Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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Use of specialist services for obsessive-compulsive and body dysmorphic disorders across England
- Authors:
- DRUMMOND Lynne M., et al
- Journal article citation:
- Psychiatrist (The), 37(4), 2013, pp.135-140.
- Publisher:
- Royal College of Psychiatrists
In April 2007, the National Specialist Commissioning Team (NSCT) of the Department of Health commissioned a group of services to provide treatment to patients with the most severe and profound obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD). This survey uses data about patients treated in the financial year 2011-2012 to examine the usage of these services across England 4-5 years after the start of the new funding arrangements. During this period 191 patients were referred to the NSCT service for OCD and BDD. These patients comprised 89 (46.6%) females and 102 (53.4%) males. Despite the services offering intensive home-based as well as residential and in-patient services, there was a greater proportion of referrals from London, the South East of England and counties closer to London. The authors discuss potential ways of improving access to services for specialist services for OCD and BDD, regardles of where they live. (Edited publisher abstract)
A qualitative study of the acceptability of an intensive format for the delivery of cognitive-behavioural therapy for obsessive-compulsive disorder
- Authors:
- BEVAN Anna, OLDFIELD Victoria B., SALKOVSKIS Paul M.
- Journal article citation:
- British Journal of Clinical Psychology, 49(2), June 2010, pp.173-191.
- Publisher:
- Wiley
The views of service users on the acceptability of an intensive versus a standard weekly treatment format for delivery of cognitive behavioural therapy for obsessive compulsive disorder were examined, using a detailed comparative analysis of the views of service users who had completed either intensive or weekly therapy. The main difference between the treatments was the timeframe of weekly format hour-long sessions provided for 12 weeks and intensive format treatment providing 12 hours of treatment flexibly over five days with a weekend between. Semi-structured interviews were held with six treatment completers for each format. Weekly treatment completers were concerned that intensive treatment could be overwhelming or too brief for real change to take place, while intensive treatment completers valued the high pressure and pace, feeling that it improved motivation, engagement and eventual outcome. The researchers concluded that an intensive treatment format can be highly motivating and acceptable to service users who have chosen to undertake it, and that good quality follow-up and support may be particularly important during intensive treatment.
The effectiveness of routinely delivered cognitive behavioural therapy for obsessive-compulsive disorder: a benchmarking study
- Authors:
- HOUGHTON Simon, et al
- Journal article citation:
- British Journal of Clinical Psychology, 49(4), November 2010, pp.473-489.
- Publisher:
- Wiley
The effectiveness of routinely delivered cognitive behavioural therapy within a publicly funded clinic for adults with obsessive-compulsive disorder (Sheffield Health and Social Care Trust Psychotherapy Service) was examined and compared with the outcomes reported in randomised controlled trials for the same population. Research data was collected from 37 clients at the clinic, and the comparison randomised controlled trials were identified using a systematic review methodology. The results showed that the mean change in Yale-Brown Obsessive Compulsive Scale score before and after therapy in the Sheffield clinic was 10.2, which fell within the benchmarks derived from the included randomised controlled trials.
On the right line?
- Author:
- SOLLOWAY Nicky
- Journal article citation:
- Young Minds Magazine, 103, December 2009, pp.28-29.
- Publisher:
- YoungMinds
Young people at London's Maudsley Hospital are being offered cognitive behaviour therapy over the phone. The trial of the telephone treatment is described. Accounts from three young people with experience of OCD are also provided.
Hoarding: key considerations and examples of best practice
- Author:
- McPHILLIPS Marcus
- Publisher:
- National Housing Federation
- Publication year:
- 2015
- Pagination:
- 26
- Place of publication:
- London
Drawing on the learning from a series of regional events organised by the National Housing Federation and Sitra, this report looks at the issues surrounding hoarding disorder for housing association staff working in general needs and supported housing. Areas discussed include: risk management challenges, health and safety concerns, escalating legal costs and safeguarding issues. Best practice examples are also included. (Edited publisher abstract)
Long-term outcomes of obsessive-compulsive disorder: follow-up of 142 children and adolescents
- Authors:
- MICALI N., et al
- Journal article citation:
- British Journal of Psychiatry, 197(2), August 2010, pp.128-134.
- Publisher:
- Cambridge University Press
Obsessive-compulsive disorder (OCD) often starts in childhood and adolescence and can be a chronic disorder with high persistence rates. This study aimed to follow up young people with OCD to clarify persistence rates and relevant predictors, presence of other psychiatric disorders, functional impairment, service utilisation and perceived treatment needs. The study participants were young people with OCD assessed between July 1996 and June 2005 at the National and Specialist Paediatric OCD clinic, Maudsley Hospital, London. One hundred and forty two of the 222 contactable young people and parents completed computerised diagnostic interviews and questionnaires. The results found a persistence rate of OCD of 41%. Forty percentage of participants had a psychiatric diagnosis other than OCD at follow-up. The main predictor for persistent OCD was duration of illness at assessment. High levels of baseline psychopathology predicted other psychiatric disorders at follow-up. Functional impairment and quality of life were mildly to moderately affected. Approximately 50% of participants were still receiving treatment and about 50% felt a need for further treatment. This study confirms that paediatric OCD can be a chronic condition that persists into adulthood and has a substantial amount of unmet need. Important challenges for services are ensuring adequate treatment and a smooth transition from child to adult services.
