Exposure with response prevention (ERP) is a well-established treatment of obsessive-compulsive disorder (OCD). Only two trials have investigated changes in obsessive beliefs in OCD patients treated with ERP (Emmelkamp, van Oppen & van Balkom, 2002; Whittal, Thordarson & McLean, 2005), with inconsistent results. This study examines if OC symptom improvement was related to specific cognitive changes and, if this was the case, which domain was more affected by ERP. Thirty inpatients (mean age= 33.63; SD= 8.64) with resistant OC symptoms (mean YBOCS= 27.16; SD=7.65) were treated with in vivo ERP (two daily sessions of 2.5 hours each, five days a week) during a one-month period. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI) and Obsessive Beliefs Questionnaire (OBQ-87) were administered at pre- and post-treatment. Comparisons of treatment responders’ and non-responders’ change scores on obsessive beliefs showed that treatment responders had significantly higher change scores only for Intolerance of Uncertainty subscale [t(28)= -2.43, p< .05] and Overestimation of Threat subscale [t(28)= -2.29, p< .05]. These findings suggest that ERP does not seem to affect some obsessive belief domains. The importance of introducing a specific cognitive framework in the behavioral intervention is discussed.
Obsessive belief changes in patients with resistant OCD treated daily with prolonged exposure and response prevention / D. Coradeschi; A. Pozza; E. Mannelli; G. Mengoli; L. Rotundo; T. Neri; D. Dettore. - In: PSICOTERAPIA COGNITIVA E COMPORTAMENTALE. - ISSN 1126-1072. - STAMPA. - 18 (3) Monograph Supplement:(2012), pp. 23-37.
Obsessive belief changes in patients with resistant OCD treated daily with prolonged exposure and response prevention.
POZZA, ANDREA;DETTORE, DAVIDE
2012
Abstract
Exposure with response prevention (ERP) is a well-established treatment of obsessive-compulsive disorder (OCD). Only two trials have investigated changes in obsessive beliefs in OCD patients treated with ERP (Emmelkamp, van Oppen & van Balkom, 2002; Whittal, Thordarson & McLean, 2005), with inconsistent results. This study examines if OC symptom improvement was related to specific cognitive changes and, if this was the case, which domain was more affected by ERP. Thirty inpatients (mean age= 33.63; SD= 8.64) with resistant OC symptoms (mean YBOCS= 27.16; SD=7.65) were treated with in vivo ERP (two daily sessions of 2.5 hours each, five days a week) during a one-month period. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI) and Obsessive Beliefs Questionnaire (OBQ-87) were administered at pre- and post-treatment. Comparisons of treatment responders’ and non-responders’ change scores on obsessive beliefs showed that treatment responders had significantly higher change scores only for Intolerance of Uncertainty subscale [t(28)= -2.43, p< .05] and Overestimation of Threat subscale [t(28)= -2.29, p< .05]. These findings suggest that ERP does not seem to affect some obsessive belief domains. The importance of introducing a specific cognitive framework in the behavioral intervention is discussed.File | Dimensione | Formato | |
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