Cognitive behavioural therapy and third wave approaches for anxiety and related disorders in older people

Hendriks, Gert-Jan; Zelst, Willeke H. van; Balkom, A.J.L.M. van; Uphoff, Eleonora; Robertson, Lindsay; Keijsers, G.P.J.; Voshaar, Richard C. Oude

doi:10.1002/14651858.cd007674.pub2

Cited by 1 publication

(2 citation statements)

References 121 publications

(83 reference statements)

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“…Other studies in older adults focused on other mental disorders and indicated that older adults respond just as well, or even better to psychotherapy than younger adults (Chaplin et al, 2015;Cuijpers et al, 2020;Segal et al, 2018). However, except for a few case studies (e.g., Hendriks et al, 2008;Price & Salsman, 2010), there has been insufficient research on CBT/ERP in older adults with OCD (Hendriks et al, 2021). In fact, there have been no studies that have focused on the effectiveness of a high-intensive CBT treatment for OCD in older adults.…”

Section: Complicating Factorsmentioning

confidence: 99%

“…However, the use of ERP in older adults has not been well researched. For example, there has been no randomized controlled trial (RCT) of ERP in older adults with OCD (Hendriks et al, 2021). Only a few case studies have reported successful outcomes with weekly CBT, weekly CBT in combination with medication, and frequent CBT sessions in a clinical setting (Hendriks et al, 2008; Jazi & Asghar-Ali, 2020; Price & Salsman, 2010).…”

Section: Theoretical and Research Basis For The Treatmentmentioning

confidence: 99%

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High Intensive Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder for a 72-year-Old Man

Gabriella Guineau,

Oude Voshaar,

Hendriks

2023

Clinical Case Studies

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The prevalence of Obsessive-compulsive disorder (OCD) among older adults varies between .5% and 4.5%. OCD typically develops at a young age, and many clinicians consider the chances of successful treatment in older adults to be minimal based on the chronicity of their symptoms. To date, no randomized controlled trial have been conducted on the effectiveness of treatments for OCD in older adults. This case study describes a high intensive cognitive behavioral therapy (CBT) provided to a 72-year-old man with OCD. This CBT program includes psychoeducation, exposure and response prevention, and cognitive therapy. The treatment was provided by a team of 5 therapists over one week. The patient’s score on the Yale Brown Obsessive-Compulsive Scale decreased from 31 at the start of the treatment to 2 by the end of treatment, which is below the recommended cut-off for a clinical diagnosis. Secondary depressive symptoms, as assessed with the Inventory of Depressive Symptomatology Self-Report, decreased from 57 at the start of treatment, to 1 by the end of treatment, which indicates the absence of depressive symptoms. The treatment gains were maintained with persistent remission until the 18-month follow-up. This study highlights an effective high intensive CBT program for older adults with OCD and challenges the false assumptions that (a) psychological interventions are ineffective for older adults and (b) existing treatments are unsuited for older adults. Future research should investigate the effects of this program in large sample with sufficient power.

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Section: Complicating Factorsmentioning

confidence: 99%

Section: Theoretical and Research Basis For The Treatmentmentioning

confidence: 99%

High Intensive Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder for a 72-year-Old Man

Gabriella Guineau,

Oude Voshaar,

Hendriks

2023

Clinical Case Studies

View full text Add to dashboard Cite

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Cognitive behavioural therapy and third wave approaches for anxiety and related disorders in older people

Abstract: Cognitive behavioural therapy and third wave approaches for anxiety and related disorders in older people (Protocol).

Cited by 1 publication

References 121 publications

High Intensive Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder for a 72-year-Old Man

High Intensive Exposure and Response Prevention in the Treatment of Obsessive-Compulsive Disorder for a 72-year-Old Man

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