Cognitive assessment of obsessive-compulsive disorder

Frost, Randy O.; Steketee, Gail; Amir, Nader; Bouvard, Martine; Carmin, Cheryl N.; Clark, David A.; Cottraux, Jean; Eisen, Jane L.; Emmelkamp, Paul M. G.; Foa, Edna B.; Freeston, Mark H.; Hoekstra, Rense; Kozak, Michael J.; Kyrios, Michael; Ladouceur, Robert; March, John S.; McKay, Dean; Neziroglu, Fugen; Pinard, Gilbert; Pollard, Alec; Purdon, Christine; Rachman, S.; Rhéaume, Josée; Richards, Christopher D.; Šalkovskis, Paul M.; Sanavio, Ezio; Shafran, Roz; Sica, Claudio; Simos, Gregoris; Sookman, Debbie; Tallis, Frank; Taylor, Steven; Thordarson, Dana S.; Turner, Samuel M.; Oppen, Patricia van; Warren, Ricks; Yaryura-Tobias, José A.

doi:10.1016/s0005-7967(97)00017-x

Cited by 785 publications

(51 citation statements)

References 37 publications

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“…This is an interesting finding considering current cognitive models of OCD, which view particularly the attempt to resist obsessions as an etiological factor in the development and maintenance of OCD (Obsessive-Compulsive Cognitions Working Group, 1997). Higher levels of resistance are viewed according to these models as leading to paradoxical effects of thought suppression, and therapeutic efforts are directed at diminishing resistance rather than increasing it.…”

Section: Discussionmentioning

confidence: 83%

The Yale-Brown Obsessive-Compulsive scale: factor structure of a large sample

et al. 2010

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The Yale Brown Obsessive-Compulsive scale (Y-BOCS) is a semi-structured interview considered to be the gold standard in the measurement of obsessive-compulsive disorder (OCD) severity, yet findings about its factorial structure are conflicting. This study aimed at comparing different models, and testing whether factorial structure differs along various sub-groups. Exploratory and confirmatory factor analyses were conducted on Y-BOCS scores of a large OCD patient group (n = 544). A three-factor structure (obsessions, compulsions, and resistance) provided the best fit for the data across different factor analytic procedures. The difference in goodness of fit between the original two factor (obsessions and compulsions) and the three-factor solutions seemed, however, very small. Since the two-factor solution is the original theory-driven structure, and the most widely used, we recommend the use of this factor.

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Section: Discussionmentioning

confidence: 83%

The Yale-Brown Obsessive-Compulsive scale: factor structure of a large sample

et al. 2010

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“…Some of the beliefs and appraisals identified by the Obsessive Compulsive Working Group [49]may be nonspecific, playing a role in obsessions, compulsions, and in many other clinical problems such as depression and generalized anxiety. Further work also needs to be done to identify the causes of important beliefs and appraisals.…”

Section: Areas In Need Of Researchmentioning

confidence: 99%

Management of Obsessive Compulsive Disorder

Bouvard¹,

Milliery²,

Cottraux³

2004

Psychother Psychosom

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“…The treatment opened with a presentation of OCD symptoms, the rationale of ERP therapy and treatment targets, followed by demonstrations and practical ERP exercises. In the subsequent sessions, commonly held dysfunctional beliefs about OCD were explained [24]and cognitive techniques for their corrections [2, 3, 19, 25]were given, followed by practical exercises of ERP and cognitive restructuring. At the end of each session, homework exercises were assigned to each patient.…”

Section: Methodsmentioning

confidence: 99%

“…χ 2 test was used for dichotomic data (improved versus non-improved). The criterion for improvement was a reduction of ≥35% on the Y-BOCS [24]at end point. An intention-to-treat approach was used for patients who dropped out, labeled non-improved.…”

Section: Methodsmentioning

confidence: 99%

Cognitive-Behavioral Group Therapy in Obsessive-Compulsive Disorder: A Randomized Clinical Trial

Cordioli

Heldt

Bochi

et al. 2003

Psychother Psychosom

130

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Background: The present study was designed to verify the efficacy of cognitive-behavioral group therapy (CBGT) in reducing obsessive-compulsive symptoms and the intensity of overvalued ideas, as well as in improving the patient’s quality of life. Methods: Forty-seven patients meeting DSM-IV criteria for obsessive-compulsive disorder (OCD) were randomly assigned to either 12 weekly CBGT sessions or a waiting list (control group). Treated patients were followed for three months. Results: There was a significant reduction in the Yale-Brown Obsessive-Compulsive Scale (p < 0.001), in the National Institute of Mental Health Obsessive-Compulsive Scale (p < 0.001), in the Overvalued Ideas Scale (p < 0.001), and a significant improvement in the quality of life in the four domains of the World Health Organization Quality of Life Assessment Scale: physical (p < 0.001), psychological (p < 0.017), social (p < 0.018) and environmental (p < 0.04). No significant reduction was found in the Hamilton Rating Scale for Anxiety (p = 0.111) and the Hamilton Rating Scale for Depression (p = 0.271). The concomitant use of anti-obsessional medications did not influence the results. The rate of improved patients was 69.6% in the treated group and 4.2% in the control group (p < 0.001). The therapeutic gains were maintained and an additional reduction in symptoms was observed during the 3-month follow-up period. Conclusions: The results suggest that CBGT is effective in reducing the intensity of OCD symptoms and of overvalued ideas, and that it improves the OCD patient’s quality of life in a short period of time.

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Cognitive assessment of obsessive-compulsive disorder

Cited by 785 publications

References 37 publications

The Yale-Brown Obsessive-Compulsive scale: factor structure of a large sample

The Yale-Brown Obsessive-Compulsive scale: factor structure of a large sample

Management of Obsessive Compulsive Disorder

Cognitive-Behavioral Group Therapy in Obsessive-Compulsive Disorder: A Randomized Clinical Trial

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