Predictors of response to group cognitive-behavioral therapy in the treatment of obsessive-compulsive disorder

Raffin, Andréa Litvin; Fachel, Jandyra Maria Guimarães; Ferrão, Ygor Arzeno; Souza, Fernanda Pasquoto de; Cordioli, Aristides Volpato

doi:10.1016/j.eurpsy.2008.12.001

Cited by 58 publications

(40 citation statements)

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“…However, anxious individuals with either mood disorder were more impaired than anxious individuals without a mood disorder. The finding that individuals with bipolar disorder have more severe depression and anxiety symptoms is noteworthy, as individuals with more severe global symptoms are poorer responders to group cognitive behavioural therapy for anxiety 39 . Clinicians should be mindful of these symptoms and provide adjunct treatment aimed at relieving severe depressive symptoms in addition to group treatment for anxiety if warranted.…”

Section: Discussionmentioning

confidence: 95%

Bipolar Disorder Comorbidity in Anxiety Disorders: Relationship to demographic profile, symptom severity, and functional impairment

et al. 2011

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-Background and Objectives: High rates of comorbidity between anxiety disorders and bipolar disorder (BD) have been reported. Studies on the impact of BD comorbidity in individuals with a principal anxiety disorder have been limited.Methods: Individuals (N = 186) seeking anxiety disorder treatment completed questionnaires and a diagnostic interview. Anxious individuals with comorbid BD were compared to anxious individuals with comorbid depression, and individuals with an anxiety disorder only.Results: Anxious individuals with BD were more likely to report being single, separated or divorced, and to present with greater substance abuse and comorbidity than individuals with an anxiety disorder only. Anxious individuals with BD also presented with lower household income than anxious individuals with depression, and individuals with anxiety only. Anxious individuals with either comorbid BD or comorbid depression reported greater functional impairment and more severe symptoms than individuals with anxiety only.Conclusions: Overall, the presence of comorbid BD was associated with demographic and clinical factors that have been previously shown to adversely affect treatment outcome in people with anxiety disorders.

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Section: Discussionmentioning

confidence: 95%

Bipolar Disorder Comorbidity in Anxiety Disorders: Relationship to demographic profile, symptom severity, and functional impairment

et al. 2011

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“…Apesar destes achados relativamente desanimadores, no estudo de Matsunaga et al 10 , 14 em 25 pacientes com TOC e pouco insight não foram mais classificados como tal após seis meses de tratamento combinado e melhora dos sintomas obsessivo-compulsivos e depressivos associados. 16 , e à terapia cognitivo-comportamental em grupo 44 . Este mesmo fenômeno foi constatado em crianças refratárias a diversas formas de tratamento 18 .…”

Section: Insight Como Variável Categóricaunclassified

O conceito do insight em pacientes com transtorno obsessivo-compulsivo

Fontenelle

Santana

Lessa

et al. 2010

Rev. Bras. Psiquiatr.

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ResumoObjetivo: Atualizar os clínicos sobre a existência de um possível subtipo do transtorno obsessivo-compulsivo caracterizado por pouco insight. Método: Revisão opinativa baseada em estudos indexados na base de dados PubMed e PsychINFO, identificados por meio dos unitermos "obsessive-compulsive disorder" e "insight" ou "ego-dystonic" e publicados entre 1966 e outubro de 2009. Os resultados foram examinados de acordo com a estratégia utilizada para abordar o insight, i.e. categórica vs. dimensional. Resultados: Análise dos estudos nos permitiu identificar pontos que colocam em dúvida a existência de um subtipo do transtorno obsessivo-compulsivo bem delimitado caracterizado por pouco insight. Estes pontos incluem 1) prevalência extremamente variável do transtorno obsessivo-compulsivo com insight reduzido encontrada em estudos categóricos, 2) homogeneidade dos achados fenotípicos (i.e. maior gravidade) associados a baixo insight em estudos categóricos e dimensionais e 3) ausência de estudos que investigam "zonas de raridade" entre as formas de transtorno obsessivo-compulsivo com pouco e bom insight. Conclusão: Embora uma abordagem categórica do insight no transtorno obsessivo-compulsivo seja importante em ambientes clínicos, uma vez que neles existem demandas prementes para tomada de decisões, a abordagem dimensional do insight parece refletir de forma mais fidedigna o fenômeno apresentado pelos pacientes em tela. Descritores

