认知行为疗法在强迫症患者治疗中的应用
Application of Cognitive Behavioral Therapy in the Treatment of Patients with Obsessive-Compulsive Disorder
摘要: 强迫症是一种常见的慢性精神疾病，具有2%~3%的终身患病率，被世界卫生组织定义为十大致残疾病之一。认知行为疗法(CBT)目前被认为是治疗强迫症的一线治疗方法。本文首先介绍适用于治疗强迫症认知疗法的不同形式，其次对比了不同形式的疗法带来的治疗效应，最后对强迫症的治疗方案提出展望，即需要建立更为系统的治疗体系，设立有效的指标，并与其他疗法结合，进一步深入探究强迫症最佳治疗方案。
Abstract: Obsessive-compulsive disorder is a common chronic mental illness with a lifetime prevalence of 2% to 3%. It is defined by the World Health Organization as one of the ten most common diseases. Cognitive-behavioral therapy (CBT) is currently considered to be the first-line treatment for obsessive-compulsive disorder. Firstly, this article introduces the different forms of cognitive therapy for the treatment of obsessive-compulsive disorder. Secondly we compare the therapeutic effects of different forms of therapy. Finally, it proposes a prospective treatment plan for obsessive-compulsive disorder, which requires a more systematic treatment system and effective indicators, and further explores the best treatment options for obsessive-compulsive disorder, combined with other therapies.
文章引用：李琦 (2019). 认知行为疗法在强迫症患者治疗中的应用. 心理学进展, 9(12), 2073-2080. https://doi.org/10.12677/AP.2019.912249

参考文献

[1] Abramowitz, J. S., Whiteside, S. P., & Deacon, B. J. (2005). The Effectiveness of Treatment for Pediatric Obsessive-Compulsive Disorder a Meta-Analysis. Behavior Therapy, 36, 55-63.[CrossRef] 
[2] American Academy of Child and Adolescent Psychiatry AACAP (2012). Practice Parameter for the Assessment and Treatment of Children and Adolescents with Obses-sive-Compulsive Disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 98-113.[CrossRef] [PubMed]
[3] American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.) Arlington, VA.[CrossRef] 
[4] Anderson, R. A., & Rees, C. S. (2007). Group versus Individual Cognitive-Behavioural Treatment for Obsessive-Compulsive Disorder: A Controlled Trial. Behaviour Research & Therapy, 45, 123-137.[CrossRef] [PubMed]
[5] Baruah, U., Dhanasekara Pandian, R., Narayanaswamy, J. C., Math, S. B., & Janardhan Reddy, Y. C. (2018). A Randomized Controlled Study of Brief Family-Based Intervention in Obsessive Compulsive Disorder. Journal of Affective Disorders, 225, 137-146.[CrossRef] [PubMed]
[6] Carmi, L., Alyagon, U., Barnea-Ygael, N., Zohar, J., Dar, R., & Zangen, A. (2018). Clinical and Electrophysiological Outcomes of Deep TMS over the Medial Prefrontal and Anterior Cingulate Cortices in OCD Patients. Brain Stimulation, 11, 158-165.[CrossRef] [PubMed]
[7] Emmelkamp, P. M. G., Visser, S., & Hoekstra, R. J. (1988). Cognitive Therapy vs. Exposure in Vivo in the Treatment of Obsessive-Compulsives. Cognitive Therapy and Research, 12, 103-114.[CrossRef] 
[8] Fabian, L., Sarah, V., Erik, A., Christian, R., David, M. C., Ulrika, T. et al. (2014). Internet-Delivered Cognitive Behavior Therapy for Adolescents with Obsessive-Compulsive Disorder: An Open Trial. PLoS ONE, 9, e100773.[CrossRef] [PubMed]
[9] Farrell, L. J., Schlup, B., & Boschen, M. J. (2010). Cogni-tive-Behavioral Treatment of Childhood Obsessive-Compulsive Disorder in Community-Based Clinical Practice: Clinical Significance and Benchmarking against Efficacy. Behaviour Research & Therapy, 48, 409-417.[CrossRef] [PubMed]
[10] Fisher, P. L., & Wells, A. (2005). How Effective Are Cognitive and Behavioral Treatments for Obsessive-Compulsive Disorder? A Clinical Significance Analysis. Behaviour Research and Therapy, 43, 1543-1558.[CrossRef] [PubMed]
[11] Franklin, M. E., & Foa, E. B. (1998). Cognitive-Behavioral Treatments for Obsessive-Compulsive Disorder. In P. E. Nathan, & J. M. Gorman (Eds.), A Guide to Treatments That Work (pp. 339-357). New York: Oxford University Press.
