Exposure and response prevention therapy augmented with naltrexone in kleptomania: a controlled case study using galvanic skin response for monitoring.
Saved in:
| Title: | Exposure and response prevention therapy augmented with naltrexone in kleptomania: a controlled case study using galvanic skin response for monitoring. |
|---|---|
| Authors: | Olbrich, Sebastian (AUTHOR), Jahn, Ina (AUTHOR), Stengler, Katarina (AUTHOR) |
| Source: | Behavioural & Cognitive Psychotherapy. Sep2019, Vol. 47 Issue 5, p622-627. 6p. |
| Subjects: | Galvanic skin response, Serotonin uptake inhibitors, Obsessive-compulsive disorder, Cognitive therapy |
| Abstract: | Background: Kleptomania is a disease that shares features with obsessive compulsive spectrum disorders (OCD) and with substance abuse disorders (SAD). This is underlined by therapeutic approaches in kleptomania ranging from cognitive behavioural therapy and selective serotonin reuptake inhibitors that are effective in OCD, and opioid antagonists that are currently being used in SAD. However, almost no literature exists about exposure and response prevention (ERP) therapy in kleptomania. Furthermore, there is a clear lack of objective markers that would allow a therapeutic monitoring. Aim: To show the effectiveness of ERP therapy in kleptomania in a single case report. Method: An ERP therapy under real-world conditions and later augmentation with the opioid antagonist naltrexone is described. Continuous measurements of galvanic skin response (GSR) before, during and after therapy sessions are reported in association with changes of the Kleptomania Symptom Assessment Scale (KSAS) self-questionnaire. Results: While KSAS scores showed a clear treatment response to ERP sessions, the GSR was significantly lower during ERP treatment in comparison with baseline measures. However, during augmentation with naltrexone, GSR measures increased again and clinical severity did not further improve. Conclusions: This case shows the possible usefulness of ERP-like approaches and therapy monitoring using electrophysiological markers of arousal for individualized treatment in kleptomania. [ABSTRACT FROM AUTHOR] |
| Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 138294876 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Exposure and response prevention therapy augmented with naltrexone in kleptomania: a controlled case study using galvanic skin response for monitoring. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Olbrich%2C+Sebastian%22">Olbrich, Sebastian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jahn%2C+Ina%22">Jahn, Ina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stengler%2C+Katarina%22">Stengler, Katarina</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Behavioural+%26+Cognitive+Psychotherapy%22">Behavioural & Cognitive Psychotherapy</searchLink>. Sep2019, Vol. 47 Issue 5, p622-627. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Galvanic+skin+response%22">Galvanic skin response</searchLink><br /><searchLink fieldCode="DE" term="%22Serotonin+uptake+inhibitors%22">Serotonin uptake inhibitors</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Kleptomania is a disease that shares features with obsessive compulsive spectrum disorders (OCD) and with substance abuse disorders (SAD). This is underlined by therapeutic approaches in kleptomania ranging from cognitive behavioural therapy and selective serotonin reuptake inhibitors that are effective in OCD, and opioid antagonists that are currently being used in SAD. However, almost no literature exists about exposure and response prevention (ERP) therapy in kleptomania. Furthermore, there is a clear lack of objective markers that would allow a therapeutic monitoring. Aim: To show the effectiveness of ERP therapy in kleptomania in a single case report. Method: An ERP therapy under real-world conditions and later augmentation with the opioid antagonist naltrexone is described. Continuous measurements of galvanic skin response (GSR) before, during and after therapy sessions are reported in association with changes of the Kleptomania Symptom Assessment Scale (KSAS) self-questionnaire. Results: While KSAS scores showed a clear treatment response to ERP sessions, the GSR was significantly lower during ERP treatment in comparison with baseline measures. However, during augmentation with naltrexone, GSR measures increased again and clinical severity did not further improve. Conclusions: This case shows the possible usefulness of ERP-like approaches and therapy monitoring using electrophysiological markers of arousal for individualized treatment in kleptomania. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=138294876 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1017/S1352465819000213 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 622 Subjects: – SubjectFull: Galvanic skin response Type: general – SubjectFull: Serotonin uptake inhibitors Type: general – SubjectFull: Obsessive-compulsive disorder Type: general – SubjectFull: Cognitive therapy Type: general Titles: – TitleFull: Exposure and response prevention therapy augmented with naltrexone in kleptomania: a controlled case study using galvanic skin response for monitoring. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Olbrich, Sebastian – PersonEntity: Name: NameFull: Jahn, Ina – PersonEntity: Name: NameFull: Stengler, Katarina IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 13524658 Numbering: – Type: volume Value: 47 – Type: issue Value: 5 Titles: – TitleFull: Behavioural & Cognitive Psychotherapy Type: main |
| ResultId | 1 |
