Treatment of obsessions: A randomized controlled trial

Whittal, Maureen L.; Woody, Sheila R.; McLean, Peter D.; Rachman, S.; Robichaud, Melisa

doi:10.1016/j.brat.2009.11.010

Cited by 107 publications

(78 citation statements)

References 29 publications

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“…The specificity of the relationship between DT and obsessions may give some clue as to why SMTwas ineffective in treatment studies for mixed OCD types, but it was recently found effective for obsessions. [10] Though correlational and partial-correlational analyses found multiple associations between obsessive beliefs and OC symptoms, all but one of these associations (beliefs about perfectionism/ tolerance of uncertainty and ordering symptoms) were made nonsignificant in the multivariate analysis. In Study 2, we found that poorer DT was predictive of residual changes in obsessing symptoms one month later.…”

Section: Discussionmentioning

confidence: 84%

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Distress tolerance and obsessions: an integrative analysis

et al. 2011

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Section: Discussionmentioning

confidence: 84%

“…Whittal et al [10] recently found that stress management training (SMT) led to similar treatment outcomes for obsessions as a full-scale cognitive intervention based on the cognitive theory. Both treatments showed marked efficacy relative to a waitlist condition.…”

Section: Introductionmentioning

confidence: 99%

Distress tolerance and obsessions: an integrative analysis

et al. 2011

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“…Since a study can combine two of these types of designs, e.g. Whittal et al (2010) which had both a placebo and a waitlist condition to compare cognitive therapy with, the total number of designs is 47.…”

Section: Designs and Comparisonsmentioning

confidence: 99%

Cognitive behavioral treatments of obsessive–compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014

Öst

Havnen

Hansen

et al. 2015

Clinical Psychology Review

502

254

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“…It has fared less well in previous studies against CBT for OCD [24] or health anxiety. However, AM performed as well as CBT in OCD with Asperger's syndrome [25] and in multiple somatoform symptoms [26], and in the long term in one study on obsessions without prominent compulsions [27]. …”

Section: Introductionmentioning

confidence: 99%

Efficacy of Cognitive Behaviour Therapy versus Anxiety Management for Body Dysmorphic Disorder: A Randomised Controlled Trial

Veale

Anson

Miles

et al. 2014

Psychother Psychosom

155

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Background: The evidence base for the efficacy of cognitive behaviour therapy (CBT) for treating body dysmorphic disorder (BDD) is weak. Aims: To determine whether CBT is more effective than anxiety management (AM) in an outpatient setting. Method: This was a single-blind stratified parallel-group randomised controlled trial. The primary endpoint was at 12 weeks, and the Yale-Brown Obsessive Compulsive Scale for BDD (BDD-YBOCS) was the primary outcome measure. Secondary measures for BDD included the Brown Assessment of Beliefs Scale (BABS), the Appearance Anxiety Inventory (AAI) and the Body Image Quality of Life Inventory (BIQLI). The outcome measures were collected at baseline and week 12. The CBT group, unlike the AM group, had 4 further weekly sessions that were analysed for their added value. Both groups then completed measures at their 1-month follow-up. Forty-six participants with a DSM-IV diagnosis of BDD, including those with delusional BDD, were randomly allocated to either CBT or AM. Results: At 12 weeks, CBT was found to be significantly superior to AM on the BDD-YBOCS [β = -7.19; SE (β) = 2.61; p < 0.01; 95% CI = -12.31 to -2.07; d = 0.99] as well as the secondary outcome measures of the BABS, AAI and BIQLI. Further benefits occurred by week 16 within the CBT group. There were no differences in outcome for those with delusional BDD or depression. Conclusions: CBT is an effective intervention for people with BDD even with delusional beliefs or depression and is more effective than AM over 12 weeks.

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Treatment of obsessions: A randomized controlled trial

Cited by 107 publications

References 29 publications

Distress tolerance and obsessions: an integrative analysis

Distress tolerance and obsessions: an integrative analysis

Cognitive behavioral treatments of obsessive–compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014

Efficacy of Cognitive Behaviour Therapy versus Anxiety Management for Body Dysmorphic Disorder: A Randomised Controlled Trial

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