sistematični teoretični pregled
Urban Juhart (Author), Peter Pregelj (Mentor), Brigita Novak Šarotar (Co-mentor)

Abstract

Namen pričujočega sistematičnega teoretičnega pregleda (STP) je dopolniti pregled napovednikov izida kognitivno-vedenjske terapije (KVT) bolnikov z obsesivno-kompulzivno motnjo (OKM), ki ga v preglednem članku iz leta 2008 poda Keeley s sodelavci, in z aktualnimi ugotovitvami zmanjšati morebitna obstoječa razhajanja v ugotovitvah s tega področja, tako pa ponuditi celovit pregled napovednikov izida KVT s potencialom omogočanja razvoja in uporabe modificiranih in personaliziranih strategij KVT pri zdravljenju bolnikov z OKM. STP smo izvedli v skladu s smernicami PRISMA, pri čemer je strategija iskanja študij za vključitev v STP temeljila na iskanju v petih akademskih bazah podatkov. Nadaljnji izbor študij je potekal na osnovi oblikovanih kriterijev ustreznosti za vključitev v STP; študijam, ki so jim zadostile, smo z uporabo pripomočka QATDSS dodelili še oceno kakovosti. Za namen sinteze relevantnih informacij in ugotovitev v STP vključenih študij smo oblikovali tabele sinteze, ki smo jih ločili glede na šest različnih skupin preučevanih potencialnih napovednikov izida KVT. S sintezo informacij o aktualnih študijah smo prepoznali 39 potencialnih napovednikov izida KVT otrok in mladostnikov ter 13 za izid KVT odraslih bolnikov, ki jih pretekle študije še niso preučevale. Glede na naša opažanja in opažanja zadnjega preglednega članka ugotavljamo, da ostaja na celotnem razvojnem spektru bolnikov z OKM pomanjkljivo preučevana napovedna vrednost značilnosti terapevta za izid KVT, še nepreučevana pa napovedna vrednost medkulturnih razlik za izid KVT. Pomanjkljivo preučevani ostajajo tudi napovedniki izida KVT na vzorcih starostnikov. Sinteza ugotovitev preteklih in aktualnih študij je pokazala na prevladujočo konsistentnost ugotovitev študij na otrocih in mladostnikih z ugotovitvami študij na odraslih bolnikih, prevladujoče konsistentne pa so tudi ugotovitve preteklih študij z aktualnimi. Nenazadnje v pričujočem delu ponudimo priporočene prilagoditve KVT za zdravljenje bolnikov z OKM, oblikovane na podlagi ugotovitev o napovednikih izida KVT, v zaključku dela pa obravnavamo njegove pomanjkljivosti, predstavimo njegovo uporabno vrednost in predlagamo ideje za prihodnje raziskave.

Keywords

kognitivno-vedenjska terapija;obsesivno-kompulzivna motnja;napovedniki izida;pregledne študije;magistrska dela;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UL MF - Faculty of Medicine
Publisher: [U. Juhart]
UDC: 615.851:616.891.7(043.2)
COBISS: 153713411 Link will open in a new window
Views: 66
Downloads: 15
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Other data

Secondary language: English
Secondary title: Outcome predictors of cognitive behavioral therapy for OCD: Systematic review
Secondary abstract: The purpose of the present systematic review (SR) is to supplement the review of outcome predictors of cognitive behavioral therapy (CBT) for patients with obsessive compulsive disorder (OCD), provided in 2008 in a review article by Keeley and associates, and to reduce any existing discrepancies in the findings from this field with current findings and thus provide a comprehensive overview of the outcome predictors of CBT with a potential of allowing development and use of modified and personalized CBT strategies in the treatment of OCD patients. We performed the SR in accordance with PRISMA guidelines, whereby the strategy for finding studies to include in SR was based on searching in five academic databases. Further selection of studies took place based on established eligibility criteria. Studies that have met the eligibility criteria for inclusion in SR, were assigned a quality rating using the QATDSS tool. For the purpose of synthesis of relevant information and findings of studies, included to SR, we created synthesis tables, which we separated according to six different groups of potential outcome predictors of CBT. With the synthesis of information about current studies, we recognized 39 potential outcome predictors for CBT of children and adolescents and 13 potential outcome predictors for CBT of adult patients, which were not studied by previous studies. Based on our findings and observations of the last review article, we find that on the entire developmental spectrum of OCD patients, the predictive value of the therapist’s characteristics for the outcome of CBT remains understudied and not yet studied remains the predictive value of intercultural differences for the outcome of CBT. Outcome predictors of CBT on elderly samples also remain understudied. The synthesis of findings of past and current studies showed a prevailing consistency of findings of studies on children and adolescents with findings of studies on adult patients. Prevailing consistent are also findings of past studies with the findings of current studies. Last but not least, the present work offers suggested adaptations of CBT for the treatment of OCD patients, developed based on the findings on the outcome predictors of CBT for OCD. Finally, we discuss the work’s shortcomings, present its practical value and suggest ideas for future research.
Secondary keywords: cognitive behavior therapy;obsessive compulsive disorders;outcome predictors;systematic reviews;masters theses;
Type (COBISS): Master's thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Filozofska fak., Oddelek za psihologijo
Pages: 106 str.
ID: 18721677