Suitability study on techniques of cognitive behavioral therapy for obsessive-compulsive disorder

Abstract

Objective To evaluate the suitability of cognitive behavioral therapy (CBT) techniques for obsessive-compulsive disorder (OCD), and analyze the domestic application status of CBT techniques for OCD and lay a foundation of standard CBT in China. Methods Delphi method was adopted to evaluate 30 CBT techniques on four dimensions, including operability, frequency, contribution of treatment and acceptability, and calculated the final scores of all techniques on different dimension and their comprehensive rank. Results After two rounds of experts consulting, Kendall coefficients of four dimensions were 0.249, 0.269, 0.234, 0.250 (P<0.01), coefficient of variation ranged from 0.05 to 0.31 of each technology on different dimension. The operability score of thought stopping, cost-benefit analysis and pie chart belonged to general suitability.The frequency and treatment contribution score of thought stopping and pie chart belonged to occasional use and small.The acceptation score of socratic question, thought stopping, in vivo exposure and behavior prevention belonged to partial acceptation. Weight coefficients of four dimensions were 0.26, 0.18, 0.27, 0.29 and techniques ranking in the top three were information collection and evaluation, therapeutic alliance foundation and psychological education. Conclusion Most CBT techniques for OCD are suitable in China but some techniques still need to be improved. Key words: Obsessive-compulsive disorder; Cognitive behavioral therapy; Delphi method