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Obsesif Kompulsif Bozuklukta Psikososyal Rehabilitasyonun Klinik Önemi ve Uygulama Yöntemleri

Yıl 2025, Cilt: 1 Sayı: 2, 48 - 56, 29.07.2025

Öz

Obsesif Kompulsif Bozukluk (OKB), bireylerin günlük yaşam kalitesini ciddi şekilde etkileyen kronik bir ruh sağlığı problemidir. OKB’nin yalnızca biyolojik ve psikolojik yönleri değil, aynı zamanda sosyal işlevselliği de derinden etkilediği bilinmektedir. Bu bağlamda, psikososyal rehabilitasyon, bireylerin toplumsal yaşama uyum sağlamalarına ve işlevselliklerini artırmalarına yönelik önemli bir tedavi yaklaşımı olarak öne çıkmaktadır.
Bu derlemede, psikososyal rehabilitasyonun OKB tedavisindeki rolü ele alınmakta, bu yaklaşıma dayalı uygulamalar incelenmekte ve etkinliği değerlendirilmektedir. Psikososyal rehabilitasyon kapsamında uygulanan bilişsel davranışçı terapi, destekleyici grup terapileri, sosyal beceri eğitimi ve mesleki rehabilitasyon programları gibi yöntemlerin, bireylerin sosyal işlevselliğini artırmada ve semptomlarını yönetmede nasıl bir etki sağladığı tartışılmaktadır. Ayrıca, aile ve toplumsal destek mekanizmalarının tedavi sürecindeki rolü irdelenerek, bireyin psikososyal iyileşme sürecine katkı sağlayan faktörler detaylandırılmaktadır. Psikososyal müdahalelerin, bireylerin günlük yaşam aktivitelerine katılımını artırdığı, topluma uyumlarını güçlendirdiği ve tedaviye olan motivasyonlarını desteklediği gözlemlenmiştir. Bunun yanı sıra, bu rehabilitasyon yöntemlerinin, geleneksel farmakolojik ve psikoterapötik yaklaşımlara nasıl tamamlayıcı bir destek sunduğu ve uzun vadede sürdürülebilir bir iyileşme sağladığı da ele alınmaktadır. Son olarak, psikososyal rehabilitasyonun OKB tedavisindeki yerini daha da güçlendirmek adına öneriler sunulmakta ve bu alandaki mevcut araştırmalar ışığında, daha kapsamlı ve entegre müdahale programlarının geliştirilmesi büyük önem taşımaktadır.

