Many individuals with obsessive-compulsive disorder (OCD) also experience co-occurring depression, which may complicate OCD treatment. Some data suggest that OCD patients with comorbid depression experience less improvement with cognitive-behavioral therapy (CBT), the recommended psychotherapy for OCD. In particular, depression may interfere with an individual's adherence to the tasks of CBT, particularly exposure and response prevention (ERP). However, successful interventions exist for depression within CBT, including both cognitive therapy and behavioral activation, which can be added in treating OCD patients with depression. This article reviews the literature on the impact of comorbid depression on OCD treatment and then describes the treatment of an adult with both conditions. This case history demonstrates how depression-specific interventions can be incorporated into standard ERP to maximize OCD treatment gains. We also review important practice points for treating clinicians and areas for future research.

中文翻译：

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使用认知行为疗法治疗伴发性抑郁症的强迫症。

许多强迫症（OCD）患者也会同时发生抑郁症，这可能会使强迫症治疗复杂化。一些数据表明，患有强迫症的强迫症患者在认知行为疗法（CBT）方面的治疗效果较差，认知疗法是强迫症的推荐心理疗法。尤其是，抑郁可能会干扰个人对CBT任务的坚持，特别是暴露和预防反应（ERP）。但是，存在针对CBT内抑郁症的成功干预措施，包括认知疗法和行为激活法，可以将其添加到治疗患有抑郁症的OCD患者中。本文回顾了有关共病抑郁对强迫症治疗的影响的文献，然后描述了两种情况下对成年人的治疗。该案例历史表明，如何将抑郁症特定的干预措施纳入标准的ERP中，以最大程度地提高OCD的治疗效果。我们还将回顾一些重要的实践要点，以治疗临床医生和需要进一步研究的领域。