Strategies for Improving Long-Term Outcomes in Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder: Insights From Learning Theory

Abramowitz, Jonathan S.; Arch, Joanna J.

doi:10.1016/j.cbpra.2013.06.004

Cited by 96 publications

(54 citation statements)

References 44 publications

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“…In OCD, such associations concern not only external triggers of obsessions, but also the obsessional thoughts and doubts themselves (Abramowitz & Arch, 2014). For Monica, these associations would be "unnatural foods cause cancer," and "uncertainty about becoming ill in the future is intolerable".…”

Section: Description Of the Theoretical Modelmentioning

confidence: 99%

Exposure therapy for obsessive–compulsive disorder: An optimizing inhibitory learning approach

Arch

Abramowitz

2015

Journal of Obsessive-Compulsive and Related Disorders

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Section: Description Of the Theoretical Modelmentioning

confidence: 99%

Exposure therapy for obsessive–compulsive disorder: An optimizing inhibitory learning approach

Arch

Abramowitz

2015

Journal of Obsessive-Compulsive and Related Disorders

Self Cite

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“…There are different strategies for imaginal exposure, which also depend on the patient's progress in treatment, as exposures should gradually increase in intensity (Abramowitz and Arch, 2014;Jacofsky et al, 2014;Kircanski and Peris, 2015). To initiate the process, a therapist might ask the patient to read or watch media related to the patient's fears (e.g.…”

Section: Introductionmentioning

confidence: 99%

Proceedings of the Fourth Workshop on Computational Linguistics and Clinical Psychology –- From Linguistic Signal to Clinical Reality

Hollingshead¹,

Ireland²,

Loveys³

2017

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“…The ERP group consisted of 10 two-hour sessions based on treatment recommendations derived from inhibitory learning theory (Abramowitz & Arch, 2014;Arch & Abramowitz, 2015). Session 1 introduced the rationale for ERP.…”

Section: Erp Groupsmentioning

confidence: 99%

Mindfulness-based exposure and response prevention for obsessive compulsive disorder: Findings from a pilot randomised controlled trial

Strauss

Lea

Hayward

et al. 2018

Journal of Anxiety Disorders

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Background: Only about half of people with obsessive compulsive disorder (OCD) show clinically significant improvement following the recommended therapy, exposure and response prevention (ERP), partly due to poor therapy acceptability. A mindfulness-based approach to ERP (MB-ERP) has the potential to improve acceptability and outcomes. Methods: This was an internal pilot randomised controlled trial (RCT) of group MB-ERP compared to group ERP. 37 participants meeting DSM-IV OCD criteria were randomly allocated to MB-ERP or ERP. Results: Both groups improved in OCD symptom severity. However, MB-ERP did not lead to clinically important improvements in OCD symptom severity at post-intervention compared to ERP -the minimum clinically important difference was not contained in the 95% confidence intervals. There were negligible between-group differences in engagement and MB-ERP did not appear to have broader benefits compared to ERP on depression, wellbeing or OCD-related beliefs. Conversely, MB-ERP led to medium/medium-large improvements in mindfulness compared to ERP. Conclusions: MB-ERP is unlikely to lead to clinically meaningful improvements in OCD symptom severity compared to ERP alone. We underline the importance of adhering to treatment guidelines recommending ERP for OCD. Insufficient attention may have been given to mindfulness practice/discussion in MB-ERP and further research is recommended to explore this possibility.

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Strategies for Improving Long-Term Outcomes in Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder: Insights From Learning Theory

Cited by 96 publications

References 44 publications

Exposure therapy for obsessive–compulsive disorder: An optimizing inhibitory learning approach

Exposure therapy for obsessive–compulsive disorder: An optimizing inhibitory learning approach

Proceedings of the Fourth Workshop on Computational Linguistics and Clinical Psychology –- From Linguistic Signal to Clinical Reality

Mindfulness-based exposure and response prevention for obsessive compulsive disorder: Findings from a pilot randomised controlled trial

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