دانلود مقاله :

Treating Obsessive-Compulsive Disorder in Intimate Relationships: A Pilot Study of Couple-Based Cognitive-Behavior Therapy 2013

نویسندگان :

Jonathan S. Abramowitz Donald H. Baucom Sara Boeding Michael G. Wheaton Nicole D. Pukay-Martin Laura E. Fabricant Christine  aprocki Melanie S. Fischer 

چکیده : 

Although cognitive-behavioral therapy (CBT) involving

exposure and response prevention (ERP) is an established

treatment for obsessive-compulsive disorder (OCD), not all

patients respond optimally, and some show relapse upon

discontinuation. Research suggests that for OCD patients in

close relationships, targeting relationship dynamics enhances

the effects ofCBT. In the present study,we developed and pilot

tested a 16-session couple-based CBT program for patients

with OCD and their romantic partners. This program

included (a) partner-assisted ERP, (b) techniques targeting

maladaptive relationship patterns focal to OCD (e.g., symptom

accommodation), and (c) techniques targeting non

OCD-related relationship stressors. OCD, related symptoms,

and relationship functioning were assessed at baseline,

immediately following treatment (posttest), and at 6- and

12-month follow-up. At posttest, substantial improvements in

OCD symptoms, relationship functioning, and depression

were observed. Improvements in OCD symptoms were

maintained up to 1 year. Results are compared to findings

from studies of individual CBT for OCD and discussed in

terms of the importance of addressing interpersonal processes

that maintain OCD symptoms.

دانلود - 750 تومان