Satiation Therapy and Exposure Response Prevention in the Treatment of Obsessive Compulsive Disorder

Khodarahimi, Siamak

doi:10.1007/s10879-009-9110-z

Cited by 14 publications

(14 citation statements)

References 15 publications

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“…ERP was superior to wait list controls in the reduction of OCD symptoms in each of five comparisons (Fritzler et al, 1997; Khodarahimi, 2009; McLean et al, 2001; van Balkom et al, 1998; Vogel et al, 2004). This indicates that ERP is efficacious in the treatment of OCD.…”

Section: Resultsmentioning

confidence: 84%

“…In the only study to examine satiation therapy, Khodarahimi (2009) found that it was comparable to conventional ERP; and both treatments were superior to a wait list condition. These advantages were also maintained at six-month follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…If their efficacy is established, it would be interesting to further explore their mechanisms of action. Both EMDR (Nazari et al, 2011) and satiation therapy (Khodarahimi, 2009) involve some exposure, which might be a critical ingredient. One difference between ERP and satiation therapy, however, is that the latter can include instructions to repeatedly engage in compulsive behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…In the category of behavioral treatments we included ERP, Satiation Therapy, and Acceptance and Commitment Therapy (ACT). Satiation Therapy can be considered exposure without response prevention as it involves repeated exposure to OCD triggers with patients instructed to increase the frequency of those symptoms until they become less compelling (Khodarahimi, 2009). ACT aims to foster psychological flexibility through the practice of acceptance and mindfulness along with commitment and behavior modification exercises (Hayes et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

An update on the efficacy of psychological treatments for obsessive–compulsive disorder in adults

Ponniah

Magiati

Hollon

2013

Journal of Obsessive-Compulsive and Related Disorders

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We conducted a review to provide an update on the efficacy of psychological treatments for OCD in general and with regard to specific symptom presentations. The PubMed and PsycINFO databases were searched for randomized controlled trials (RCTs) published up to mid February 2012. Forty-five such studies were identified. Exposure and response prevention (ERP) and cognitive-behavioral therapy (CBT) were found to be efficacious and specific for OCD. More purely cognitive interventions that did not include ERP or behavioral experiments were found to be possibly efficacious, as were Acceptance and Commitment Therapy, Motivational Interviewing as an adjunct to the established treatments, Eye Movement Desensitization and Reprocessing, and Satiation Therapy. There was little support for Stress Management or Psychodynamic Therapy. Although the majority of the studies recruited mixed or unspecified samples of patients and did not test for moderation, CBT was efficacious for obsessional patients who lacked overt rituals. One more purely cognitive intervention named Danger Ideation Reduction Therapy was found to be possibly efficacious for patients with contamination obsessions and washing compulsions. Although ERP and CBT are the best established psychological treatments for OCD, further research is needed to help elucidate which treatments are most effective for different OCD presentations.

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Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

An update on the efficacy of psychological treatments for obsessive–compulsive disorder in adults

Ponniah

Magiati

Hollon

2013

Journal of Obsessive-Compulsive and Related Disorders

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“…We identified 1480 articles in our search and assessed 158 (11%) full-text articles for eligibility ( figure 1 ). We excluded 95 (60%) articles and included 64 trials reported in 63 (40%) articles 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 in the qualitative review. A detailed list of the excluded studies is in the appendix .…”

Section: Resultsmentioning

confidence: 99%

Pharmacological and psychotherapeutic interventions for management of obsessive-compulsive disorder in adults: a systematic review and network meta-analysis

Skapinakis

Caldwell

Hollingworth

et al. 2016

The Lancet Psychiatry

303

190

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SummaryBackgroundSeveral interventions are available for management of obsessive-compulsive disorder in adults, but few studies have compared their relative efficacy in a single analysis. We aimed to simultaneously compare all available treatments using both direct and indirect data.MethodsIn this systematic review and network meta-analysis, we searched the two controlled trials registers maintained by the Cochrane Collaboration Common Mental Disorders group for trials published up to Feb 16, 2016. We selected randomised controlled trials in which an active psychotherapeutic or pharmacological intervention had been used in adults with obsessive-compulsive disorder. We allowed all comorbidities except for schizophrenia or bipolar disorder. We excluded studies that focused exclusively on treatment-resistant patient populations defined within the same study. We extracted data from published reports. The primary outcome was symptom severity as measured by the Yale-Brown Obsessive Compulsive Scale. We report mean differences with 95% credible intervals compared with placebo. This study is registered with PROSPERO, number CRD42012002441.FindingsWe identified 1480 articles in our search and included 53 articles (54 trials; 6652 participants) in the network meta-analysis. Behavioural therapy (mean difference −14·48 [95% credible interval −18·61 to −10·23]; 11 trials and 287 patients), cognitive therapy (−13·36 [–18·40 to −8·21]; six trials and 172 patients), behavioural therapy and clomipramine (−12·97 [–19·18 to −6·74]; one trial and 31 patients), cognitive behavioural therapy and fluvoxamine (−7·50 [–13·89 to −1·17]; one trial and six patients), cognitive behavioural therapy (−5·37 [–9·10 to −1·63]; nine trials and 231 patients), clomipramine (−4·72 [–6·85 to −2·60]; 13 trials and 831 patients), and all SSRIs (class effect −3·49 [95% credible interval −5·12 to −1·81]; 37 trials and 3158 patients) had greater effects than did drug placebo. Clomipramine was not better than were SSRIs (−1·23 [–3·41 to 0·94]). Psychotherapeutic interventions had a greater effect than did medications, but a serious limitation was that most psychotherapeutic trials included patients who were taking stable doses of antidepressants (12 [80%] of the 15 psychotherapy trials explicitly allowed antidepressants).InterpretationA range of interventions is effective in the management of obsessive-compulsive disorder, but considerable uncertainty and limitations exist regarding their relative efficacy. Taking all the evidence into account, the combination of psychotherapeutic and psychopharmacological interventions is likely to be more effective than are psychotherapeutic interventions alone, at least in severe obsessive-compulsive disorder.FundingNational Institute for Health Research.

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Grundlagen

Voderholzer,

Rubart,

Kathmann

et al. 2024

S3-Leitlinie Zwangsstörungen

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Satiation Therapy and Exposure Response Prevention in the Treatment of Obsessive Compulsive Disorder

Cited by 14 publications

References 15 publications

An update on the efficacy of psychological treatments for obsessive–compulsive disorder in adults

An update on the efficacy of psychological treatments for obsessive–compulsive disorder in adults

Pharmacological and psychotherapeutic interventions for management of obsessive-compulsive disorder in adults: a systematic review and network meta-analysis

Grundlagen

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