Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Mancebo, Maria C.; Pinto, Anthony; Rasmussen, Steven A.; Eisen, Jane L.

doi:10.1016/j.janxdis.2007.01.009

Cited by 23 publications

(23 citation statements)

References 19 publications

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“…[14] Treatment histories, including current and past medications for OCD symptoms, were gathered via a semi-structured, rater-administered questionnaire (the Butler Hospital OCD Database). The Treatment Adherence Survey – Patient Version [15] and a modified version of the Psychosocial Treatment Interview[16] assessed amount and quality of previous exposure-based cognitive-behavioral therapy.…”

Section: Methodsmentioning

confidence: 99%

Who Qualifies for Deep Brain Stimulation for OCD? Data From a Naturalistic Clinical Sample

Garnaat¹,

Greenberg²,

Sibrava³

et al. 2014

JNP

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A few patients with obsessive-compulsive disorder (OCD) remain severely impaired despite exhausting best-practice treatments. For them, neurosurgery (stereotactic ablation or deep brain stimulation) might be considered. We investigated the proportion of treatment-seeking OCD patients, in a naturalistic clinical sample, who met contemporary neurosurgery selection criteria. Using comprehensive baseline data on diagnosis, severity, and treatment history for adult patients from the NIMH-supported Brown Longitudinal OCD Study, only two of 325 patients met screening criteria for neurosurgery. This finding prompts consideration of new models for clinical trials with limited samples as well as methods of refining entry criteria for such invasive treatments.

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Section: Methodsmentioning

confidence: 99%

Who Qualifies for Deep Brain Stimulation for OCD? Data From a Naturalistic Clinical Sample

Garnaat¹,

Greenberg²,

Sibrava³

et al. 2014

JNP

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“…The Treatment Adherence Survey–Patient Version (Mancebo et al, 2008) is a rater-administered measure designed to assess the types of treatments recommended to participants (CBT and/or medications) and whether participants followed through with treatment recommendations. The following definition of CBT is provided to participants who endorse receiving any psychotherapy: “CBT for OCD focuses on learning techniques to manage your obsessions and compulsions.…”

Section: Methodsmentioning

confidence: 99%

“…Data collected at intake indicated that only 24% of participants reported receiving a recommended dose of CBT (i.e., at least 13 sessions scheduled weekly or more frequently) prior to study entry (Mancebo et al, 2006). In a small pilot study assessing CBT history prior to study entry among a subset of the intake sample ( n = 80), anxiety regarding treatment and perceived environmental barriers were the most frequently endorsed reasons for not receiving or not completing CBT in the past (Mancebo, Pinto, Rasmussen, & Eisen, 2008). However, these data were retrospective and recall bias may have influenced participant responses.…”

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confidence: 99%

Patient Utilization of Cognitive-Behavioral Therapy for OCD

et al. 2011

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The current study examined utilization of cognitive-behavioral therapy (CBT) by individuals receiving treatment for obsessive-compulsive disorder (OCD). Participants were 202 adults with primary DSM-IV OCD who enrolled in a longitudinal, observational study of the course of OCD and completed 2 years of annual follow-up interviews using the Longitudinal Interval Follow-Up Evaluation. One hundred twenty participants reported that a mental health professional recommended CBT for their OCD symptoms at some point during the 2-year follow-up period. One quarter (n = 31) of these participants did not initiate CBT despite receiving a treatment recommendation. Thirty-one percent of the 89 participants who entered CBT endorsed dropping out of CBT prematurely and less than one third received an adequate “dose” of CBT sessions. Self-reported CBT drop-out rates were significantly greater than attrition rates reported in clinical trials using intensive schedules of exposure and ritual prevention (EX/RP). Perceived environmental barriers and fears regarding treatment participation were the most frequently endorsed reasons for not participating or dropping out of CBT. Despite its efficacy for OCD, many individuals with clinically significant symptoms fail to initiate CBT when recommended by a mental health professional, receive treatments that are less intensive than those used in clinical trials, or drop out of treatment prematurely. Financial costs of CBT, difficulty attending sessions, and fears regarding treatment are significant barriers to initiating and completing therapy.

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“…Treatment utilization was measured at intake and throughout the follow-up period with the Treatment Adherence Survey-Patient Version [41] , a rater-administered measure designed to assess the types of treatments recommended to participants (CBT and/or medications) and whether participants followed through with treatment recommendations. The TAS-PV has demonstrated excellent test-retest stability as well as concurrent validity [41] .…”

Section: Methodsmentioning

confidence: 99%

Prevalence and clinical characteristics of mental rituals in a longitudinal clinical sample of obsessive-compulsive disorder

et al. 2011

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Background Obsessive-compulsive disorder (OCD) is a chronic and debilitating anxiety disorder associated with significant impairment in quality of life and functioning. Research examining the differences in clinical correlates and treatment response associated with different obsessions in OCD has yielded important findings underscoring the heterogeneous nature of this disorder. To date, most of this research has focused on differences associated with primary obsessions, and little attention has been paid to the clinical utility of studying how compulsive symptoms affect clinical course. Virtually no systematic research has explored the clinical characteristics of one understudied symptom presentation, mental rituals, and what impact this primary symptom has on severity and course of illness. Mental rituals, or compulsions without overt signs, represent unique clinical challenges but often go understudied for numerous methodological and clinical reasons. Methods In the present study, we explored the impact of primary mental rituals on clinical severity and chronicity in a large, longitudinal sample of OCD patients (N = 225) over 4 years. Results Mental rituals were a primary presenting symptom for a sizable percentage of the sample (12.9%). Primary mental rituals were associated with greater clinical severity and lower functioning at intake, as well as a more chronic course of illness, as participants with primary mental rituals spent nearly 1 year longer in full DSM-IV criteria episodes over the 4-year follow-up interval than OCD patients without mental rituals. Conclusions These results suggest that mental rituals are uniquely impairing and highlight the need for further empirical exploration and consideration in treatment.

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Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Cited by 23 publications

References 19 publications

Who Qualifies for Deep Brain Stimulation for OCD? Data From a Naturalistic Clinical Sample

Who Qualifies for Deep Brain Stimulation for OCD? Data From a Naturalistic Clinical Sample

Patient Utilization of Cognitive-Behavioral Therapy for OCD

Prevalence and clinical characteristics of mental rituals in a longitudinal clinical sample of obsessive-compulsive disorder

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