Obsessive-compulsive symptom profiles vary widely among individuals and may be affected by cultural backgrounds. In the case of scrupulosity, moral and religious principles are the target of obsessive-compulsive symptoms. Cognitive biases and beliefs have special relevance in the origin and maintenance of obsessive scrupulosity. In addition, rigid and exaggerated beliefs about morality are held by these patients. Moral and religious principles are mainly transmitted by family. These influences may be more prominent in cultures, such as the Spanish culture, where family and religion are important values for individuals. The authors describe the treatment of a Spanish patient with obsessive scrupulosity. Family therapy strategies were integrated into exposure-based CBT in order to facilitate the modification of beliefs, behaviors, and pathological family relationships. The patient exhibited clinically significant improvements in OCD symptoms. Findings from this case show the need for individualized interventions that take into consideration cultural, social, and family factors.

中文翻译：

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将西班牙裔痴呆症患者的家庭疗法纳入基于暴露的CBT中。

强迫症状症状在个体之间差异很大，并且可能受文化背景的影响。在谨慎的情况下，道德和宗教原则是强迫症的目标。认知偏见和信念与强迫症的起源和维持特别相关。此外，这些患者对道德抱有僵化和夸张的信念。道德和宗教原则主要由家庭传播。这些影响在西班牙文化等文化中可能更为突出，在西班牙文化中，家庭和宗教是个人的重要价值观。作者描述了对西班牙人痴呆症患者的治疗方法。家庭治疗策略已整合到基于暴露的CBT中，以促进对信念，行为，和病态的家庭关系。该患者在OCD症状上表现出临床上的显着改善。从该案例中发现的结果表明，需要采取个性化的干预措施，同时考虑到文化，社会和家庭因素。