Cognitive-Behavioural Therapy of Obsessive-Compulsive Disorder in Oral Lichen Planus: A Case Study

  1. Durán, Montserrat 1
  2. Simón, Miguel A. 1
  1. 1 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Revista:
Scandinavian Journal of Behaviour Therapy

ISSN: 0284-5717

Año de publicación: 1999

Volumen: 28

Número: 4

Páginas: 143-149

Tipo: Artículo

DOI: 10.1080/028457199439883 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Scandinavian Journal of Behaviour Therapy

Resumen

In this single-case study, the clinical effectiveness of a cognitive-behavioural programme for thetreatment of a subject affected with oral lichen planus and showing an obsessive-compulsivedisorder is appraised. The condition was distinguished by irrational thoughts related to the diseaseand self-checking rituals concerning the state of the patient’s mouth. These rituals provoked bucalmucosa membrane irritation, resulting in the deterioration of lichen lesions and an increase in theirseverity, impeding the action of pharmacological treatment. The intervention process wasdeveloped over the course of a month and a half, and in two clearly differentiated phases. First, aninitial assessment was made over 15 days, with the purpose of obtaining data about type andfrequency of the ritualistic behaviour as well as about the irrational thoughts and subjective anxietylevel. Second, the treatment phase was carried out intensively for a month. Therapeutic proceduresincluded exposure techniques, self-instructional training and response prevention. The resultsshow significant differences between baseline and treatment phases in self-checking behaviourfrequency, mean time spent on the rituals and subjective anxiety level. In addition, 1 and 9 monthsfollow-up data are presented, showing that therapeutic gains were maintained. Key words:Obsessive-compulsive disorder; exposure techniques; oral lichen planus.

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