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Effect of perceived stress level on efficiency of exposure and response prevention in obsessive-compulsive disorder patients
Received:September 02, 2020  Revised:November 24, 2020  Click here to download the full text
Citation of this paper:WANG Yuan,ZHAO Qing,WANG Zhen.Effect of perceived stress level on efficiency of exposure and response prevention in obsessive-compulsive disorder patients[J].Chinese Journal of Clinical Medicine,2021,28(3):492-496
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Author NameAffiliationE-mail
WANG Yuan Department of Psychological Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
ZHAO Qing Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China  
WANG Zhen Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China wangzhen@smhc.org.cn 
Abstract:Objective: To explore how perceived stress affects the efficiency of exposure and response prevention (ERP) in obsessive-compulsive disorder (OCD) patients.Methods: Twenty-seven outpatients meeting the Diagnostic and Statistical Manual of Mental Disorders (fourth edition) criteria for OCD were treated with ERP for 8 weeks. The severity of obsessive-compulsive symptoms were measured with Yale-Brown obsessive compulsive scale (Y-BOCS) at baseline, 2 weeks, 4 weeks, and 8 weeks after treatment. Perceived stress was evaluated with perceived stress scale-10 (PSS-10) before treatment.Results: The response rate of ERP was 40.7%(11/27) 8 weeks after treatment. Individuals with higher pre-treatment levels of perceived stress were less likely to be responsive to ERP (OR=0.83, P=0.047).Conclusions: ERP did not appear to be effective in patients with high level of perceived stress.
keywords:obsessive-compulsive disorder  perceived stress  exposure and response prevention
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