Terapia cognitivo-conductual con componentes de aceptación y compromiso en un caso de trastorno obsesivo-compulsivo

  1. Montero Fernández, Cristina
  2. Fernández Martín, Luz Celia
  3. Pol Rodríguez, Jesús
Zeitschrift:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Datum der Publikation: 2013

Ausgabe: 33

Nummer: 117

Seiten: 123-134

Art: Artikel

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Andere Publikationen in: Revista de la Asociación Española de Neuropsiquiatría

Zusammenfassung

The aim of this article is to describe the treatment and to present the results of the clinical case of a 33 years old woman with obsessivecompulsive disorder (OCD), two years of evolution, both high-interference in her social and family relationships as in her vital process and daily routine. We used the model of Cognitive-behavioral Therapy (CBT) and Acceptance and Commitment (ACT) for the strongest compulsion. The intervention took place over eight sessions of treatment on a weekly basis, first, and spaced them out over a period of time corresponding to a symptomatic progression to get the autonomy of the patient and the ending of the therapeutic process. There were two follow-up sessions: after three and a half months and six months later. The results were evaluated from the patient�s self-reports, she remained asymptomatic at follow-ups and having recovered her social and family relationships and her previous activity level. At the beginning of the therapy, the patient spent two months taking pharmacological treatment, which was withdrawn during the process.

Bibliographische Referenzen

  • (1) American Psychiatrist Association. DSM-IV-TR. Manual Diagnóstico y Estadístico de los Trastornos Mentales: Texto Revisado. Barcelona: Elsevier Masson, 2002.
  • (2) Yoldascan E, Ozenli Y, Kutlu O, Topal K, Bozkurt, AI. Prevalence of obsessive-compulsive disorder in Turkish university students and assessmente of associated factors. BMC Psychiatry 2009; 9, 40.
  • (3) Fullana MA, Mataix-Cols D, Caspi A, Harrington H. Obsessions and Compulsions in the Community: Prevalence, Interference, Help-Seeking, developmental stability, and co-occurring psychiatric conditions. Am J Psychiatry 2009; 166, 329-36.
  • (4) Botella C, Robert C. El trastorno obsesivo-compulsivo. En: Belloch A, Sandín B, Ramos F, editores. Manual de Psicopatología. Volumen II. 2ª ed. Madrid: McGraw Hill, 2009; p. 149-76.
  • (5) Rachman SJ, Da Silva P. Abnormal and normal obsessions. Behav Res Ther 1978; 16, 233- 48.
  • (6) Clark DA, Da Silva P. The nature of depressive and anxious thoughts: Distinct or uniform phenomena? Behav Res Ther 1985; 23, 383-93.
  • (7) Edwards S, Dickerson M. Intrusive unwanted thougths: A two-stage model of control. Br J Med Psychol 1987a; 60, 317-28.
  • (8) Edwards S, Dickerson M. On the similarity of positive and negative intrusions. Behav Res Ther 1987b; 25, 207-11.
  • (9) Reynolds M, Salkovskis PM. The relationship among guilty, dysphoria, anxiety and obsessions in a normal population: An attempted replication. Behav Res Ther 1991; 30, 259-65.
  • (10) Salkovskis PM. Obsessional-compulsive problems: A cognitive-behavioral analysis. Behav Res Ther 1985; 23, 571-83.
  • (11) Salkovskis PM, Richards HC, Forrester E. The relationship between obsessional problems and intrusive thoughts. Behavioural and Cognitive Psychotherapy 1995; 23, 281-99.
  • (12) Clark DA, Purdon CL. New Perspectives for a Cognitive Theory of Obsessions. Australian Psychologist 1993; 28, 161-67.
  • (13) Rachman SJ. A cognitive theory of obsessions. Behav Res Ther 1997; 35, 793-802.
  • (14) Rachman SJ. A cognitive theory of obsessions: Elaborations. Behav Res Ther 1998; 36, 385- 401.
  • (15) Obsessive-Compulsive Cognitions Working Group. Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behav Res Ther 2001; 39, 987-1006.
  • (16) Belloch A, Cabedo E, Morillo C, Lucero M, Carrió C. Diseño de un instrumento para evaluar las creencias disfuncionales del trastorno obsesivo-compulsivo: resultados preliminares del Inventario de Creencias Obsesivas (ICO). IJCHP 2003; 2 (3), 235-50.
  • (17) Cabedo E, Belloch A, Morillo C, Jiménez A, Carrió C. Intensidad de las creencias disfuncionales en relación con el incremento en obsesividad. IJCHP 2004; 3 (4), 465-79.
  • (18) Vallejo MA. Guía de tratamientos psicológicos eficaces para el trastorno obsesivo-compulsivo. En: Pérez M, coord. Guía de tratamientos psicológicos eficaces I. Madrid: Pirámide, 2003; p. 337-53.
  • (19) American Psychiatrist Association. Practice guideline for the treatment of patients with obsessive-compulsive disorder. Arlington, VA: American Psychiatrist Association, 2007.
  • (20) Hayes SC. A contextual approach to Therapeutic Change. En: Jacobson N, editor. Psychotherapist in Clinical Practice: Cognitive and Behavioral Perspectives. NY: Guilford Press, 1987.
  • (21) Wilson KG, Luciano MC. Terapia de Aceptación y Compromiso (ACT). Un tratamiento conductual orientado a los valores. Madrid: Pirámide, 2002.
  • (22) Ferro R. Aplicación de la terapia de aceptación y compromiso en un ejemplo de evitación experiencial. Psicothema 2000; 3 (12), 445-50.
  • (23) Instituto Nacional de la Seguridad Social. Tiempos estándar de incapacidad temporal. 2009.
  • (24) Salkovskis PM, Warwick HMC. Cognitive therapy of obsessive-compulsive disorder: Treating treatment failures. Behavioural Psychotherapy 1985; 13, 243-55.
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