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“…Even prior to the carrying out of the OC symptom related interventions, the client was already recounting her initiatives to reduce the frequency of house cleaning and hand washing. These initial sessions triggered a good level of insight in the client in respect to her condition, considered to be an indicator of better response to treatment (Raffin, Guimarães, Fachel, Pasquoto de Souza, & Cordioli, 2009). As Maria demonstrated an intense level of OC symptoms connected with a severe level of anxiety, before commencing the ERP exercises, the introduction of anxiety management strategies was deemed as priority.…”

Section: First Stagementioning

confidence: 99%

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

Justo¹,

Matos²,

Lipp³

2015

Revista Brasileira De Terapias Cognitivas

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Este artigo foi submetido no SGP (Sistema de Gestão de Publicações) da RBTC em 14 de junho de 2016. cod. 434. Artigo aceito em 17 de junho de 2016. ResumoMaria, 35 anos, iniciou tratamento psicológico por indicação de seu médico psiquiatra e apresentava sintomas obsessivo-compulsivos [OCs] severos, com significativo prejuízo no seu funcionamento social, ocupacional e na sua saúde. Suas obsessões eram associadas à ideia de contaminação e doença, e suas compulsões eram de limpeza e higiene. Apresentava também comportamentos de esquiva associados às obsessões e reduzido repertório social. A história de vida e a avaliação psicológica de Maria permitiram compreender a evolução de seu quadro sintomatológico e a identificação dos aspectos predisponentes, precipitadores e mantenedores do transtorno obsessivo-compulsivo [TOC]. Baseado no registro realizado durante os atendimentos psicológicos, com o tratamento cognitivo-comportamental, observou-se uma redução na frequência dos comportamentos compulsivos. A auto avaliação da cliente e a observação clínica também apontaram uma melhora no funcionamento social e em sua condição física. No entanto, não foi possível realizar o follow-up para averiguar permanência dos ganhos obtidos durante o tratamento. Palavras-chave:Comportamento; Obsessivo; Terapia AbstRAct Maria, aged 35, began psychological treatment after referral by her psychiatrist, presenting severe obsessive-compulsive symptoms [OCs] which had a significantly adverse impact on her social and occupational function and on her health. Her obsessions were associated with the idea of infection and illness and her compulsions were cleanliness and hygiene. She also presented avoidance behaviors associated with these obsessions and deficit in social skills. Maria's life history and her psychological assessment enabled us to understand the development of her symptoms and to identify the predisposing, precipitating and maintaining aspects of the obsessive-compulsive disorder [OCD]. Based on the records kept during the cognitive-behavioral treatment, a reduction in the frequency of her compulsive behavior was observed. The client's self-assessment and the clinical observations also pointed towards improvement in social function and physical condition. Future efforts should include a follow-up to check for the maintenance of these gains. CASE CONTEXT AND METHOD The RaTionale foR SelecTing ThiS PaRTiculaR clienT STudyThere were four main reasons that determined the choice of Maria's case for this study: the OCD diagnosis, the severity of the OC symptoms, the lack of prior psychological treatment, and the cognitive-behavioral treatment carried out. This case illustrates the incapacitation caused by OC symptoms and the influence of life history on the development and permanence of the disorder. An analysis of the records kept during the psychological therapy session also allowed us to ascertain the progress made with the cognitive-behavioral treatment. The MeThodological STRaTegieS eMPloyed foR enhancing The RigoR of The STudy ca...

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Predictors of response to group cognitive-behavioral therapy in the treatment of obsessive-compulsive disorder

Cited by 58 publications

References 50 publications

Bipolar Disorder Comorbidity in Anxiety Disorders: Relationship to demographic profile, symptom severity, and functional impairment

Bipolar Disorder Comorbidity in Anxiety Disorders: Relationship to demographic profile, symptom severity, and functional impairment

O conceito do insight em pacientes com transtorno obsessivo-compulsivo

Cognitive-behavioral therapy of a case of obsessive-compulsive disorder

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