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BukuHome-Based Cognitive-Behavioral Treatment of Chronic, Refractory Obsessive-Compulsive Disorder Can Be Effective: Single Case Analysis of Four Patients
Bibliografi
Author: Rosqvist, Johan ; Thomas, Jay C. (Co-Author); Egan, Denise (Co-Author)
Topik: Home-Based; Qualitative; Chronic; Single Case Analysis; Quantitative Measures; Lifestyle Changes; Refractory Obsessive-Compulsive Disorder; Cognitive-Behavioral Treatment
Bahasa: (EN )    
Penerbit: SAGE Publications     Tempat Terbit: London    Tahun Terbit: 1999    
Jenis: Article - untuk jurnal ilmiah
Fulltext: 205BM262.pdf (86.0KB; 2 download)
Abstract
Four patients with obsessive-compulsive disorder (OCD) were referred for home-based cognitive-behavioral therapy. All patients had failed extensive trials of behavioral and cognitive therapy and pharmacotherapy in a variety of settings (e.g., outpatient, inpatient, and day program) and were generally considered chronic and refractory to treatment. Generalization from treatment sites to natural settings in which they lived did not occur. They were evaluated at baseline, after treatment, and at an 18-month follow-up using theYale-Brown Obsessive Compulsive Scale. Conducting end-state functioning and reliable change assessment according to the methods specified by Jacobson and Truax, the authors found that 3 patients achieved clinically significant gains after treatment and 2 patients maintained those gains at the 18-month follow-up. Data suggested better overall adjustment for 3 of the patients at follow-up. This study demonstrates the effectiveness of home-based cognitive-behavioral therapy for chronic, refractory OCD; implications for further, controlled trials are discussed.
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