Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment.

Autor: Kvale G; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.; Department of Clinical Psychology, University of Bergen, Bergen, Norway., Hansen B; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.; Department of Clinical Psychology, University of Bergen, Bergen, Norway., Björgvinsson T; McLean Hospital, Belmont, MA, USA.; Harvard Medical School, Boston, MA, USA., Børtveit T; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway., Hagen K; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.; Molde Hospital, Molde, Norway., Haseth S; Nidaros DPS, Division of Psychiatry, St. Olav University Hospital, Trondheim, Norway., Kristensen UB; Oslo University Hospital, Oslo, Norway., Launes G; Sørlandet Sykehus, Kristiansand, Norway., Ressler KJ; McLean Hospital, Belmont, MA, USA.; Harvard Medical School, Boston, MA, USA., Solem S; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway. stian.solem@ntnu.no.; Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway. stian.solem@ntnu.no., Strand A; Norwegian OCD-foundation, Ananke, Oslo, Norway., van den Heuvel OA; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.; Department of Psychiatry and Department of Anatomy & Neurosciences, VU university medical center (VUmc), Amsterdam, The Netherlands., Öst LG; Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.; Department of Psychology, Stockholm University, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2018 Oct 04; Vol. 18 (1), pp. 323. Date of Electronic Publication: 2018 Oct 04.
DOI: 10.1186/s12888-018-1887-4
Abstrakt: Background: Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%.
Methods: Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format.
Results: Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD.
Conclusions: We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.
Databáze: MEDLINE
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