A Randomized Clinical Trial to Examine Enhancing Cognitive-Behavioral Group Therapy for Obsessive-Compulsive Disorder with Motivational Interviewing and Thought Mapping

Meyer, Elisabeth; Souza, Fernanda Pasquoto de; Heldt, Elizeth Paz da Silva; Knapp, Paulo; Cordioli, Aristides Volpato; Shavitt, Roseli Gedanke; Leukefeld, Carl G.

doi:10.1017/s1352465810000111

Cited by 40 publications

(31 citation statements)

References 58 publications

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“…RCTs on the benefits of adding motivational interviewing to CBT have been conflicting, with one showing no additional benefits [678], while another demonstrated improved symptom reduction and remission rates compared with CBT alone [679]. While EMDR was more effective than an SSRI in a RCT [680], data are limited and this technique is not generally recommended for patients with OCD.…”

Section: Obsessive-compulsive Disordermentioning

confidence: 99%

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

et al. 2014

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BackgroundAnxiety and related disorders are among the most common mental disorders, with lifetime prevalence reportedly as high as 31%. Unfortunately, anxiety disorders are under-diagnosed and under-treated.MethodsThese guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process. Data on the epidemiology, diagnosis, and treatment (psychological and pharmacological) were obtained through MEDLINE, PsycINFO, and manual searches (1980–2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.ResultsThese guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety-related disorders (panic disorder, agoraphobia, specific phobia, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder), and two additional sections on special populations (children/adolescents, pregnant/lactating women, and the elderly) and clinical issues in patients with comorbid conditions.ConclusionsAnxiety and related disorders are very common in clinical practice, and frequently comorbid with other psychiatric and medical conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments.

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Section: Obsessive-compulsive Disordermentioning

confidence: 99%

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

et al. 2014

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“…Individuals who received CBT + MI had faster gains and finished treatment three sessions earlier than those who received CBT + psychoeducation, though OCD symptoms did not differ posttreatment (Merlo et al 2010). Finally, Meyer et al (2010) tested a strategy to enhance cognitive behavioral group therapy (CBGT), which involves E/RP as well as cognitive restructuring, for adults with OCD by including two individual therapy sessions that included MI (as well as thought mapping) delivered weekly prior to entering a 12-week course of CBGT. Forty patients were assigned to receive either an information-only control treatment or the MI + thought mapping enhancement, and a completer analysis found patients who received the enhancement sessions evidenced statistically significantly greater improvement after treatment, though in this case MI was combined with another intervention.…”

Section: Nature Of the Problem And Research Basementioning

confidence: 92%

Treatment of an Adult with Obsessive-Compulsive Disorder with Limited Treatment Motivation

Wheaton

Puliafico

Zuckoff

et al. 2015

Clinical Handbook of Obsessive-Compulsive and Related Disorders

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“…Furthermore, motivational therapy may be important in the treatment of severe OCD in general, regardless of whether it is associated with poor insight. 90,91 Although there is no study comparing poor-and goodinsight hoarding disorder in terms of sociodemographic, clinical, or treatment outcomes, the same rationale regarding OCD and BDD is potentially applicable to it. However, an additional problem might exist.…”

Section: Insightmentioning

confidence: 99%

Hoarding disorder: a new diagnostic category in ICD-11?

Fontenelle

Grant

2014

Rev. Bras. Psiquiatr.

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Despite the long-held view that hoarding is a symptom of both obsessive-compulsive disorder and obsessive-compulsive personality disorder, increased evidence has emerged during the last 20 years suggesting that hoarding represents a distinct form of psychopathology. This study reflects the discussions on the nosological status of hoarding carried out by the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders. The distinctiveness of hoarding is based on its having core symptoms that differ from those of other disorders, as well as distinctive neurobiological correlates and treatment responses. Furthermore, data showing the clinical utility, global applicability, and appropriateness of the concept of hoarding disorder outside specialty mental health settings suggest that this condition should be included in ICD-11. Finally, given the focus of ICD-11 on primary care and public health, the Working Group suggests that poor insight and severe domestic squalor may be considered as specifiers for hoarding disorder in ICD-11.

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A Randomized Clinical Trial to Examine Enhancing Cognitive-Behavioral Group Therapy for Obsessive-Compulsive Disorder with Motivational Interviewing and Thought Mapping

Abstract: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

Cited by 40 publications

References 58 publications

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

Treatment of an Adult with Obsessive-Compulsive Disorder with Limited Treatment Motivation

Hoarding disorder: a new diagnostic category in ICD-11?

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