Cognitive-behavioral therapy for obsessive–compulsive disorder: A non-randomized comparison of intensive and weekly approaches
ABSTRACT This study examined the relative efficacy of intensive versus weekly cognitive-behavioral therapy (CBT) for adults with obsessive-compulsive disorder (OCD). Sixty-two adults with OCD received either 14 sessions of weekly (n=30) or intensive CBT (n=32; daily psychotherapy sessions) in a non-randomized format. Assessments were conducted at Pre-treatment, Post-treatment, and 3-month Follow-up by raters who were blind to treatment group at the Pre-treatment assessment. Intensive and weekly CBT were similar in efficacy at Post-treatment and Follow-up and associated with large treatment effect sizes. Since many people with OCD do not have access to trained CBT providers, intensive treatment may be a viable option in such cases.
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ABSTRACT: This study extends support for a 5-day intensive exposure and response prevention (ERP) treatment protocol for pediatric obsessive compulsive disorder (OCD). Twenty-two children with OCD received ERP treatment twice daily for 5 days. The treatment also emphasized teaching children and parents how to conduct ERP independently after they returned home. Symptoms were assessed at four time-points: Baseline, 4 weeks later at pre-treatment, one week after the intensive treatment 5-day treatment, and at 3 month follow-up. Changes on the primary outcome measure, clinician severity ratings on the Anxiety Disorders Interview Schedule for Children, and secondary measures, indicated that OCD symptoms remained stable from the evaluation to baseline and improved significantly from baseline to follow-up. Moreover, parental accommodation of OCD decreased significantly from baseline to post-treatment and from post-treatment to follow-up. These data suggest that the 5-day intervention demonstrates efficacy in reducing OCD symptoms and may initiate change in parent accommodation that continues to improve after the family returns home.Psychiatry Research 07/2014; DOI:10.1016/j.psychres.2014.07.006 · 2.68 Impact Factor
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ABSTRACT: Exposure and response prevention (ERP) is well-established as an effective treatment for obsessive-compulsive disorder (OCD), yet its availability is often limited by a shortage of trained mental health providers. ERP is most frequently provided on a weekly or twice weekly basis; however, research has demonstrated that intensive ERP for OCD is equally efficacious compared to longer-term weekly treatments (e.g., Oldfield, Salkovskis, & Taylor, 2011). Although intensive ERP can provide patients without access to weekly treatment an opportunity to receive treatment in an alternative format, its availability is also limited as most outpatient psychiatry clinics are not structured or experienced with offering this type of service. The goal of the current paper is to provide mental health providers with information and guidance on implementing—through the illustration of a case study—a short-term intensive individualized ERP program for OCD within an outpatient psychiatry clinic that does not routinely offer these services. Special considerations and potential challenges that should be considered when offering this type of intensive treatment are discussed. The overarching goal of the paper is to improve access to ERP for OCD by increasing the availability of intensive programs.Cognitive and Behavioral Practice 10/2014; DOI:10.1016/j.cbpra.2014.09.002 · 1.33 Impact Factor
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ABSTRACT: This study compared the relative efficacy of intensive versus weekly panic control treatment (PCT) for adolescent panic disorder with agoraphobia (PDA). Twenty-six adolescents participated in weekly sessions and 25 received intensive treatment involving daily sessions. Both groups demonstrated significant and comparable reductions in panic disorder severity and general anxiety symptoms, which maintained over time. Participants receiving weekly treatment showed significant decreases in depressive symptoms, whereas those in the intensive program reported no change. Findings support the efficacy of the intensive approach for adolescent PDA, but suggest that adolescents receiving intensive treatment may benefit from a brief course of additional weekly sessions.Child & Family Behavior Therapy 10/2012; 34(4):305-323. DOI:10.1080/07317107.2012.732873 · 0.67 Impact Factor