Kaynakça

  • 1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
  • 2. World Health Organization. (2019). International Classification of Diseases, 11th Revision (ICD-11).
  • 3. Brock H, Rizvi A, Hany M. Obsessive-Compulsive Disorder. [Updated 2024 Feb 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553162/
  • 4. Fawcett EJ, Power H, Fawcett JM. Women Are at Greater Risk of OCD Than Men: A Meta-Analytic Review of OCD Prevalence Worldwide. J Clin Psychiatry. 2020;81(4):19r13085. https://doi.org/10.4088/JCP.19r13085
  • 5. Pauls DL, Abramovitch A, Rauch SL, Geller DA. Obsessive-compulsive disorder: an integrative genetic and neurobiological perspective. Nat Rev Neurosci. 2014;15(6):410-24. https://doi.org/10.1038/nrn3746
  • 6. Murphy DL, Timpano KR, Wheaton MG, et al. Obsessive-compulsive disorder and its related disorders: a reappraisal of obsessive-compulsive spectrum concepts. Dialogues Clin Neurosci. 2010;12(2):131–48. https://doi.org/10.31887/DCNS.2010.12.2/dmurphy
  • 7. Stein DJ, Costa DLC, Lochner C, et al. Obsessive–compulsive disorder. Nat Rev Dis Primers. 2019;5:52. https://doi.org/10.1038/s41572-019-0102-3
  • 8. Schirmbeck F, Zink M. Cognitive behavioural therapy for obsessive-compulsive symptoms in schizophrenia. Cogn Behav Ther. 2013;6:e7. https://doi.org/10.1017/S1754470X13000123
  • 9. Starcevic V, Berle D, Brakoulias V, et al. The Nature and Correlates of Avoidance in Obsessive–Compulsive Disorder. Aust N Z J Psychiatry. 2011;45(10):871-9. https://doi.org/10.3109/00048674.2011.607632
  • 10. Verywell Mind. What is Obsessive-Compulsive Disorder (OCD)? 2023 [cited 2025 Jul 3]. Available from: https://www.verywellmind.com/what-is-obsessive-compulsive-disorder-ocd-2510675
  • 11. Eisen JL, Mancebo MA, Pinto A, et al. Impact of obsessive-compulsive disorder on quality of life. Compr Psychiatry. 2006;47(4):270–5. https://doi.org/10.1016/j.comppsych.2005.11.006
  • 12. Swierkosz-Lenart K, Dos Santos JFA, Elowe J, et al. Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients. Front Psychiatry. 2023;14:1065812. Published 2023 Feb 16. doi:10.3389/fpsyt.2023.1065812
  • 13. Jónsson H, Hougaard E. Group cognitive behavioural therapy for obsessive-compulsive disorder: a systematic review and meta-analysis. Acta Psychiatr Scand. 2009;119(2):98–106. https://doi.org/10.1111/j.1600-0447.2008.01270.x
  • 14. Munford PR, Hand I, Liberman RP. Psychosocial treatment for obsessive-compulsive disorder. Psychiatry. 1994;57(2):142–52. https://doi.org/10.1080/00332747.1994.11024677
  • 15. Miegel F, Demiralay C, Sure A, et al. The Metacognitive Training for obsessive-compulsive disorder: A pilot study. Curr Psychol. 2022;41:7114–24. https://doi.org/10.1007/s12144-020-01158-5
  • 16. Rasmus P, Lipert A, Pękala K, et al. The Influence of a Psychosocial Rehabilitation Program in a Community Health Setting for Patients with Chronic Mental Disorders. Int J Environ Res Public Health. 2021;18(8):4319. https://doi.org/10.3390/ijerph18084319
  • 17. Jaisoorya TS, Janardhan Reddy YC. Functional Recovery in Obsessive–Compulsive Disorder. J Psychosoc Rehabil Ment Health. 2023;10:11–3. https://doi.org/10.1007/s40737-022-00325-0
  • 18. McKay D, Sookman D, Neziroglu F, et al. Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder. Psychiatry Res. 2015;225(3):236–46. https://doi.org/10.1016/j.psychres.2014.11.058
  • 19. Wong SF, Hu DAP, Grisham JR. Manipulating visual perspective for obsessional imagery and its impact on obsessive-compulsive symptoms in an analogue sample. J Anxiety Disord. 2020;72:102227. https://doi.org/10.1016/j.janxdis.2020.102227
  • 20. Abramowitz JS, Deacon BJ, Whiteside SP. Exposure therapy for anxiety: Principles and practice. New York (NY): Guilford Publications; 2019.
  • 21. Stewart SE, Hu YP, Leung A, et al. A Multisite Study of Family Functioning Impairment in Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry. 2017;56(3):241–9.e3. https://doi.org/10.1016/j.jaac.2016.12.012
  • 22. Sahoo P, Sethy RR, Ram D. Functional Impairment and Quality of Life in Patients with Obsessive Compulsive Disorder. Indian J Psychol Med. 2017;39(6):760–5. https://doi.org/10.4103/IJPSYM.IJPSYM_53_17
  • 23. Patel SR, La Fleur R, Margolies PJ, et al. Evidence-Based Supported Employment for Individuals With Obsessive-Compulsive Disorder. Psychiatr Serv. 2024;75(4):381–3. https://doi.org/10.1176/appi.ps.20230075
  • 24. Steketee G. Social Support and Treatment Outcome of Obsessive Compulsive Disorder at 9-Month Follow-up. Behav Psychother. 1993;21(2):81–95. https://doi.org/10.1017/S014134730001805X
  • 25. Palardy V, El-Baalbaki G, Fredette C, et al. Social Support and Symptom Severity Among Patients With Obsessive-Compulsive Disorder or Panic Disorder With Agoraphobia: A Systematic Review. Eur J Psychol. 2018;14(1):254–86. https://doi.org/10.5964/ejop.v14i1.1252
  • 26. Aruldass P, Sekar TS, Saravanan S, et al. Effectiveness of Social Skills Training Groups in Persons with Severe Mental Illness: A Pre-Post Intervention Study. Indian J Psychol Med. 2022;44(2):114–9. https://doi.org/10.1177/02537176211024146
