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.
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