Dynamic Patterns in Psychotherapy - Discontinuous Changes and Critical Instabilities during the Treatment of Obsessive Compulsive Disorder

Stephan Heinzel; Igor Tominschek; Guenter Schiepek

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Dynamic Patterns in Psychotherapy - Discontinuous Changes and Critical Instabilities during the Treatment of Obsessive Compulsive Disorder

机译：心理治疗中的动态模式-强迫症治疗过程中的不连续变化和严重不稳定性

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In therapy processes of a variety of disorders, discontinuous trajectories of symptom changes have been identified. In this study, we are reporting on such "sudden gains" that occur in the treatment of clients with obsessive-compulsive disorder (OCD) following cognitive-behavioral group therapy. Time series analysis of data taken from 18 OCD clients revealed that a discontinuously shaped symptom reduction took place already before exposure/response prevention (ERP) in a large number of clients. Coincidently with the steepest gradient of symptom change an increased level of dynamic complexity in daily ratings of 47 items of a specific change questionnaire was observed. Our results support hypotheses from the theory of complex self-organizing systems, postulating nonstationarity and critical instabilities during order transitions. Our study underlines the usefulness of real-time monitoring procedures with high-frequency ratings (daily measurements) in therapeutic routine practice.

机译：在各种疾病的治疗过程中，已经确定了症状变化的不连续轨迹。在这项研究中，我们报道了在认知行为小组治疗后强迫症患者的这种“突然收获”。对来自18个OCD客户的数据进行的时间序列分析显示，在许多客户中，在暴露/反应预防（ERP）之前就已经出现了不连续形状的症状减轻。巧合的是，随着症状变化的最陡峭梯度，每天观察到的47项特定变化问卷的动态复杂性水平有所提高。我们的结果支持来自复杂的自组织系统理论的假设，该假设假设了阶跃过渡期间的非平稳性和临界不稳定性。我们的研究强调了高频监测（每日测量）实时监测程序在治疗常规实践中的有用性。

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《Nonlinear dynamics, psychology and life sciences》 |2014年第2期|155-176|共22页
作者
Stephan Heinzel; Igor Tominschek; Guenter Schiepek;
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作者单位

Department of Psychology, Humboldt-Universitaet zu Berlin, Rudower Chaussee 18, 12489 Berlin, Germany;

Clinic of Psychosomatic Medicine, Windach/Ammersee, Germany;

Paracelsus Medical University, Salzburg, Austria;

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正文语种 eng
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关键词
process-outcome research; sudden gains; obsessive-compulsive disorder; nonlinear dynamics; critical instability;

机译：过程结果研究;突如其来的收获;强迫症;非线性动力学;严重不稳定;

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专利

1. A controlled single case study with repeated fMRI measurements during the treatment of a patient with obsessive-compulsive disorder: testing the nonlinear dynamics approach to psychotherapy. [J] . Schiepek G, Tominschek I, Karch S, The world journal of biological psychiatry: the official journal of the World Federation of Societies of Biological Psychiatry . 2009,第4aS2期

机译：具有强迫症的患者的治疗期间重复的FMRI测量的受控单案研究：测试心理治疗的非线性动力学方法。
2. Technological advances in psychotherapy: Implications for the assessment and treatment of obsessive compulsive disorder [J] . LindC., BoschenM.J., MorrisseyS. Journal of anxiety disorders . 2013,第1期

机译：心理治疗的技术进步：对强迫症的评估和治疗的意义
3. Increased Maintenance of Obsessive-Compulsive Disorder Remission after Integrated Serotonergic Treatment and Cognitive Psychotherapy Compared with Medication Alone. [J] . Picardi A Psychotherapy and psychosomatics . 2005,第2期

机译：与单独使用药物相比，在综合血清素能治疗和认知心理治疗后，强迫症缓解的维持率增加。
4. The Virtual Patient Simulator of Deep Brain Stimulation in the Obsessive Compulsive Disorder Based on Connectome and 7 Tesla MRI Data: The Virtual Patient Simulator of Deep Brain Stimulation in the Obsessive Compulsive Disorder [C] . Giorgio Bonmassar, Nikos Makris International Conference on Advanced Cognitive Technologies and Applications . 2014

机译：基于Constalome的强迫障碍的深脑刺激虚拟患者模拟器，7特斯拉MRI数据：强迫症深脑刺激的虚拟患者模拟器
5. Evidence for an obsessive-compulsive disorder spectrum: Factor and cluster analysis of nonclinical and subclinical body dysmorphic disorder, eating disorder, and obsessive-compulsive disorder characteristics. [D] . Jaberg, Peter E. 2005

机译：强迫症谱系的证据：非临床和亚临床身体变形障碍，进食障碍和强迫症特征的因子和聚类分析。
6. Discontinuous Patterns of Brain Activation in the Psychotherapy Process of Obsessive-Compulsive Disorder: Converging Results from Repeated fMRI and Daily Self-Reports [O] . Günter Schiepek, Igor Tominschek, Stephan Heinzel, -1

机译：强迫症心理治疗过程中大脑激活的不连续模式：重复fMRI和每日自我报告的结果融合。
7. Discontinuous patterns of brain activation in the psychotherapy process of obsessive-compulsive disorder: converging results from repeated FMRI and daily self-reports. [O] . Günter Schiepek, Igor Tominschek, Stephan Heinzel, 2013

机译：在强迫症的心理治疗过程中不连续的大脑激活模式：来自重复FmRI和每日自我报告的收敛结果。

Dynamic Patterns in Psychotherapy - Discontinuous Changes and Critical Instabilities during the Treatment of Obsessive Compulsive Disorder

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