本研究旨在探討輔以電話追蹤之認知行為治療（CBT）對改善兒童強迫症之介入與維持效果。研究採用單一受試實驗中的A-B-A撤回設計，以一名新北市國小普通班六年級男童為研究對象，使用「兒童青少年強迫症量表」、研究者自編之「強迫思考記錄單」、「兒童行為父母觀察記錄表」為研究工具，進行3次基線期、10次介入期、3次維持期，共16次研究觀察。研究結果以視覺分析法與C統計加以分析，並以兒童填寫之「情緒穩定性量表」、母親填寫之「台灣簡明版世界衛生組織生活品質問卷」、「強迫症患者照顧負荷量表」、訪談資料、電話追蹤札記與認知行為治療觀察記錄單等資料作為社會效度。
研究結果發現，CBT輔以電話追蹤在改善OCD兒童之強迫思考、強迫行為與強迫症嚴重程度上具有介入與維持的效果，並在增進兒童之情緒穩定性、降低母親之照顧負荷與提高生活品質等上亦有正向效果。
最後，針對研究結果，本研究建議可積極推廣以認知行為治療來改善兒童強迫症狀，並採用電話追蹤的輔助來彌補台灣現行認知行為治療的限制，同時增加OCD相關機構的設立或針對治療師做有系統的CBT訓練，以期能有更多強迫症兒童能受惠。
The purpose of this study was to investigate the efficacy of cognitive-behavior therapy (CBT) accompanied by telephone follow-up for children with OCD. Based on A-B-A withdrawal design in single subject research, the data of a sixth grade student from elementary school of New Taipei City was collected, including 3 times baseline, 10 times intervention, and 3 times maintenance stages. The instruments for this study included Obsessional Compulsive Scale for Children and Adolescents, observation forms for obsessions, and observation forms for child’s compulsions. The data was analyzed by visual analysis and Tryon's C statistics. In addition, “Emotional Stability Scales” was filled by subject; “Taiwan Version of World Health Organization Quality of Life Questionnaire- Brief Version” and “Caregivers Burden Scale of Obsessive Compulsive Disorder Patients” was filled by the subject's mother. Telephone follow-up forms, CBT observation forms, and interviews with subject and his mother were also included to establish as the social validity.
The findings of this study showed the immediate and lasting effects in obsessions, compulsions and the severity of OCD involved by CBT with telephone followed-up. It’s also found that this trial has the effect in promoting subject's emotional stability, reducing the burdens of the mother's caregiver, and improving the quality of life for both mother and the child.
Based on the findings of this study, it is suggested that we could improve symptoms of children who are with OCD actively by using CBT with telephone followed-up to compensate for the limitations of CBT in Taiwan. We can also open more relevant agencies for OCD and do a systematic CBT training for therapists in order to gain much more benefits for children with OCD.
