Psychological treatments versus treatment as usual for obsessive compulsive disorder (OCD)

Gava, Ileana; Barbui, Corrado; Aguglia, Eugenio; Carlino, Davide; Churchill, Rachel; Vanna, Maurizio De; McGuire, Hugh

doi:10.1002/14651858.cd005333.pub2

Cited by 105 publications

(81 citation statements)

References 56 publications

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“…The full remission rates were similar to those found in related studies, 5,17 but a little higher than those reported in others. 18,19 Some factors might explain these variable results. For example, the reduction of symptoms in OCD patients treated with SSRIs has been reported to be around 40-60%, with a mean improvement of 20-40%, 18 which is lower than the rates obtained with CBT, usually between 50-75%.…”

Section: Discussionmentioning

confidence: 99%

“…For example, the reduction of symptoms in OCD patients treated with SSRIs has been reported to be around 40-60%, with a mean improvement of 20-40%, 18 which is lower than the rates obtained with CBT, usually between 50-75%. 18,19 Moreover, differences in sample size, criteria and definitions for OCD full remission, and criteria for inclusion and exclusion of the patients, among other factors, may also have contributed to the different results.…”

Section: Discussionmentioning

confidence: 99%

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Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

Braga

Manfro

Niederauer

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: The aim of this study was to assess whether the results obtained with 12 sessions of cognitive-behavioral group therapy with obsessive-compulsive patients were maintained after two years, and whether the degree of symptom remission was associated with relapse. Method: Forty-two patients were followed. The severity of symptoms was measured at the end of cognitive-behavioral group therapy and at 18 and 24 months of follow-up. The assessment scales used were the Yale-Brown Obsessive-Compulsive Scale, Clinical Global Impression, Beck Depression Inventory, and Beck Anxiety Inventory. Results: The reduction in symptom severity observed at the end of treatment was maintained during the two-year follow-up period (F = 57.881; p < 0.001). At the end of the treatment, 9 (21.4%) patients presented full remission, 22 (52.4%) presented partial remission, and 11 (26.2%) had unchanged scores in the Yale-Brown Obsessive-Compulsive Scale. After two years, 13 patients (31.0%) presented full remission, 20 (47.6%) had partial remission, and 9 (21.4%) had unchanged Yale-Brown ObsessiveCompulsive Scalescores. The full remission of symptoms at the end of the treatment was a protective factor against relapse (χ 2 = 4,962; df = 1; p = 0.026). Conclusion: Our findings underscore the importance of attaining full remission of obsessive-compulsive symptoms during treatment and the need for new therapeutic strategies to achieve this. (F = 57,881; p < 0,001 Descriptors

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

Braga

Manfro

Niederauer

et al. 2010

Rev. Bras. Psiquiatr.

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“…Treatment as usual included no treatment, waiting list or usual care. Results from 214 patients indicated that cognitivebehvaioral therapy is associated with more significant decline in OCD symptoms compared to treatment as usual [106]. Amelioration of 50-70 % of OCD symptoms were noted for patients with OCD involved in the above mentioned trials.…”

Section: Efficacy Studies Of the Cognitive Behavioral Psychotherapy Amentioning

confidence: 99%

“…On the other hand, Gava et.al (2007) conducted a systematic review of eight randomized trials comparing the therapeutic outcomes of patients receiving a form of cognitive behavioral therapy versus patients who were treated as usual [106]. Treatment as usual included no treatment, waiting list or usual care.…”

Section: Efficacy Studies Of the Cognitive Behavioral Psychotherapy Amentioning

confidence: 99%

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Cognitive Behavioral Therapy for Obsessive Compulsive Disorder

Al-Sharbati¹,

Al-Sharbati²,

Gupta³

2014

Obsessive-Compulsive Disorder - The Old and the New Problems

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Obsessive-Compulsive Disorder

Hirschtritt

Bloch

Mathews

2017

JAMA

367

175

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The dissemination of computer-based cognitive behavioral therapy and improved evidence supporting it represent a major advancement in treatment of OCD. Although cognitive behavioral therapy with or without selective serotonin reuptake inhibitors remains a preferred initial treatment strategy, increasing evidence that supports the safety and efficacy of neuroleptics and neuromodulatory approaches in treatment-resistant cases provides alternatives for patients whose condition does not respond to first-line interventions.

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Psychological treatments versus treatment as usual for obsessive compulsive disorder (OCD)

Cited by 105 publications

References 56 publications

Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

Cognitive Behavioral Therapy for Obsessive Compulsive Disorder

Obsessive-Compulsive Disorder

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