A long-term follow-up of group behavioral therapy for obsessive-compulsive disorder in a general outpatient clinic in Norway

Sunde, Tor; Walseth, Liv Tveit; Himle, Joseph A.; Vogel, Patrick A.; Launes, Gunvor; Haaland, Vegard Øksendal; Hoffart, Asle; Johnson, Sverre Urnes; Haaland, Åshild Tellefsen

doi:10.1016/j.jocrd.2017.06.002

Cited by 9 publications

(14 citation statements)

References 23 publications

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“…The primary objective of the present study was to investigate the long-term outcome of two samples (Havnen et al, 2014;2017) of 77 consecutive OCD-patients receiving the concentrated B4DT. These had shown good outcomes, which were maintained at the 6month follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…A recent unpublished psychometric study of the Norwegian Y-BOCS found that the Norwegian version of the Y-BOCS showed good reliability and validity (Eilertsen et al, Forthcoming). This outcome measure, and others reported in the Havnen et al (2014;2017) original studies were part of the standard quality control instruments of the health services offered at the outpatient OCD clinic at Haukeland University Hospital.…”

Section: Assessmentsmentioning

confidence: 99%

“…The primary objective of the present study is to investigate the long-term outcome of two samples (Havnen, Hansen, Öst, & Kvale, 2014;2017) of 77 consecutive OCDpatients receiving the concentrated B4DT. Based on the 6-month follow-up results in these studies, and the 1 year follow-up in a subsequent study (Hansen et al, 2018) we expected that the post-treatment effect would be maintained at a 4 year follow-up.…”

Section: Introductionmentioning

confidence: 99%

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The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting

Hansen

Kvale

Hagen

et al. 2018

Cognitive Behaviour Therapy

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There are few long-term follow-up studies on psychological treatment of anxiety disorders carried out in clinical mental health settings, so called effectiveness studies. The present paper presents a four year follow-up of patients with obsessive-compulsive disorder treated by the Bergen 4-day treatment (B4DT), a concentrated form of exposure and response prevention (ERP). A total of 77 obsessive-compulsive disorder (OCD) patients received treatment during four consecutive days and were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) pre, post, and at follow-ups after 3 and 6 months, and 4 years post-treatment. The Y-BOCS mean score changed from 25.9 at pre- to 10.0 post-treatment and 9.9 at long-term follow-up. The proportion fulfilling the strict international consensus criteria for remission was 73% at post-treatment and 69% at follow-up. When taking declining rate, attrition rate, remission, relapse, and further improvement during the follow-up period into account, 72% were recovered on a long-term basis. A comparison with previously published effectiveness studies of ERP indicated that the 4-day treatment yielded significantly higher proportions of remission at post-treatment and recovery at follow-up, as well as within-group effect size on the Y-BOCS. The implications of these results are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Assessmentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting

Hansen

Kvale

Hagen

et al. 2018

Cognitive Behaviour Therapy

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“…The groups met weekly for 12 weeks with each session lasting 2.5 h. All participants had a primary diagnosis of OCD before starting treatment. This original sample has been described in two previously published reports [35, 36].…”

Section: Methodsmentioning

confidence: 99%

Early maladaptive schemas impact on long-term outcome in patients treated with group behavioral therapy for obsessive-compulsive disorder

et al. 2019

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BackgroundSome studies have previously found that certain elevated early maladaptive schemas (EMSs) are negative predictors for outcome for patients with obsessive-compulsive disorder (OCD) treated with Cognitive-Behavioral Therapy (CBT) or Exposure and Response Prevention (ERP). The current study explores whether EMS were related to reductions in OCD symptom severity at long-term follow-up (Mean = 8 years) after group ERP for patients with OCD. The central hypothesis was that patients with no response to treatment or patients who relapsed during the follow-up period were more likely to have elevated pre-treatment EMSs compared to those who responded to initial treatment and maintained gains over time. We also investigated whether there were any differences in change over time of overall EMS between patients who were recovered versus patients who were not recovered at extended follow-up.MethodsYoung Schema Questionnaire –Short Form (YSQ-SF), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI) were measured in 40 OCD patients in a general outpatient clinic before and after group ERP, after 12-months and at extended follow-up. To analyze the predictors, a multiple regression analyses was conducted. Changes in overall EMS was analyzed by mixed models procedures.ResultsThe major finding is that patients with high pre-treatment YSQ-SF total scores were less likely to respond to initial treatment or were more likely to relapse between post-treatment and the extended follow-up. The YSQ-SF total score at pre-treatment explained 10.5% of the variance of extended long-term follow-up outcome. The entire sample experienced a significant reduction in overall EMS over time with largest reduction from pre- to post-test. There were no statistically significant differences in total EMS change trajectories between the patients who were recovered at the extended follow-up compared to those who were not.ConclusionThe results from the present study suggest that patients with higher pre-treatment EMSs score are less likely to recover in the long-term after receiving group ERP for OCD. A combined treatment that also targets early maladaptive schemas may be a more effective approach for OCD patients with elevated EMS who don’t respond to standard ERP.

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“…2006). CBT intervention studies have shown that group OCD programmes are largely equivalent to traditional individual therapy in reducing symptomatology (Sunde et al, 2017;Whittal, Robichaud, Thordarson, & McLean, 2008). Relatively less research attention has been given to understanding how intra-group dynamics influence such protocolised OCD group interventions.…”

Section: Introductionmentioning

confidence: 99%

Examining the Experience of Undergoing Group Cognitive Behavioral Therapy for Obsessive Compulsive Disorder: An Interpretative Phenomenological Analysis

Black

Hanna²,

Quinn

et al. 2017

International Journal of Group Psychotherapy

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A long-term follow-up of group behavioral therapy for obsessive-compulsive disorder in a general outpatient clinic in Norway

Cited by 9 publications

References 23 publications

The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting

The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting

Early maladaptive schemas impact on long-term outcome in patients treated with group behavioral therapy for obsessive-compulsive disorder

Examining the Experience of Undergoing Group Cognitive Behavioral Therapy for Obsessive Compulsive Disorder: An Interpretative Phenomenological Analysis

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