Abstract

This paper evaluates the efficacy of treatment of 119 clients who sought help for CSBD (Compulsive Sexual Behavior Disorder). Using CORE OM and a tailor made supplement for CSBD, clients were evaluated at the beginning of a psycho-educational groupwork program and then again at three-month follow-up. 36 clients were evaluated a second time six-months later. The study identified, through CORE OM, that 85% of the sample were experiencing ‘clinical distress’ and 67% were at risk on intake. At three-month follow-up, there was ‘significant’ or ‘reliable’ improvement for 58% on clinical distress and 30% on risk. Compulsive sexual behaviors reduced for 97% of the sample group and 87% experienced a reduction in intrusive thoughts and feelings. However, for approximately 30% of clients, this reduction in problem symptoms was accompanied by negligible change in clinical distress and a worsening for some. A discussion is provided on why this may be and the implications of this research for treatment providers.

摘要

本文评估了对寻求CSBD（强迫性行为障碍）帮助的119名客户的治疗效果。使用CORE OM和针对CSBD量身定制的补充资料，在心理教育小组计划开始时对客户进行了评估，然后在三个月的随访中再次对其进行了评估。六个月后，第二次评估了36位客户。该研究通过CORE OM确定了85％的样本有“临床困扰”，而67％的样本有摄入风险。在为期三个月的随访中，临床困扰改善了58％，风险改善了30％，这是“显着”或“可靠”的改善。97％的样本组强迫性行为减少，87％的侵入性思想和感觉减少。但是，对于大约30％的客户，问题症状的减轻伴随着临床困扰的变化可忽略不计，并使某些情况恶化。讨论了为什么会这样以及这项研究对治疗提供者的意义。