck, D-83209 Prien Am Chiemsee, Germany

[2] Univ Freiburg Klinikum, Klin Psychiatrie & Psychotherapie, Freiburg, Germany

[3] Univ Klinikums Munchen LMU, Klin Psychiatrie & Psychotherapie, Munich, Germany

[4] Univ Zurich Hosp, Klin Psychiatrie & Psychotherapie, CH-8091 Zurich, Switzerland

[5] Psychotherapeut Praxis, Munster, Germany

[6] Schon Klin Bad Bramstedt, Bad Bramstedt, Germany

[7] Univ Klinikums Leipzig, Klin & Poliklin Psychiatrie & Psychotherapie, Leipzig, Germany

[8] Univ Klinikums Hamburg Eppendrof, Klin & Poliklinik Psychiatrie & Psychotherapie, Hamburg, Germany

来源：

VERHALTENSTHERAPIE | 2015年 / 25卷 / 03期

关键词：

Obsessive-compulsive disorder; Supply and distribution; Germany; Exposure therapy; Cognitive behavioural therapy; QUALITY-OF-LIFE; FOLLOW-UP; COMBINATION; EXPOSURE; PLACEBO; OCD; FLUVOXAMINE; PREVENTION; SAMPLE;

D O I：

10.1159/000438717

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: Cognitive behaviour therapy (CBT) with exposure and response prevention represents first-line therapy for patients with obsessive-compulsive disorder (OCD). The aim of this study was to estimate the proportion of OCD patients that receive CBT with exposure and response prevention in Germany. Methods: In an observational study, data on treatment history from a sample of 369 patients with OCD (ICD-10 criteria) were analyzed. Results: Overall, 60% of the patients reported that they had received CBT with exposure at least once, 37% as their first treatment. 46% of patients indicated having received CBT with exposure accompanied by a mental health professional at least once. The average time between the onset of OCD and the initial treatment was 6 years. Conclusions: Two fifths of the patients with OCD in our sample reported that they had never received CBT with exposure and response prevention, the state-of-the-art treatment for OCD. We discuss potential barriers from patients' and mental health professionals' perspective as well as interventions that might help to improve the treatment situation. (C) 2015 S. Karger GmbH, Freiburg

引用

页码：183 / 190

页数：8

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