Shared experience
- Author:
- KROGER Susie
- Journal article citation:
- Young Minds Magazine, 107, August 2010, pp.30-31.
- Publisher:
- YoungMinds
Most of the literature on obsessive compulsive disorder has focussed on treatment. Relatively little work has been done towards understanding the actual impact this disorder has on young people’s emotions and social life. This study explored the views and ideas of five young people, aged 14-18 years, using their recovery stories and experiences. Young people are often treated using an adult model and the author was concerned to give them their own voice in order to help CAMHS clinicians reflect on how they provide interventions. The young people themselves like the idea of being able to share their experiences and help others. Four themes emerged. The first, feeling the stigma, emphasised the fear of what others would think, embarrassment, shame and secrecy. The second theme covered the impact of OCD on everyday life and the isolation and loneliness it could cause. The third aspect revolved around control, both being controlled by the OCD and taking control of it. The final theme encompassed the benefits of knowing others and peer contact. The author concludes with five top practice tips.
“He's a good-looking chap aint he?”: narrative and visualisations of self in body dysmorphic disorder
- Authors:
- SILVER Joanna, REAVEY Paula
- Journal article citation:
- Social Science and Medicine, 70(10), May 2010, pp.1641-1647.
- Publisher:
- Elsevier
Body Dysmorphic Disorder (BDD) is a mental health condition characterised by a distressing preoccupation with an imaginary or minor defect in either a facial feature or a specific part of the body. The link between such excessive preoccupation and perceptions of self throughout the life course has rarely been examined. This study examined narrative accounts of the self across different life-time periods. Participants included 11 individuals (7 male, 4 female) diagnosed with BDD that were recruited from the National Obsessive Compulsive Disorder (OCD) clinic and a BDD self-help group, in England. In the context of a semi-structured interview the participants presented photographs of themselves across a variety of time periods and drew a self-portrait to prompt memory and generate discussion. Interviews were analysed using Michele Crossley's (2000) narrative analytic approach. The results suggest that the majority of participants perceived their past self as excessively attractive. Rather than believing that the alteration of their current appearance would rid them of BDD, participants indicated that a return to their former infantile and pure self that was devoid of blemish, defects and emotional responsibility would provide comfort. The findings indicate that the problems associated with appearance have less to do with beauty as such, but are more likely associated with narratives of loss, aging and decline and death.
What do we know about hoarding behaviour and treatment approaches for older people? A thematic review
- Authors:
- STEILS Nicole, et al
- Publisher:
- NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King's College London
- Publication year:
- 2022
- Pagination:
- 117
- Place of publication:
- London
This thematic literature review about hoarding behaviour provides an overview of research findings and debates for researchers, practitioners, and other interested parties, and to inform a wider study on social care responses to self-neglect and hoarding behaviour among older people in England. Hoarding behaviour is complex and not always easy to understand. Over the years, several clinical terms have been used in relation to hoarding behaviour, such as clutter(ing), squalor, or Diogenes syndrome. These terms are used to describe the excessive accumulation of items and possessions in people's homes. Hoarding behaviour can lead to dangerous circumstances such as unhygienic living conditions, greater risk of falls, increased risk of injury in fires, homelessness, and even death, as well as harm to other people. This review explores theories about and definitions of hoarding behaviour and hoarding disorder, known causes for and risk factors associated with hoarding behaviour. It also presents research findings on age of onset, progression, severity and prevalence of hoarding behaviour among older people. It also provides information on what is known about treatment and interventions, including therapeutic approaches, community-based schemes, and medication. Another section explores critical perspectives on hoarding behaviour discourses. Finally, the review offers some conclusions and considerations for practice. (Edited publisher abstract)
ASD, OCD and violence – a forensic case study
- Authors:
- EDWARDS Holly, HIGHAM Lorraine
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 11(1), 2020, pp.1-8.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to illustrate the formulation and psychological treatment of a complex case whereby a combination of autism spectrum disorder (ASD) and obsessive compulsive disorder (OCD) has resulted in violent and aggressive behaviour. Design/methodology/approach: This paper provides a brief summary of literature in relation to ASD, OCD and risk-offending behaviour followed by a case study of a man (referred to as “John”) with a diagnosis of ASD and OCD who has an extensive history of institutional violence and aggressive behaviour. Findings: This paper highlights the complexity of a case that may support research suggesting that impaired theory of mind, poor emotional regulation and problems with moral reasoning increase the risk of an individual with ASD engaging in violence, in addition to a comorbidity of ASD and OCD resulting in a more severe and treatment-resistant form of OCD. Originality/value: This paper highlights the challenges faced when working with a patient with Asperger’s syndrome and OCD with entrenched beliefs that lead to the use of violence as a compulsion to temporarily overcome unpleasant thoughts related to low self-esteem. (Publisher abstract)