  • 27. Bartels SJ, Pratt SI. Psychosocial rehabilitation and quality of life for older adults with serious mental illness: recent findings and future research directions. Curr Opin Psychiatry. 2009;22(4):381–5. https://doi.org/10.1097/YCO.0b013e32832c9234
  • 28. Macy AS, Theo JN, Kaufmann SC, et al. Quality of life in obsessive compulsive disorder. CNS Spectr. 2013;18(1):21–33. https://doi.org/10.1017/S1092852912000697
  • 29. Epel N, Zohar AA, Artom A, et al. The Effect of Cognitive Behavioral Group Therapy on Children's Self-Esteem. Children (Basel). 2021;8(11):958. https://doi.org/10.3390/children8110958
  • 30. Abramowitz JS. The psychological treatment of obsessive-compulsive disorder. Can J Psychiatry. 2006;51(7):407-16. https://doi.org/10.1177/070674370605100702
  • 31. Franklin ME, Foa EB. Treatment of obsessive compulsive disorder. Annu Rev Clin Psychol. 2011;7:229-43. https://doi.org/10.1146/annurev-clinpsy-032210-104533
  • 32. Foa EB, Yadin E, Lichner TK. Exposure and response (ritual) prevention for obsessive compulsive disorder: therapist guide. 2nd ed. New York (NY): Treatments That Work, Guilford Publications; 2012. p. 46-66. https://doi.org/10.1093/med:psych/9780195335286.001.0001
  • 33. Olatunji BO, Davis ML, Powers MB, Smits JA. Cognitive-behavioral therapy for obsessive-compulsive disorder: a meta-analysis of treatment outcome and moderators. J Psychiatr Res. 2013;47(1):33-41. https://doi.org/10.1016/j.jpsychires.2012.08.020
  • 34. Whittal ML, Thordarson DS, McLean PD. Treatment of obsessive-compulsive disorder: cognitive behavior therapy vs. exposure and response prevention. Behav Res Ther. 2005;43(12):1559–76. https://doi.org/10.1016/j.brat.2004.11.012
  • 35. Wells A. Metacognitive therapy for anxiety and depression. New York (NY): Guilford Press; 2009.
  • 36. Fisher PL, Wells A. Metacognitive therapy for obsessive-compulsive disorder: a case series. J Behav Ther Exp Psychiatry. 2008;39(2):117-32. https://doi.org/10.1016/j.jbtep.2006.12.001
  • 37. Bluett EJ, Homan KJ, Morrison KL, et al. Acceptance and commitment therapy for anxiety and OCD spectrum disorders: an empirical review. J Anxiety Disord. 2014;28(6):612–24. https://doi.org/10.1016/j.janxdis.2014.06.008
  • 38. Julien D, O'Connor K, Aardema F. The inference-based approach to obsessive-compulsive disorder: A comprehensive review of its etiological model, treatment efficacy, and model of change. J Affect Disord. 2016;202:187–96. https://doi.org/10.1016/j.jad.2016.05.060
  • 39. Ale CM, McCarthy DM, Rothschild LM, et al. Components of Cognitive Behavioral Therapy Related to Outcome in Childhood Anxiety Disorders. Clin Child Fam Psychol Rev. 2015;18:240–51. https://doi.org/10.1007/s10567-015-0184-8
  • 40. Barrett P, Healy-Farrell L, March JS. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. J Am Acad Child Adolesc Psychiatry. 2004;43(1):46–62. https://doi.org/10.1097/00004583-200401000-00014
  • 41. Liu X, Fan Q. Early Identification and Intervention in Pediatric Obsessive-Compulsive Disorder. Brain Sci. 2023;13(3):399. https://doi.org/10.3390/brainsci13030399
  • 42. Lewin AB, Park JM, Jones AM, et al. Family-based exposure and response prevention therapy for preschool-aged children with obsessive-compulsive disorder: a pilot randomized controlled trial. Behav Res Ther. 2014;56:30–8. https://doi.org/10.1016/j.brat.2014.02.001
  • 43. Freeman JB, Garcia AM, Coyne L, et al. Early childhood OCD: preliminary findings from a family-based cognitive-behavioral approach. J Am Acad Child Adolesc Psychiatry. 2008;47(5):593–602. https://doi.org/10.1097/CHI.0b013e31816765f9
  • 44. Storch EA, Geffken GR, Merlo LJ, et al. Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc Psychol. 2007;36(2):207–16. https://doi.org/10.1080/15374410701277929
  • 45. Miegel F, Demiralay C, Moritz S, et al. Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial. BMC Psychiatry. 2020;20:350. https://doi.org/10.1186/s12888-020-02648-3
  • 46. Jacob KS, Kuruvilla A. Psychotherapy across cultures: the form-content dichotomy. Clin Psychol Psychother. 2012;19(1):91–5. https://doi.org/10.1002/cpp.736
  • 47. Griner D, Smith TB. Culturally adapted mental health intervention: A meta-analytic review. Psychotherapy (Chic). 2006;43(4):531–48. https://doi.org/10.1037/0033-3204.43.4.531
  • 48. Williams MT, Rouleau TM, La Torre JT, et al. Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines. Cogn Behav Ther. 2020;13:e48. https://doi.org/10.1017/S1754470X20000501
  • 49. Aslam M, Irfan M, Naeem F. Brief culturally adapted cognitive behaviour therapy for obsessive compulsive disorder: A pilot study. Pak J Med Sci. 2015;31(4):874–9. https://doi.org/10.12669/pjms.314.7385
  • 50. Hollon SD, Thase ME, Markowitz JC. Treatment and Prevention of Depression. Psychol Sci Public Interest. 2002;3(2):39-77. https://doi.org/10.1111/1529-1006.00008
  • 51. Allerby K, Goulding A, Ali L, et al. Increasing person-centeredness in psychosis inpatient care: staff experiences from the Person-Centered Psychosis Care (PCPC) project. BMC Health Serv Res. 2022;22(1):596. https://doi.org/10.1186/s12913-022-08008-z

