中国心理卫生杂志2018，Vol.32Issue(3)：207-214,8.DOI:10.3969/j.issn.1000-6729.2018.03.005
强迫障碍的认知行为个案概念化咨询个案报告
Cognitive and behavioral case conceptualization report of a case with obsessive-compulsive disorder
徐慊 1朱雅雯 2余萌 3王建平2
作者信息
- 1. 西南财经大学心理健康教育中心,成都 611130
- 2. 北京师范大学心理学院,北京 100875
- 3. 西北师范大学心理学院,兰州 730070
- 折叠
摘要
Abstract
To explore how to formulate the case conceptualization of obsessive-compulsive disorder (OCD) in the perspective of cognitive theory and behavioral theory. The current study utilized the cognitive behavioral conceptualization model to account for the development and maintenance of obsessive-compulsive symptoms of a college student with OCD. An intervention strategy combining exposure and reaction prevention (ERP) with cognitive techniques was implemented within a 17-session individual counseling in 13 weeks. Client's anxious, depressive and obsessive-compulsive symptoms were assessed at baseline and after 13-week intervention with the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Yale-Brown Obsessive Compulsive Scale (Y-BOCS), respectively. Results showed a significant decrease in anxiety and depressive symptoms. The score of Y-BOCS decreased from 25 to 11 after intervention, which indicated normal social functioning. These findings suggested that the cognitive theory and behavioral theory of OCD could effectively guide the process of case conceptualization and the counselling practice.关键词
强迫障碍/个案概念化/认知理论/行为理论/个案研究Key words
obsessive-compulsive disorder/case conceptualization/cognitive theory/behavioral theory/case report分类
医药卫生引用本文复制引用
徐慊,朱雅雯,余萌,王建平..强迫障碍的认知行为个案概念化咨询个案报告[J].中国心理卫生杂志,2018,32(3):207-214,8.
