强迫症强化认知行为治疗的研究进展

A review of intensive cognitive behavioral therapy for obsessive-compulsive disorder

认知行为治疗(cognitive behavioral therapy,CBT),尤其是暴露反应阻止治疗(exposure and response prevention,ERP)是强迫症心理治疗的一线治疗。本文首先回顾了强化CBT的起源及其发展,然后论述了强化CBT治疗的有效性和起效的神经生物学机制研究,最后探讨了临床应用强化CBT的阻碍及困难,为强化CBT的临床应用提供理论依据与证据支持。

Cognitive behavior therapy(CBT),especially exposure and response prevention(ERP),is the first-line therapy for obsessive-compulsive disorder(OCD).This paper firstly reviews the origin and development of intensive CBT,then discusses the effectiveness of intensive CBT treatment,reviews the neurobiological mechanism of the effect of intensive CBT,and finally discusses the obstacles and difficulties of clinical application,in order to provide a theoretical basis and evidence support for its clinical application.