2005
DOI: 10.1159/000089225
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Dissociation as a Predictor of Cognitive Behavior Therapy Outcome in Patients with Obsessive-Compulsive Disorder

Abstract: Background: Previous studies have found a strong association between dissociation and obsessive-compulsive disorder (OCD). The purpose of the present study was to evaluate whether dissociation is a predictor of cognitive behavior therapy (CBT) outcome in patients with OCD. Methods: Fifty-two patients with OCD were assessed using the Dissociative Experience Scale (DES), the Yale-Brown Obsessive-Compulsive Scale and the Beck Depression Inventory. CBT lasted on average 9.5 weeks and included exposure therapy. Res… Show more

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Cited by 118 publications
(113 citation statements)
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“…A significant correlation was detected between total DES score and hospital stay. Our results are consistent with the results of the studies performed by Michelson et al (40) and Rufer et al (41) showing that the presence of the dissociation decreases the therapeutic response and increases relapse rates. This may suggest that the presence of dissociation may have unfavorable effects on the course of the disease.…”
Section: Discussionsupporting
confidence: 94%
See 1 more Smart Citation
“…A significant correlation was detected between total DES score and hospital stay. Our results are consistent with the results of the studies performed by Michelson et al (40) and Rufer et al (41) showing that the presence of the dissociation decreases the therapeutic response and increases relapse rates. This may suggest that the presence of dissociation may have unfavorable effects on the course of the disease.…”
Section: Discussionsupporting
confidence: 94%
“…In the comorbidity group, scores obtained at admission and at discharge showed significant differences except for 9th (agitation), 11th (somatic anxiety), 15th (hypochondriasis), 16th (weight loss) and 17th (insight about the condition) items. Dissociative psychopathology seems to be an important predictor for poor treatment response and high relapse rates, at least in patients with panic and obsessive-compulsive disorders (40,41). A concurrent dissociative disorder more generally predicted higher psychiatric comorbidity, including somatization disorder, dysthymic disorder, major depression, borderline personality disorder, self-destructive behavior, suicide attempts, and childhood trauma (48).…”
Section: Discussionmentioning
confidence: 99%
“…11 It is plausible that dissociative features such as disturbed consciousness or memory hamper learning and thereby impede the effectiveness of therapies that rely on learning (e.g., cognitive restructuring and exposure). 12,13 Recently, both clinical 13 and experimental research involving patients with BPD yielded empirical support for this hypothesis that links dissoci ation to psychotherapy response. Ebner-Priemer and colleagues 14 conducted a differential aversive Pavlovian delay conditioning procedure in patients with BPD to investigate the impact of acute dissociative states on emotional learning processes.…”
Section: Introductionmentioning
confidence: 99%
“…Esses dados sugerem uma relação entre o tratamento bem-sucedido do TEPT e a redução dos sintomas de dissociação, apesar de o protocolo não ter tido como foco o tratamento dos sintomas dissociativos. Tal resultado se contrapõe a estudos em que a TCC não foi efi caz para a redução dos sintomas dissociativos presentes em outros transtornos 25,26 .…”
Section: Discussionunclassified