[12] Grunes, M. S., Neziroglu, F., & McKay, D. (2001). Family Involvement in the Behavioral Treatment of Obsessive-Compulsive Disorder: A Preliminary Investigation. Behavior Therapy, 32, 803-820.[CrossRef] 
[13] Hezel, D. M., & Mcnally, R. J. (2015). A Theoretical Review of Cognitive Biases and Deficits in Obsessive-Compulsive Disorder. Biological Psychology, 121, 221-232.[CrossRef] [PubMed]
[14] Hofmann, S. G., Asnaani, A., Vonk, I. J. et al. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses. Cognitive Therapy and Research, 36, 427-440.[CrossRef] [PubMed]
[15] Ivarsson, T., Skarphedinsson, G., Kornør, H., Axelsdottir, B., Biedilæ, S., Heyman, I., March, J. et al. (2015). The Place of and Evidence for Serotonin Reuptake Inhibitors (SRIs) for Obsessive Compulsive Disorder (OCD) in Children and Adolescents: Views Based on a Systematic Review and Me-ta-Analysis. Psychiatry Research, 227, 93-103.[CrossRef] [PubMed]
[16] Jónsson, H., & Hougaard, E. (2009). Group Cognitive Behavioural Therapy for Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis. Acta Psychiatrica Scandinavica, 119, 98-106.[CrossRef] [PubMed]
[17] Kushner, M. G., Kim, S. W., Donahue, C., Thuras, P., Adson, D., Kotlyar, M. et al. (2007). D-Cycloserine Augmented Exposure Therapy for Obsessive-Compulsive Disorder. Biological Psychiatry, 62, 835-838.[CrossRef] [PubMed]
[18] McGuire, J. F., Piacentini, J., Lewin, A. B., Brennan, E. A., Murphy, T. K., & Storch, E. A. (2015). A Meta-Analysis of Cognitive Behavior Therapy and Medication for Child Obsessive-Compulsive Disorder: Moderators of Treatment Efficacy, Response, and Remission. Depression and Anxiety, 32, 580-593.[CrossRef] [PubMed]
[19] McLean, P. D., Whittal, M. L., Thordarson, D. S., Taylor, S., Sochting, I., Koch, W.J. et al. (2001). Cognitive versus Behavior Therapy in the Group Treatment of Obsessive-Compulsive Disorder. Journal of Consulting and Clinical Psychology, 69, 205-214.[CrossRef] 
[20] Medeiros, G. C., Torres, A. R., Boisseau, C. L., Leppink, E. W., Eisen, J. L., Fontenelle, L. F., do Rosario, M. C., Mancebo, M. C., Rasmussen, S. A., Ferrão, Y. A., & Grant, J. E. (2017). A Cross-Cultural Clinical Comparison between Subjects with Obsessive Compulsive Disorder from the United States and Brazil. Psychiatry Research, 254, 104-111.[CrossRef] [PubMed]
[21] Meyer, V. (1966). Modification of Expectations in Cases with Obsessional Rituals. Behaviour Research and Therapy, 4, 273-280.[CrossRef] 
[22] National Collaborating Centre for Mental Health (2006). Obsessive-Compulsive Disorder: Core Interventions in the Treatment of Obsessive-Compulsive Disorder and Body Dysmorphic Disorder. Leicester: British Psychological Society.
