Therapieformen der Dritten Welle der Verhaltenstherapie bei Zwangsstörungen: Sinnvolle Ergänzung zu KVT? Aktueller Wissensstand

Abstract

Cognitive behavioral therapy (CBT) with exposure is the state of the art and most efficient treatment for obsessive compulsive disorder and recommended as treatment of 1st choice according to guidelines. Therapies of the third wave, such as mindfulness based approaches (ACT, MBCT), metacognitive therapy, CBASP or schema therapy, have become more popular over past few years. A small number of studies that investigated some of these therapies show promising results. However, due to the small number of available studies, small sample sizes and methodologic limitations (only a few available RCTs) the evidence of these therapies is insufficient. Above all no study compared these alternative therapies with the well-proven CBT and exposure. Therefore, therapies of the third wave should only be used as add-on therapies to CBT and exposure if individually needed in the treatment of OCD. Future research is absolutely needed.

New-wave behavioral therapies in obsessive-compulsive disorder: Moving toward integrated behavioral therapies

“…Future research is warranted to establish the same. [91] There is increasing integration of mindfulness and acceptance strategies along with traditional/conventional CT/CBT in clinical practice. However, the manner of integration is based on several factors including the clinician's judgment.…”

Häufigkeit von Komorbiditäten bei der stationären Behandlung von Essstörungen und Adipositas bei Mädchen und jungen Frauen

“…B. die Cognitive Remediation Therapy (CRT) [13], Essbegleitung [14] oder die Schematherapie [3] erweitert. Letzteres gehört zu den sogenannten Therapieformen der Dritten Welle der Verhaltenstherapie [15] und wird bereits zur zeitgleichen Behandlung von Komorbiditäten bei Abhängigkeitserkrankungen und Borderline-Persönlichkeitsstörung eingesetzt [16]. Ebenfalls finden sogenannte E-Mental Health-Methoden [17] und Kurzinterventionen [18] Verwendung in der Behandlung von Essstörungen.…”

Geometric Meditation-Based Cognitive Behavioral Therapy in Obsessive-Compulsive Disorder: A Case Study

“…A new study reported the beneficial effects of MBCT in OCD, depression and anxiety symptoms as well as obsessive beliefs through improving mindfulness skills and self-compassion in the experimental group vs. controls (18). In addition, other third wave treatment approaches such as Acceptance and Commitment Therapy (ACT) and Mindfulness Based Stress Reduction are also reported as beneficial in relapsed OCD symptoms (14,(19)(20)(21).…”