Acceptance and Commitment Therapy as a Treatment for OCD

接受和承诺疗法作为强迫症的治疗方法

• 批准号: 7100731
• 负责人: STEVEN C HAYES
• 金额: $ 19.4万
• 依托单位: UNIVERSITY OF NEVADA RENO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7100731
• 关键词: anxiety; anxiety disorders; attitude; clinical research; clinical trials; coping; emotional adjustment; human subject; human therapy evaluation; locus of control; obsessive compulsive disorder; psychotherapy; questionnaires; self concept; stimulus /response; therapy design /development; thinking; videotape /videodisc

DESCRIPTION (provided by applicant): Obsessive compulsive disorder (OCD) is the third most common psychological disorder and is often very debilitating for those inflicted. Current treatments provide promise for those inflicted but between 15-40 % of those treated in studies do not respond to the treatments. Additionally, 25% of participants will refuse treatment and another 3-12% will drop out of treatment. Thus, further research needs to be conducted on the treatment of OCD. Our intervention for OCD has emerged from a new, empirically-based behavioral approach focusing on strategies designed to promote acceptance, rather than the suppression or change of problematic thoughts and feelings. Promising pilot data suggesting that an abbreviated version of our intervention significantly decreases compulsions in those with OCD while maintaining high treatment acceptability. The difference between the proposed treatment, Acceptance and Commitment Therapy (ACT), and current treatments is that ACT does not assist the client in changing or altering his or her obsessions in an attempt to decrease compulsions. Instead, it focuses on stepping back from ones obsessions and focusing behavior change on following ones values rather than decreasing uncomfortable private events such as anxiety or obsessions. This is an extremely novel approach to the treatment of OCD that could possibly have very high impact. Our overall goals for this project are to develop and implement an intervention for OCD and to do so from a conceptually and functionally different avenue than is generally practiced in the psychological community. This investigation also includes measures to assess the psychological processes through which changes of compulsive behavior occur.

描述（由申请人提供）：强迫症（OCD）是第三大常见的心理障碍，对于那些被造成的人来说常常使人衰弱。当前的治疗方法为受到造成的人提供了希望，但在研究中接受治疗的人中有15-40％对治疗没有反应。此外，25％的参与者将拒绝治疗，另外3-12％的参与者将退出治疗。因此，需要对OCD治疗进行进一步的研究。我们对强迫症的干预源于一种基于经验的新行为方法，重点是旨在促进接受或改变有问题的思想和感觉的策略。有希望的试点数据表明，我们干预的缩写版本可显着减少强迫症患者的强迫性，同时保持高治疗可接受性。拟议的治疗，接受和承诺疗法（ACT）和当前治疗方法之间的差异是，ACT无助于客户改变或改变其痴迷，以减少强迫性。取而代之的是，它重点是从痴迷中退后一步，将行为的重点变化而改变以下价值观，而不是减少不舒服的私人事件，例如焦虑或痴迷。这是对OCD治疗的一种非常新颖的方法，可能会产生很大的影响。该项目的总体目标是开发和实施针对强迫症的干预措施，并从概念和功能上不同的途径与心理界通常实践的途径进行干预。这项调查还包括评估心理过程发生变化的心理过程的措施。