Treatment of Individuals with Obsessive-Compulsive Disorder Who Have Poor Insight

Larson, Michael J.; Whitcomb, Kaitlyn E.; Hunt, Isaac J.; Bjornn, Daniel

doi:10.1007/978-3-319-17139-5_27

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…In any case, whereas Tolin and colleagues (2001) found that the degree to which beliefs are fixed did not predict symptom severity across patients with all obsessional types, the present data demonstrate that it does predict severity at least among those with scrupulosity. With respect to treatment, although scrupulosity was not characterized by less insight on average, those with more severe scrupulosity may benefit from techniques intended to enhance insight (e.g., Larson, Whitcomb, Hunt, & Bjornn, 2016).…”

Section: Discussionmentioning

confidence: 99%

Clinical features of scrupulosity: Associated symptoms and comorbidity

et al. 2020

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Objective: Scrupulosity is a manifestation of obsessivecompulsive disorder (OCD) characterized by religious or moral core fears. Clinicians often struggle to treat scrupulosity, which may be associated with several features known to predict poor treatment outcome. The purpose of this study was to examine these features in participants with scrupulous OCD, contamination OCD, and healthy controls. Method: A total of 68 participants (57.4% women, age mean = 34.01) completed diagnostic interviews, and measures of symptoms and quality-of-life. Results: Relative to comparison groups, scrupulous participants had higher rates of obsessive-compulsive personality disorder, more severe schizotypal symptoms, and more severe symptoms of depression. In addition, OCD severity was strongly associated with poor insight in the scrupulous group. Both OCD groups reported poorer quality of life than did healthy controls.

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Section: Discussionmentioning

confidence: 99%

Clinical features of scrupulosity: Associated symptoms and comorbidity

et al. 2020

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Utilizing Exposure and Response Prevention to Address Poor Insight in Obsessive-Compulsive Disorder

Middleton

Hezel

2019

J Cogn Psychother

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Studies indicate that approximately 9%–30% of adults diagnosed with obsessive-compulsive disorder have poor insight into their symptoms. That is, they fail to recognize the excessiveness or irrationality of the obsessive thoughts or their compulsive behaviors. Poor insight in OCD is associated with more severe symptoms, earlier age of illness onset, longer illness duration, and higher rates of comorbid depression. Moreover, some studies have also reported that patients with poor insight are less likely than are those with good or fair insight to respond to first-line treatments such as exposure and response prevention (ERP). Despite the clinical relevance of poor insight, very little research has focused on how to enhance therapy with strategies specifically used to target it. In this report, we use a case study to demonstrate how different techniques can be emphasized or integrated with standard ERP to improve treatment outcomes for this subset of patients.

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Treatment of Individuals with Obsessive-Compulsive Disorder Who Have Poor Insight

Cited by 2 publications

References 19 publications

Clinical features of scrupulosity: Associated symptoms and comorbidity

Clinical features of scrupulosity: Associated symptoms and comorbidity

Utilizing Exposure and Response Prevention to Address Poor Insight in Obsessive-Compulsive Disorder

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