El enfoque cognitivo en el tratamiento de una adolescente con obsesiones y compulsiones de contenido sexual

• Araitz Petrizán ^[1] ; Eduard Forcadell ^[2] ; Maria T. Nascimento ^[1] ; Ester Camprodon ^[1] ; Xavier Estrada ^[1] ; Luís M. Martín ^[2]
  1. [1] Parc de Salut MAR

     Parc de Salut MAR

     Barcelona, España

     
  2. [2] Universitat Autònoma de Barcelona

     Universitat Autònoma de Barcelona

     Barcelona, España

     
• Localización: Revista de Psicología Clínica con Niños y Adolescentes, ISSN-e 2340-8340, Vol. 4, Nº. 2, 2017, págs. 143-148
• Idioma: español
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    El presente trabajo es un estudio de caso único sobre una adolescente de 15 años con un trastorno obsesivo compulsivo (TOC) de contenido sexual. Este tipo de obsesiones y compulsiones tienen la particularidad de la ocultación, ya que aquellos que lo padecen acostumbran a esconder los síntomas por ser percibidos como inaceptables. El tratamiento utilizado combina técnicas cognitivas en los momentos iniciales y técnicas conductuales (exposición con prevención de respuesta, EPR). Se llevó a cabo una evaluación pretest-postest empleando la Child Behavior Checklist (CBCL), la Youth Self-Report (YSR) y la Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS). La evolución fue favorable, observándose una reducción notable en las obsesiones y compulsiones tras la aplicación de las técnicas cognitivas y obteniendo una remisión completa aplicando de forma consecutiva la exposición con prevención de respuesta. Este estudio subraya la importancia de un modelo de intervención cognitivo en la intervención del TOC en adolescentes con obsesiones de tipo sexual, además de la técnica de EPR.

  • English

    The cognitive approach in the treatment of an adolescent with sexual obsessions and compulsions. This work is a case study of a 15-year old adolescent with an obsessive compulsive disorder (OCD) of sexual content. These types of obsessions and compulsions have the particularity of the occultation, given that those who have such symptoms tend to hide the indications because they are perceived as unacceptable. The treatment used combines cognitive techniques in the initial stages of therapy and behavioral techniques (exposure response prevention, ERP).

    The assessment consists of a pretest-posttest assessment using the Child Behavior Checklist (CBCL), the Youth Self-Report (YSR) and the Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS). The evolution of the treatment approach was favorable, showing a significant reduction in obsessions and compulsions after the application of cognitive techniques. Furthermore, findings suggested a complete remission after subsequent exposure with response prevention. This study highlights the importance of cognitive intervention in adolescents with sexual related OCD, in addition to the ERP technique.

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