The Clinical Importance and Application Methods of Psychosocial Rehabilitation in Obsessive-Compulsive Disorder

Yıl 2025, Cilt: 1 Sayı: 2, 48 - 56, 29.07.2025

Öz

Obsessive Compulsive Disorder (OCD) is a chronic mental health problem that seriously affects the daily life quality of individuals. It is known that OCD deeply affects not only biological and psychological aspects but also social functioning. In this context, psychosocial rehabilitation stands out as an important treatment approach for individuals to adapt to social life and increase their functioning.
This review examines the role of psychosocial rehabilitation in the treatment of OCD, examines practices based on this approach, and evaluates its effectiveness. It discusses how methods such as cognitive behavioral therapy, supportive group therapies, social skills training, and vocational rehabilitation programs applied within the scope of psychosocial rehabilitation have an effect on increasing individuals' social functionality and managing their symptoms. In addition, the role of family and social support mechanisms in the treatment process is examined, and the factors that contribute to the individual's psychosocial recovery process are detailed. It has been observed that psychosocial interventions increase individuals' participation in daily life activities, strengthen their adaptation to society, and support their motivation for treatment. In addition, it is discussed how these rehabilitation methods provide complementary support to traditional pharmacological and psychotherapeutic approaches and provide sustainable recovery in the long term. Finally, recommendations are presented to further strengthen the place of psychosocial rehabilitation in OCD treatment, and in light of current research in this field, the development of more comprehensive and integrated intervention programs is emphasized.

