The psychological treatment of obsessive-compulsive disorder

被引：218
|
作者：
Abramowitz, Jonathan S. [1 ]
机构：
[1] Mayo Clin, OCD Anxiety Disorders Program, Dept Psychiat & Psychol, Rochester, MN 55905 USA
来源：
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2006年 / 51卷 / 07期
关键词：
obsessive-compulsive disorder; cognitive-behavioural therapy; psychological treatment; exposure; response prevention; cognitive therapy; treatment outcome;
D O I：
10.1177/070674370605100702
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
The psychological treatment of obsessive-compulsive disorder (OCD) with exposure and response prevention (ERP) methods is one of the great success stories within the field of mental health. Within the span of about 20 years, the prognosis for individuals with OCD has changed from poor to very good as a result of the development of ERP. This success not withstanding, the procedures are far from perfect because a substantial minority of patients still either refuse treatment, drop out prematurely, or fail to benefit. I begin this article with a review of the development of ERP from early animal research on avoidance learning conducted during the 1950s. Next, 1 discuss the mechanisms of ERR The bulk of the article reviews the treatment-outcome literature on ERP for OCD and includes comparisons with cognitive therapy-the '' new kid on the block '' with respect to psychological treatments for OCD.
引用
收藏
页码：407 / 416
页数：10
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