Uno studio islandese conferma l'efficacia a 12 mesi del trattamento intensivo Bergen 4-Day per il DOC grave. I risultati mostrano un mantenimento dei guadagni, un tasso di drop-out quasi nullo e un significativo miglioramento del funzionamento globale, sfidando i modelli terapeutici tradizionali.
Argomenti:
DOC, CBT, ERP, TerapiaIntensiva, Bergen4Day, FollowUp, EfficaciaClinica
🌐 Fonte principale:
Davidsdottir, S. D., Ludvigsdottir, S. J., Kvale, G., Hansen, B., Hagen, K., Hjartarson, K. H., Skarphedinsson, G., Gudmundsson, E. G., Gudmundsdottir, H., & Öst, L.-G. (2026). The Bergen 4-day treatment for OCD in Iceland: 12-month follow-up. "the Cognitive Behaviour Therapist, 19", e17. https://doi.org/10.1017/S1754470X26100555
https://dx.doi.org/10.1017/S1754470X26100555?rft_dat=source%3Ddrss
📚 Bibliografia:
📖 Davidsdottir, S. D., Sigurjonsdottir, Ó., Ludvigsdottir, S. J., Kvale, G., Hansen, B., Hagen, K., Gunnarsson, Á., Hjartarson, K. H., Skarphedinsson, G. & Öst, L.-G. (2025b). Preliminary effectiveness of the Bergen 4-day treatment for OCD in Iceland. Cognitive Behaviour Therapy, 1–18.
📖 Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989a). The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.
📖 Hansen, B., Kvale, G., Hagen, K., Havnen, A., & Öst, L.-G. (2019). The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting. Cognitive Behaviour Therapy, 48(2), 89–105.
📖 Mataix-Cols, D., de la Cruz, L. F., Nordsletten, A. E., Lenhard, F., Isomura, K., & Simpson, H. B. (2016). Towards an international expert consensus for defining treatment response, remission, recovery and relapse in obsessive-compulsive disorder. World Psychiatry, 15(1), 80–81.
📖 Öst, L.-G., Havnen, A., Hansen, B., & Kvale, G. (2015). Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014. Clinical Psychology Review, 40, 156–169.
🛠️ Strumenti Clinici Citati:
🔸 Mini International Neuropsychiatric Interview (M.I.N.I.): Intervista diagnostica semistrutturata per la valutazione dei principali disturbi psichiatrici secondo i criteri del DSM-IV e ICD-10 (Sheehan et al., 1998).
🔸 Yale-Brown Obsessive-Compulsive Scale (Y-BOCS): Intervista clinica a 10 item, gold-standard per misurare la gravità dei sintomi ossessivi e compulsivi (Goodman et al., 1989a