Further evidence for the efficacy of association splitting as a self-help technique for reducing obsessive thoughts

Moritz, Steffen; Jelinek, Lena

doi:10.1002/da.20843

Cited by 37 publications

(30 citation statements)

References 47 publications

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“…Other data suggest that ERP delivered by telephone is equivalent to face-to-face ERP [682]. Bibliotherapy in the form of self-help manuals delivered to patients via email has demonstrated significantly greater improvements in OCD symptoms compared with wait-list control groups in two RCTs [683,684]. …”

Section: Obsessive-compulsive Disordermentioning

confidence: 99%

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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%

“…ICBT is an easily accessible treatment that has the potential to reach untreated patients and motivate them for face-to-face psychotherapy if necessary [684,685]. Several RCTs have demonstrated that ICBT programs are significantly more effective than supportive therapy or relaxation control strategies [685-687].…”

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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“…The various dimensions of the psychotic experience include the degree of conviction with which the delusional belief or beliefs about auditory hallucinations are held, the level of preoccupation it engenders, the degree of distress experienced as well as the behavioural responses used to cope with the experience [4]. These various dimensions may respond differentially to pharmacological [5-7] and psychological treatments [8-10]. …”

Section: Introductionmentioning

confidence: 99%

French version validation of the psychotic symptom rating scales (PSYRATS) for outpatients with persistent psychotic symptoms

et al. 2012

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BackgroundMost scales that assess the presence and severity of psychotic symptoms often measure a broad range of experiences and behaviours, something that restricts the detailed measurement of specific symptoms such as delusions or hallucinations. The Psychotic Symptom Rating Scales (PSYRATS) is a clinical assessment tool that focuses on the detailed measurement of these core symptoms. The goal of this study was to examine the psychometric properties of the French version of the PSYRATS.MethodsA sample of 103 outpatients suffering from schizophrenia or schizoaffective disorders and presenting persistent psychotic symptoms over the previous three months was assessed using the PSYRATS. Seventy-five sample participants were also assessed with the Positive And Negative Syndrome Scale (PANSS).ResultsICCs were superior to .90 for all items of the PSYRATS. Factor analysis replicated the factorial structure of the original version of the delusions scale. Similar to previous replications, the factor structure of the hallucinations scale was partially replicated. Convergent validity indicated that some specific PSYRATS items do not correlate with the PANSS delusions or hallucinations. The distress items of the PSYRATS are negatively correlated with the grandiosity scale of the PANSS.ConclusionsThe results of this study are limited by the relatively small sample size as well as the selection of participants with persistent symptoms. The French version of the PSYRATS partially replicates previously published results. Differences in factor structure of the hallucinations scale might be explained by greater variability of its elements. The future development of the scale should take into account the presence of grandiosity in order to better capture details of the psychotic experience.

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“…First, the original self-help guide proposed by Moritz (Moritz and Jelinek, 2006) was translated into Spanish and modified for nonclinical subjects (Rodríguez-Martín and Molerio-Pérez, 2011), as our trial did not target patients with obsessive-compulsive disorder but a nonclinical population. The adapted manual aimed at providing information about the intrusive thoughts, their prevalence in the general population, the usage of suppression as a mechanism of thought control, and its paradoxical (rebound) effect on intrusive thoughts.…”

Section: Methodsmentioning

confidence: 99%

“…In patients with OCD, dysfunctional beliefs and values are at the core of their UITs; they are restricted to specific domains and are more intense than in nonclinical samples (Belloch, et al, 2010; Belloch, Morillo and García-Soriano, 2009; Cabedo, Belloch, Morillo, Jiménez and Carrió, 2004; Moritz et al, 2009; Moritz and Pohl, 2009). While several studies have demonstrated that AS is effective for the reduction of OCD (Moritz and Jelinek, 2011; Moritz, Jelinek, Klinge and Naber, 2007), it is unknown whether this technique is useful to reduce UITs in everyday life. However, this technique could also be effective in nonclinical populations with attenuated UITs similar to obsessions (e.g.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Association Splitting in Reducing Unwanted Intrusive Thoughts in a Nonclinical Sample

Rodríguez-Martín

Moritz

Molerio-Pérez

et al. 2012

Behav. Cogn. Psychother.

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Background:Association Splitting (AS) is a novel cognitive technique, which has shown some promise for the reduction of obsessive thoughts in patients with obsessive-compulsive disorder (OCD). Its effect on unwanted intrusive thoughts (UITs) in the general population is yet unknown.Method:Our experimental study tested the effect of AS in 49 participants who reported UITs as a regular problem. Participants were randomly allocated either to an AS versus waitlist control (WL) condition. The White Bear Suppression Inventory (WBSI) was used for measuring changes over time.Results:Significant group differences were found across time. Relative to WL, AS exerted a positive effect on the reduction of UITs yielding a large effect size. According to self-report AS exerted a positive effect 6 days after the participants had initiated the exercises. All subjects in the AS condition judged the technique as effectiveConclusion:Results suggest that AS could be a suitable intervention to help people with a potential vulnerability to a clinical problem to control their UITs.

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Further evidence for the efficacy of association splitting as a self-help technique for reducing obsessive thoughts

Abstract: The study confirms the feasibility and efficacy of AS for a subgroup of patients with OCD. Ongoing studies explore whether short-term effects are maintained over time and whether therapist-guided therapy may enhance the efficacy of AS.

Cited by 37 publications

References 47 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

French version validation of the psychotic symptom rating scales (PSYRATS) for outpatients with persistent psychotic symptoms

Effectiveness of Association Splitting in Reducing Unwanted Intrusive Thoughts in a Nonclinical Sample

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