Kaynakça

  • 1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
  • 2. World Health Organization. (2019). International Classification of Diseases, 11th Revision (ICD-11).
  • 3. Brock H, Rizvi A, Hany M. Obsessive-Compulsive Disorder. [Updated 2024 Feb 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553162/
  • 4. Fawcett EJ, Power H, Fawcett JM. Women Are at Greater Risk of OCD Than Men: A Meta-Analytic Review of OCD Prevalence Worldwide. J Clin Psychiatry. 2020;81(4):19r13085. https://doi.org/10.4088/JCP.19r13085
  • 5. Pauls DL, Abramovitch A, Rauch SL, Geller DA. Obsessive-compulsive disorder: an integrative genetic and neurobiological perspective. Nat Rev Neurosci. 2014;15(6):410-24. https://doi.org/10.1038/nrn3746
  • 6. Murphy DL, Timpano KR, Wheaton MG, et al. Obsessive-compulsive disorder and its related disorders: a reappraisal of obsessive-compulsive spectrum concepts. Dialogues Clin Neurosci. 2010;12(2):131–48. https://doi.org/10.31887/DCNS.2010.12.2/dmurphy
  • 7. Stein DJ, Costa DLC, Lochner C, et al. Obsessive–compulsive disorder. Nat Rev Dis Primers. 2019;5:52. https://doi.org/10.1038/s41572-019-0102-3
  • 8. Schirmbeck F, Zink M. Cognitive behavioural therapy for obsessive-compulsive symptoms in schizophrenia. Cogn Behav Ther. 2013;6:e7. https://doi.org/10.1017/S1754470X13000123
  • 9. Starcevic V, Berle D, Brakoulias V, et al. The Nature and Correlates of Avoidance in Obsessive–Compulsive Disorder. Aust N Z J Psychiatry. 2011;45(10):871-9. https://doi.org/10.3109/00048674.2011.607632
  • 10. Verywell Mind. What is Obsessive-Compulsive Disorder (OCD)? 2023 [cited 2025 Jul 3]. Available from: https://www.verywellmind.com/what-is-obsessive-compulsive-disorder-ocd-2510675
  • 11. Eisen JL, Mancebo MA, Pinto A, et al. Impact of obsessive-compulsive disorder on quality of life. Compr Psychiatry. 2006;47(4):270–5. https://doi.org/10.1016/j.comppsych.2005.11.006
  • 12. Swierkosz-Lenart K, Dos Santos JFA, Elowe J, et al. Therapies for obsessive-compulsive disorder: Current state of the art and perspectives for approaching treatment-resistant patients. Front Psychiatry. 2023;14:1065812. Published 2023 Feb 16. doi:10.3389/fpsyt.2023.1065812
  • 13. Jónsson H, Hougaard E. Group cognitive behavioural therapy for obsessive-compulsive disorder: a systematic review and meta-analysis. Acta Psychiatr Scand. 2009;119(2):98–106. https://doi.org/10.1111/j.1600-0447.2008.01270.x
  • 14. Munford PR, Hand I, Liberman RP. Psychosocial treatment for obsessive-compulsive disorder. Psychiatry. 1994;57(2):142–52. https://doi.org/10.1080/00332747.1994.11024677
  • 15. Miegel F, Demiralay C, Sure A, et al. The Metacognitive Training for obsessive-compulsive disorder: A pilot study. Curr Psychol. 2022;41:7114–24. https://doi.org/10.1007/s12144-020-01158-5
  • 16. Rasmus P, Lipert A, Pękala K, et al. The Influence of a Psychosocial Rehabilitation Program in a Community Health Setting for Patients with Chronic Mental Disorders. Int J Environ Res Public Health. 2021;18(8):4319. https://doi.org/10.3390/ijerph18084319
  • 17. Jaisoorya TS, Janardhan Reddy YC. Functional Recovery in Obsessive–Compulsive Disorder. J Psychosoc Rehabil Ment Health. 2023;10:11–3. https://doi.org/10.1007/s40737-022-00325-0
  • 18. McKay D, Sookman D, Neziroglu F, et al. Efficacy of cognitive-behavioral therapy for obsessive-compulsive disorder. Psychiatry Res. 2015;225(3):236–46. https://doi.org/10.1016/j.psychres.2014.11.058
  • 19. Wong SF, Hu DAP, Grisham JR. Manipulating visual perspective for obsessional imagery and its impact on obsessive-compulsive symptoms in an analogue sample. J Anxiety Disord. 2020;72:102227. https://doi.org/10.1016/j.janxdis.2020.102227
