Literaturnachweis - Detailanzeige
Autor/inn/en | Tolin, David F.; Hannan, Scott; Maltby, Nicholas; Diefenbach, Gretchen J.; Worhunsky, Patrick; Brady, Robert E. |
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Titel | A Randomized Controlled Trial of Self-Directed versus Therapist-Directed Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder Patients with Prior Medication Trials |
Quelle | In: Behavior Therapy, 38 (2007) 2, S.179-191 (13 Seiten)
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0005-7894 |
DOI | 10.1016/j.beth.2006.07.001 |
Schlagwörter | Behavior Disorders; Patients; Drug Therapy; Counseling Techniques; Behavior Modification; Cognitive Restructuring; Psychological Patterns; Mental Disorders; Adults; Responses; Emotional Response; Symptoms (Individual Disorders); Intervention |
Abstract | Cognitive-behavioral therapy incorporating exposure and response prevention (ERP) is widely considered a first-line psychosocial treatment for patients with obsessive-compulsive disorder (OCD). However, a number of obstacles prevent many patients from receiving this treatment, and self-administered ERP may be a useful alternative or adjunct. Forty-one adult outpatients with a primary diagnosis of OCD, who reported at least 1 current or previous adequate medication trial, were randomly assigned to self-administered or therapist-administered ERP. Patients in both treatment conditions showed statistically and clinically significant symptom reduction. However, patients receiving therapist-administered ERP showed a superior response in terms of OCD symptoms and self-reported functional impairment. We discuss several potential reasons for the superiority of therapist-administered treatment, and propose a stepped-care integration of self-administered and therapist-administered interventions for OCD. (Author). |
Anmerkungen | Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2017/4/10 |