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

Ano de publicación: 1999

Volume: 28

Número: 4

Páxinas: 143-149

Tipo: Artigo

DOI: 10.1080/028457199439883 GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Scandinavian Journal of Behaviour Therapy

Resumo

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.

Referencias bibliográficas

  • Allen C. M., (1986), Oral Surgery, Oral Medicine, Oral Pathology, 61, pp. 44, 10.1016/0030-4220(86)90201-X
  • (1994), Diagnostic and statistical manual of mental disorders
  • Andreasen J. O., (1968), Oral Surgery, Oral Medicine, Oral Pathology, 25, pp. 31, 10.1016/0030-4220(68)90194-1
  • Barlow D. H., (1984), Single case experimental designs. Strategies for studying behavior change
  • Bergdahl J., (1995), Acta Odontologica Scandinavica, 53, pp. 236, 10.3109/00016359509005979
  • Brown R. S., (1993), Journal of Oral Pathology and Medicine, 22, pp. 69, 10.1111/j.1600-0714.1993.tb00046.x
  • Domonkos A. N., (1982), Andrew's diseases of the skin
  • Duran M., (1997), Adas 21 Congreso Nacional de Psicologia da Saúde, pp. 507
  • Foa E. B., (1987), Psychotherapists in clinical practice, pp. 78
  • Foa E., (1992), Venza sus obsesiones
  • Garcia A., (1970), Liquen
  • Graña J. L., (1991), Análisis y Modificación de Conducta, 17, pp. 297
  • Hampf B., (1987), Oral Surgery, Oral Medicine, Oral Pathology, 63, pp. 429, 10.1016/0030-4220(87)90254-4
  • Hodgson R. J., (1977), Behavior Research and Therapy, 15, pp. 389, 10.1016/0005-7967(77)90042-0
  • Itin P., (1992), Dermatology, 185, pp. 262, 10.1159/000247464
  • Kanwar A. J., (1991), Pediatric Dermatology, 8, pp. 288, 10.1111/j.1525-1470.1991.tb00935.x
  • Lowental U., (1984), Journal of Oral Medicine, 39, pp. 224
  • Marks I., (1992), Avances en el tratamiento psicológico de los trastornos de ansiedad, pp. 97
  • McCartan B. E., (1995), Journal of Oral Pathology and Medicine, 24, pp. 273, 10.1111/j.1600-0714.1995.tb01181.x
  • McCarthy P., (1990), Handbook of outpatient treatment of adults, pp. 209, 10.1007/978-1-4899-0894-0_10
  • McCarthy P. L., (1985), Enfermedades de la mucosa bucal
  • Philpott R., (1975), Scottish Medical Journal, 20, pp. 33, 10.1177/00369330750200S108
  • Riggs D., (1993), Clinical handbook of psychological disorders. A step by step treatment Manual
  • Rook A., (1986), Testbook of dermatology
  • Shafler W. G., (1983), A textbook of oral pathology
  • Silverman S., (1985), Oral Surgery, Oral Medicine, Oral Pathology, 60, pp. 30, 10.1016/0030-4220(85)90210-5
  • Vicent S. D., (1990), Oral Surgery, Oral Medicine, Oral Pathology, 70, pp. 165, 10.1016/0030-4220(90)90112-6
  • Wilson E., (1869), Journal of Cutaneous Medicine, 3, pp. 117
  • Zigmond A. S., (1983), Acta Psychiatrica Scandinavica, 67, pp. 361, 10.1111/j.1600-0447.1983.tb09716.x