Treatment for OCD: Unleashing the Power of Exposure

Kozak, Michael J.; Coles, Meredith E.

doi:10.1007/0-387-23370-9_15

Cited by 5 publications

(4 citation statements)

References 72 publications

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“…Although retrospectively collected, our findings are consistent with crosssectional data from clinical trials indicating that 15-20% of eligible individuals are unwilling to participate in CBT and an additional 15-20% are unwilling to receive medication (Foa et al, 2005;Kozak & Coles, 2005). Drop-out rates of intensive exposure and ritual prevention (22%), clomipramine monotherapy (19%), and combined treatment (36%) were similar across groups in one recent randomized, placebo-controlled trial of OCD (Foa et al, 2005).…”

Section: Discussionsupporting

confidence: 89%

Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Mancebo

Pinto

Rasmussen

et al. 2008

Journal of Anxiety Disorders

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This paper reports on the development and initial psychometric evaluation of the Treatment Adherence Survey-patient version (TAS-P), a brief instrument designed to assess patient adherence to Cognitive-Behavioral Therapy (CBT) and pharmacotherapy recommendations for OCD. Eighty individuals with Obsessive Compulsive Disorder (OCD) were administered the TAS-P as part of the intake interview of a prospective, observational study of the course of OCD. Results demonstrated excellent test-retest reliability. Responses on the TAS-P were also significantly correlated with scores on a self-report measure of general treatment adherence and with data collected from a chart-review, demonstrating concurrent validity. Treatment adherence was not explained by demographic variables. However, participants who reported nonadherence to CBT recommendations had more severe OCD symptoms at the time of intake than those who did not endorse CBT nonadherence (mean Y-BOCS = 23.27 +/- 7.5 versus 18.20 +/- 8.0, respectively). Results suggest that the TAS-P is a promising instrument for assessing reasons for nonadherence to recommendations for CBT and pharmacotherapy interventions.

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Section: Discussionsupporting

confidence: 89%

Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Mancebo

Pinto

Rasmussen

et al. 2008

Journal of Anxiety Disorders

View full text Add to dashboard Cite

show abstract

“…Research indicates that exposure and response prevention (ERP) is the most effective treatment for OCD (Kozak & Coles, 2005a), although many OCD patients with scrupulosity have difficulty accepting and adhering to ERP because it involves directly confronting situations and thoughts that are perceived to be sinful. Some authors (e.g., Kozak & Coles, 2005b) have suggested using cognitive therapy (CT) techniques to increase adherence to ERP, although to date, this suggestion has not been studied empirically.…”

Section: Discussionmentioning

confidence: 99%

Scrupulosity in patients with obsessive–compulsive disorder: Relationship to clinical and cognitive phenomena

Nelson

Abramowitz

Whiteside

et al. 2006

Journal of Anxiety Disorders

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“…Concurrently, the patient resists the urge to ritualize, thus extinguishing the contingency between reduction in anxiety and performance of the problem behavior. The addition of cognitive therapy techniques (e.g., challenging obsessive beliefs) may assist in the modification of feared outcomes, particularly when preparing patients for exposure procedures [81].…”

Section: Exposure and Response Preventionmentioning

confidence: 99%

Disgust in contamination-based obsessive–compulsive disorder: a review and model

Brady

Adams

Lohr

2010

Expert Review of Neurotherapeutics

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Obsessive-compulsive disorder (OCD) is characterized by the presence of unwanted, intrusive thoughts coupled with ritualized behaviors intended to reduce subjective anxiety. Although once considered a homogeneous disorder, recent findings support a view of OCD as consisting of symptom subtypes. Additionally, there has been increased interest in the contribution of disgust to various forms of psychopathology. The present article summarizes the available literature on contamination-based OCD with an emphasis on the role of disgust as it pertains to the etiology and maintenance of this form of OCD. We propose an updated model of contamination-based OCD that accounts for the elevated disgust response observed in individuals with this form of OCD. Treatment implications of a disgust-based model of the disorder are discussed in the context of cognitive-behavioral therapy.

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Treatment for OCD: Unleashing the Power of Exposure

Cited by 5 publications

References 72 publications

Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Development of the Treatment Adherence Survey—patient version (TAS-P) for OCD

Scrupulosity in patients with obsessive–compulsive disorder: Relationship to clinical and cognitive phenomena

Disgust in contamination-based obsessive–compulsive disorder: a review and model

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