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Long-Term Follow-up of Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: Symptom Severity and the Role of Exposure 8-10 Years After Inpatient Treatment.
Journal of Cognitive Psychotherapy ( IF 0.813 ) Pub Date : 2020-06-26 , DOI: 10.1891/jcpsy-d-20-00002
Anne Katrin Külz 1 , Sarah Landmann 2 , Magdalena Schmidt-Ott 2 , Bartosz Zurowski 2 , Andreas Wahl-Kordon 3 , Ulrich Voderholzer 4
Affiliation  

Obsessive-compulsive disorder (OCD) can be effectively treated by cognitive behavioral therapy (CBT) with exposure and response prevention (ERP). Yet, little is known about the long-term effects of inpatient CBT up to one decade after treatment. Thirty patients who had been treated with 12 weeks of intensive inpatient CBT with ERP were examined 8–10 years after their stay in hospital with regard to obsessive-compulsive symptoms, secondary outcomes, and use of healthcare services. Significant (p < .001) improvements in OC symptoms with medium and large effects compared to baseline on the Yale-Brown-Obsessive-Compulsive Scale (Y-BOCS) and on the Obsessive-Compulsive Inventory (OCI-R) could still be observed, with 20% of the patients reaching remission status. Continuation of exposure exercises after the inpatient stay was the sole significant factor for improved scores at follow-up. The results suggest that OCD does not necessarily take a chronic course. However, maintenance of exposure training seems to be crucial for sustained improvement.

中文翻译:

强迫症认知行为疗法的长期随访:住院治疗后 8-10 年的症状严重程度和暴露的作用。

强迫症 (OCD) 可以通过认知行为疗法 (CBT) 与暴露和反应预防 (ERP) 进行有效治疗。然而,对住院 CBT 治疗后长达十年的长期影响知之甚少。30 名接受 12 周强化住院 CBT 和 ERP 治疗的患者在住院 8-10 年后接受了关于强迫症状、次要结果和医疗服务使用情况的检查。与耶鲁-布朗-强迫症量表 (Y-BOCS) 和强迫症量表 (OCI-R) 的基线相比,OC 症状的显着改善 (p < .001) 具有中等和大的影响, 20% 的患者达到缓解状态。住院后继续进行暴露练习是提高随访评分的唯一重要因素。结果表明,强迫症不一定是慢性病程。然而,保持暴露训练似乎对持续改进至关重要。
更新日期:2020-06-26
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