  • 20. Abramowitz JS, Deacon BJ, Whiteside SP. Exposure therapy for anxiety: Principles and practice. New York (NY): Guilford Publications; 2019.
  • 21. Stewart SE, Hu YP, Leung A, et al. A Multisite Study of Family Functioning Impairment in Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry. 2017;56(3):241–9.e3. https://doi.org/10.1016/j.jaac.2016.12.012
  • 22. Sahoo P, Sethy RR, Ram D. Functional Impairment and Quality of Life in Patients with Obsessive Compulsive Disorder. Indian J Psychol Med. 2017;39(6):760–5. https://doi.org/10.4103/IJPSYM.IJPSYM_53_17
  • 23. Patel SR, La Fleur R, Margolies PJ, et al. Evidence-Based Supported Employment for Individuals With Obsessive-Compulsive Disorder. Psychiatr Serv. 2024;75(4):381–3. https://doi.org/10.1176/appi.ps.20230075
  • 24. Steketee G. Social Support and Treatment Outcome of Obsessive Compulsive Disorder at 9-Month Follow-up. Behav Psychother. 1993;21(2):81–95. https://doi.org/10.1017/S014134730001805X
  • 25. Palardy V, El-Baalbaki G, Fredette C, et al. Social Support and Symptom Severity Among Patients With Obsessive-Compulsive Disorder or Panic Disorder With Agoraphobia: A Systematic Review. Eur J Psychol. 2018;14(1):254–86. https://doi.org/10.5964/ejop.v14i1.1252
  • 26. Aruldass P, Sekar TS, Saravanan S, et al. Effectiveness of Social Skills Training Groups in Persons with Severe Mental Illness: A Pre-Post Intervention Study. Indian J Psychol Med. 2022;44(2):114–9. https://doi.org/10.1177/02537176211024146
  • 27. Bartels SJ, Pratt SI. Psychosocial rehabilitation and quality of life for older adults with serious mental illness: recent findings and future research directions. Curr Opin Psychiatry. 2009;22(4):381–5. https://doi.org/10.1097/YCO.0b013e32832c9234
  • 28. Macy AS, Theo JN, Kaufmann SC, et al. Quality of life in obsessive compulsive disorder. CNS Spectr. 2013;18(1):21–33. https://doi.org/10.1017/S1092852912000697
  • 29. Epel N, Zohar AA, Artom A, et al. The Effect of Cognitive Behavioral Group Therapy on Children's Self-Esteem. Children (Basel). 2021;8(11):958. https://doi.org/10.3390/children8110958
  • 30. Abramowitz JS. The psychological treatment of obsessive-compulsive disorder. Can J Psychiatry. 2006;51(7):407-16. https://doi.org/10.1177/070674370605100702
  • 31. Franklin ME, Foa EB. Treatment of obsessive compulsive disorder. Annu Rev Clin Psychol. 2011;7:229-43. https://doi.org/10.1146/annurev-clinpsy-032210-104533
  • 32. Foa EB, Yadin E, Lichner TK. Exposure and response (ritual) prevention for obsessive compulsive disorder: therapist guide. 2nd ed. New York (NY): Treatments That Work, Guilford Publications; 2012. p. 46-66. https://doi.org/10.1093/med:psych/9780195335286.001.0001
  • 33. Olatunji BO, Davis ML, Powers MB, Smits JA. Cognitive-behavioral therapy for obsessive-compulsive disorder: a meta-analysis of treatment outcome and moderators. J Psychiatr Res. 2013;47(1):33-41. https://doi.org/10.1016/j.jpsychires.2012.08.020
  • 34. Whittal ML, Thordarson DS, McLean PD. Treatment of obsessive-compulsive disorder: cognitive behavior therapy vs. exposure and response prevention. Behav Res Ther. 2005;43(12):1559–76. https://doi.org/10.1016/j.brat.2004.11.012
  • 35. Wells A. Metacognitive therapy for anxiety and depression. New York (NY): Guilford Press; 2009.
  • 36. Fisher PL, Wells A. Metacognitive therapy for obsessive-compulsive disorder: a case series. J Behav Ther Exp Psychiatry. 2008;39(2):117-32. https://doi.org/10.1016/j.jbtep.2006.12.001
