Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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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.
Using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) in social work assessment: issues of reliability and validity
- Authors:
- TOBIAS Mandy, THYER Bruce A.
- Journal article citation:
- Journal of Evidence-Based Social Work, 3(1), 2006, pp.49-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The objective of this study was to determine the reliability and validity of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) in measuring the severity of obsessive-compulsive symptoms and improvement with treatment in clients already diagnosed with Obsessive-Compulsive Disorder (OCD). A comprehensive review of the literature currently available on the Y-BOCS was conducted. Research revealed that the Y-BOCS was a reliable and valid measure. However, the Y-BOCS was rather limited in discriminating severity of OCD from severity of depression or anxiety. Conclusions indicate that the Y-BOCS is a useful instrument for social work practitioners and should be used in conjunction with a structured clinical interview. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Effectiveness of group-based cognitive-behavioural therapy in patients with obsessive-compulsive disorder
- Authors:
- KEARNS Colette, et al
- Journal article citation:
- Psychiatrist (The), 34(1), January 2010, pp.6-9.
- Publisher:
- Royal College of Psychiatrists
Exposure and response prevention (ERP) is the treatment of choice for obsessive-compulsive disorder (OCD). Early studies showed 70-75% improvements after 15 sessions of ERP, but more recent studies also showed positive gains from cognitive-behavioural therapy (CBT) approaches aimed at the reduction of obsessions and rituals. However, despite increasing interest in cognitive treatments for OCD there is limited evidence to show that cognitive therapy is superior to ERP. In a study of three groups, one receiving cognitive therapy alone, one receiving ERP alone, and one receiving cognitive therapy with ERP, there were no reported differences between the groups. This study aims to establish whether cognitive-behavioural therapy (CBT) along with ERP is effective in the treatment of OCD, in both individual and group settings. Twenty-four patients with OCD, divided into four groups, participated in ten sessions of group CBT. All patients completed the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Maudsley Obsessive–Compulsive Inventory (MOCI), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) pre- and post-treatment. The results showed a significant reduction was also observed in relation to all other rating scales. In conclusion, the clinical implications of CBT for OCD patients delivered in a group setting are a clinically effective and acceptable treatment for patients. The use of group-based CBT is an effective means to improve access to psychotherapy.
Telephone administered cognitive behaviour therapy for treatment of obsessive compulsive disorder: randomised controlled non-inferiority trial
- Authors:
- LOVELL Karina, et al
- Journal article citation:
- British Medical Journal, 28.10.06, 2006, pp.883-886.
- Publisher:
- British Medical Association
This study aimed to compare the effectiveness of cognitive behaviour therapy delivered by telephone with the same therapy given face to face in the treatment of obsessive compulsive disorder. Two psychology outpatient departments in the United Kingdom were used for the study and participants were 72 patients with obsessive compulsive disorder. The intervention consisted of 10 weekly sessions of exposure therapy and response prevention delivered by telephone or face to face. The main outcome measures Yale Brown obsessive compulsive disorder scale, Beck depression inventory, and client satisfaction questionnaire were used. The difference in the Yale Brown obsessive compulsive disorder checklist score between the two treatments at six months was -0.55. Patient satisfaction was high for both forms of treatment. The clinical outcome of cognitive behaviour therapy delivered by telephone was equivalent to treatment delivered face to face and similar levels of satisfaction were reported.
Group behavioural therapy for adolescents with obsessive-compulsive disorder: preliminary outcomes
- Authors:
- FISCHER Daniel J., HIMLE Joseph A., HANNA Gregory L.
- Journal article citation:
- Research on Social Work Practice, 8(6), November 1998, pp.629-636.
- Publisher:
- Sage
Describes a clinical trial which was conducted to evaluate the efficacy of a behavioural therapy programme for adolescents with obsessive-compulsive disorder (OCD) in the USA. Group sessions included therapist-assisted exposure and response prevention exercises, information regarding OCD, and the extensive use of behavioural homework assignments. An additional family session was conducted to educate families about OCD and to encourage participation in the group member's behavioural programme. The findings provide preliminary support for the efficacy of group behavioural therapy for adolescent with OCD.