Behaviour therapy for obsessive compulsive disorder in a 78-year-oldwoman
C. Colvin
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 488- 491
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| Opplysninger | Objective. To describe a case of late onset obsessive compulsivedisorder (OCD) and determine the impact of a behavioural interventionon OCD symptoms.Design. A single case design was undertaken in which the severity ofthe patient's OCD symptoms was measured before and after treatment.Setting. The intervention was undertaken in the patient's home.Patient. A 78-year-old woman with a history of depression whoexperienced sudden onset and rapid escalation of OCD following adomestic accident.Intervention. A behavioural procedure involving continuous in vivoexposure and response prevention over an 8-hour period.Measures. The Y-BOCS self-rating scale (Yale Brown ObsessiveCompulsive Scale) and clinical observation.Results. Y-BOCS score improved from 35 prior to treatment to 12 posttreatment (mean for OCD population = 25.1; SD = 6, Goodman et al.,1989). Improvement was maintained at 2 months follow-up (Y-BOCS =11). Improvements in confusion and agitation were also observed.Conclusions. This case study supports the use of behaviouralinterventions for elderly patients suffering from OCD. Risk factorsand treatment designs are discussed in view of the literature. (C)1997 by John Wiley & Sons, Ltd.
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