  • 37. Bluett EJ, Homan KJ, Morrison KL, et al. Acceptance and commitment therapy for anxiety and OCD spectrum disorders: an empirical review. J Anxiety Disord. 2014;28(6):612–24. https://doi.org/10.1016/j.janxdis.2014.06.008
  • 38. Julien D, O'Connor K, Aardema F. The inference-based approach to obsessive-compulsive disorder: A comprehensive review of its etiological model, treatment efficacy, and model of change. J Affect Disord. 2016;202:187–96. https://doi.org/10.1016/j.jad.2016.05.060
  • 39. Ale CM, McCarthy DM, Rothschild LM, et al. Components of Cognitive Behavioral Therapy Related to Outcome in Childhood Anxiety Disorders. Clin Child Fam Psychol Rev. 2015;18:240–51. https://doi.org/10.1007/s10567-015-0184-8
  • 40. Barrett P, Healy-Farrell L, March JS. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. J Am Acad Child Adolesc Psychiatry. 2004;43(1):46–62. https://doi.org/10.1097/00004583-200401000-00014
  • 41. Liu X, Fan Q. Early Identification and Intervention in Pediatric Obsessive-Compulsive Disorder. Brain Sci. 2023;13(3):399. https://doi.org/10.3390/brainsci13030399
  • 42. Lewin AB, Park JM, Jones AM, et al. Family-based exposure and response prevention therapy for preschool-aged children with obsessive-compulsive disorder: a pilot randomized controlled trial. Behav Res Ther. 2014;56:30–8. https://doi.org/10.1016/j.brat.2014.02.001
  • 43. Freeman JB, Garcia AM, Coyne L, et al. Early childhood OCD: preliminary findings from a family-based cognitive-behavioral approach. J Am Acad Child Adolesc Psychiatry. 2008;47(5):593–602. https://doi.org/10.1097/CHI.0b013e31816765f9
  • 44. Storch EA, Geffken GR, Merlo LJ, et al. Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc Psychol. 2007;36(2):207–16. https://doi.org/10.1080/15374410701277929
  • 45. Miegel F, Demiralay C, Moritz S, et al. Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial. BMC Psychiatry. 2020;20:350. https://doi.org/10.1186/s12888-020-02648-3
  • 46. Jacob KS, Kuruvilla A. Psychotherapy across cultures: the form-content dichotomy. Clin Psychol Psychother. 2012;19(1):91–5. https://doi.org/10.1002/cpp.736
  • 47. Griner D, Smith TB. Culturally adapted mental health intervention: A meta-analytic review. Psychotherapy (Chic). 2006;43(4):531–48. https://doi.org/10.1037/0033-3204.43.4.531
  • 48. Williams MT, Rouleau TM, La Torre JT, et al. Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines. Cogn Behav Ther. 2020;13:e48. https://doi.org/10.1017/S1754470X20000501
  • 49. Aslam M, Irfan M, Naeem F. Brief culturally adapted cognitive behaviour therapy for obsessive compulsive disorder: A pilot study. Pak J Med Sci. 2015;31(4):874–9. https://doi.org/10.12669/pjms.314.7385
  • 50. Hollon SD, Thase ME, Markowitz JC. Treatment and Prevention of Depression. Psychol Sci Public Interest. 2002;3(2):39-77. https://doi.org/10.1111/1529-1006.00008
  • 51. Allerby K, Goulding A, Ali L, et al. Increasing person-centeredness in psychosis inpatient care: staff experiences from the Person-Centered Psychosis Care (PCPC) project. BMC Health Serv Res. 2022;22(1):596. https://doi.org/10.1186/s12913-022-08008-z
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik (Diğer), Rehabilitasyon
Bölüm Derleme
Yazarlar

Aliye Eda Uçar 0009-0004-2548-8070

Atakan Öztürk 0000-0003-4787-4883

Yayımlanma Tarihi 29 Temmuz 2025
Gönderilme Tarihi 19 Haziran 2025
Kabul Tarihi 7 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 1 Sayı: 2

Kaynak Göster

Vancouver Uçar AE, Öztürk A. The Clinical Importance and Application Methods of Psychosocial Rehabilitation in Obsessive-Compulsive Disorder. SABİB. 2025;1(2):48-56.