Effects of Detached Mindfulness on Patients with Obsessive-Compulsive Disorder.

IF 1.3 Q3 PSYCHIATRY Alpha psychiatry Pub Date : 2024-01-01 DOI:10.5152/alphapsychiatry.2024.231385
Murad Atmaca, Muhammed Fatih Tabara, Mehmet Gürkan Gürok
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Abstract

Objective: The objective of this study was to evaluate the effectiveness of detached mindfulness (DM) in patients with obsessive-compulsive disorder (OCD).

Methods: Seventeen adult patients with OCD, who were receiving psychotropic medication, were included in the study. M.A., a qualified metacognitive therapist at the Metacognitive Therapy Institute in Manchester, conducted DM therapy. The Yale-Brown Obsession Compulsion Scale (Y-BOCS) and the Beck Depression Inventory (BDI) were used to monitor clinical progress.

Results: The mean Y-BOCS scores at baseline and the end of the study were 25.29 ± 5.70 and 13.53 ± 3.41, respectively, and a paired t-test analysis revealed a statistically significant difference between baseline and end-of-treatment scores (P<.001). The homework practices were also assessed in sessions 2, 3, and 4. The mean homework scores at the second, third, and fourth homework sessions were 8.70 ± 1.10, 8.00 ± 0.79 and 8.20 ± 1.1, respectively. The DM homework completion rate was at an acceptable level.

Conclusion: In conclusion, our study has shown that the DM technique, one of the main techniques used in metacognitive therapy, is significantly beneficial in patients with a certain degree of severity. We are of the opinion that supportive studies with larger sample sizes are necessary for the demonstration of efficacy in patients with significant treatment resistance.

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分离式正念对强迫症患者的影响
研究目的本研究旨在评估分离正念(DM)对强迫症(OCD)患者的疗效:研究对象包括17名正在接受精神药物治疗的成年强迫症患者。曼彻斯特元认知治疗研究所的一名合格元认知治疗师 M.A. 进行了 DM 治疗。耶鲁-布朗强迫症量表(Y-BOCS)和贝克抑郁量表(BDI)用于监测临床进展:基线和研究结束时的 Y-BOCS 平均得分分别为(25.29 ± 5.70)和(13.53 ± 3.41),配对 t 检验分析表明,基线和治疗结束时的得分之间存在显著的统计学差异(PConclusion:总之,我们的研究表明,DM 技术作为元认知疗法的主要技术之一,对具有一定严重程度的患者有明显的疗效。我们认为,有必要进行样本量更大的支持性研究,以证明对治疗有明显抵抗力的患者的疗效。
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