[23] Olatunji, B. O., Davis, M. L., Powers, M. B., & Smits, J. A. (2013). Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: A Meta-Analysis of Treatment Outcome and Moderators. Journal of Psychiatric Research, 47, 33-41.[CrossRef] [PubMed]
[24] POTS Team (2005). Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents with Obsessive-Compulsive Disorder: The Pediatric OCD Treatment Study (Pots) Randomized Controlled Trial. JAMA, 292, 1969-1976.[CrossRef] [PubMed]
[25] Rachman, S., & de Silva, P. (1978). Abnormal and Normal Obsessions. Behaviour Research and Therapy, 16, 233-248.[CrossRef] [PubMed]
[26] Rosa-Alcazar, A. I., Sanchez-Meca, J., Gomez-Conesa, A., & Marin-Martinez, F. (2008). Psychological Treatment of Obsessive-Compulsive Disorder: A Meta-Analysis. Clinical Psychology Review, 28, 1310-1325.[CrossRef] [PubMed]
[27] Ruscio, A. M. (2010). The Latent Structure of Social Anxiety Disorder: Consequences of Shifting to a Dimensional Diagnosis. Journal of Abnormal Psychology, 119, 662-671.[CrossRef] [PubMed]
[28] Salkovskis, P. M. (1985). Obsessional-Compulsive Problems: A Cogni-tive-Behavioural Analysis. Behaviour Research and Therapy, 23, 571-583.[CrossRef] [PubMed]
[29] Salkovskis, P. M., Forrester, E., & Richards, C. (1998). Cognitive-Behavioural Approach to Understanding Obsessional Thinking. The British Journal of Psychiatry, 173, 53-63.[CrossRef] 
[30] Sassano-Higgins, S.A., & Pato, M. T. (2015). Obses-sive-Compulsive Disorder: Diagnosis, Epidemiology, Etiology, and Treatment. Focus (Madison), 13, 129-141.[CrossRef] 
[31] Storch, E. A., Bussing, R., Small, B. J. et al. (2013). Randomized, Placebo-Controlled Trial of Cognitive-Behavioral Therapy Alone or Combined with Sertraline in the Treatment of Pediatric Obsessive-Compulsive Disorder. Behaviour Research and Therapy, 51, 823-829.[CrossRef] [PubMed]
[32] Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family Involvement in the Psychological Treatment of Obsessive-Compulsive Disorder: A Meta-Analysis. Journal of Family Psychology, 28, 287-298.[CrossRef] [PubMed]
[33] Torp, N. C., Dahl, K., Skarphedinsson, G., Thomsen, P. H., Valderhaug, R., Weidle, B. et al. (2015). Effectiveness of Cognitive Behavior Treatment for Pediatric Obsessive-Compulsive Disorder: Acute Outcomes from the Nordic Long-Term OCD Treatment Study (Nordlots). Behaviour Research & Therapy, 64, 15-23.[CrossRef] [PubMed]
[34] Vogel, P. A., Stiles, T. C., & Götestam, K. G. (2004). Adding Cognitive Therapy Elements to Exposure Therapy for Obsessive Compulsive Disorder: A Controlled Study. Behavioural and Cognitive Psychotherapy, 32, 275-290.[CrossRef] 
[35] Whittal, M. L., Thordarson, D. S., & Mclean, P. D. (2005). Treatment of Obsessive-Compulsive Disorder: Cognitive Behavior Therapy vs. Exposure and Response Prevention. Behaviour Research & Therapy, 43, 1559-1576.[CrossRef] [PubMed]
[36] Wu, Y., Lang, Z., & Zhang, H. (2016). Efficacy of Cogni-tive-Behavioral Therapy in Pediatric Obsessive-Compulsive Disorder: A Meta-Analysis. Medical Science Monitor, 22, 1646-1653.[CrossRef] 
[37] Zhou, D.-D., Wang, W., Wang, G.-M., Li, D.-Q., & Kuang, L. (2017). An Updated Meta-Analysis: Short-Term Therapeutic Effects of Repeated Transcranial Magnetic Stimulation in Treating Obsessive-Compulsive Disorder. Journal of Affective Disorders, 215, 187-196.[CrossRef] [PubMed]