[Show abstract][Hide abstract] ABSTRACT: The 5-year experience of the Canadian Psychiatric Association's practice research network (PRN) in providing a window on physician practices in typical clinical settings is reviewed. The strengths of the PRN reside in the active participation of clinicians in self-monitoring as well as in the instrument adaptability and flexibility in addressing current issues of national relevance, including identification of educational needs. The PRN limitations are in the fact that the responders in general have limited research experience and the instrument can provide broad-based answers only. The creation of a national PRN is however an effective strategy in narrowing the gap between practice and research.
World psychiatry: official journal of the World Psychiatric Association (WPA) 03/2004; 3(1):56-9. · 12.85 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In the last 30 years, much progress has been made in the development and empirical evaluation of psychotherapies for obsessive-compulsive disorder (OCD). We first review some of the early behavioural interventions that, although they did not prove to be especially potent, set the stage for the development of more effective treatments. Next, we discuss the treatment outcome literature pertaining to cognitive-behavioural therapy (CBT) involving exposure and ritual prevention (EX/RP), a program of established efficacy for reducing OCD symptoms. We will then describe the EX/RP treatment variables that may affect outcomes, such as session frequency and therapist-assisted exposures. Next, we will compare the relative efficacy of EX/RP to other therapies, including cognitive therapies and medication. Finally, we will review the findings on prediction of treatment outcome and then provide a summary of the empirical literature as it stands now.
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