Effectiveness of intensive treatment services for obsessive compulsive disorder: outcomes from the first Canadian residential treatment program

Patients with severe and treatment refractory obsessive compulsive disorder (OCD) are usually referred to a specialized center for intensive residential treatment (IRT), consisting of exposure and response prevention (EX/RP), pharmacotherapy and additional therapies. About 50% of the patients does not respond to IRT. Currently we are not able to predict treatment response. If we were to have predictive tools, we could personify treatment at an earlier stage. Recent studies show that early adherence and willingness to EX/RP and low avoidance during EX/RP measured during treatment were associated with treatment response. In this observational study willingness and ability of patients with severe and treatment refractory OCD (N = 58) is conceptualized by a behavioral measurement, measured before the start of 12 weeks of IRT, using a Behavior Approach Test (BAT), as opposed to relying on self-report measurements. A medium or strong association between pre-treatment performance on the BAT and treatment response would justify next steps to test the BAT as a predictive tool for IRT. Results of regression analyses showed that there is a significant association between the performance on the BAT and change in OCD symptom severity after IRT. However, the effect-size is too small to use the BAT in its current form as predictor in clinical practice. The principle of the association between pre-treatment behaviorally measured willingness and ability to fully engage in EX/RP, and treatment response has now been proven. To ultimately design a predictive tool, future research is needed to refine a behavioral measurement of pre-treatment willingness and ability.

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Short-Term Residential Treatment for Obsessive-Compulsive Disorder

Brief Treatment and Crisis Intervention ◽

10.1093/brief-treatment/mhg028 ◽

2003 ◽

Vol 3 (4) ◽

pp. 413-435 ◽

Cited By ~ 13

Author(s):

Deborah Osgood-Hynes ◽

Bradley Riemann ◽

Thröstur Björgvinsson

Keyword(s):

Residential Treatment ◽

Obsessive Compulsive Disorder ◽

Short Term ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Predictors of treatment outcome for youth receiving intensive residential treatment for obsessive–compulsive disorder (OCD)

Cognitive Behaviour Therapy ◽

10.1080/16506073.2019.1614977 ◽

2019 ◽

Vol 49 (4) ◽

pp. 294-306 ◽

Cited By ~ 2

Author(s):

Davíð R.M.A. Højgaard ◽

Sophie C. Schneider ◽

Valérie La Buissonnière-Ariza ◽

Brian Kay ◽

Bradley C. Riemann ◽

...

Keyword(s):

Treatment Outcome ◽

Residential Treatment ◽

Obsessive Compulsive Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Intensive Residential Treatment

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Emotion regulation strategy use and symptom change during intensive treatment of transitional age youth patients with obsessive compulsive disorder

Journal of Behavioral and Cognitive Therapy ◽

10.1016/j.jbct.2020.03.009 ◽

2020 ◽

Vol 30 (2) ◽

pp. 95-102

Author(s):

Melissa A. Wei ◽

Nathaniel Van Kirk ◽

Adam M. Reid ◽

Lauryn E. Garner ◽

Jason W. Krompinger ◽

...

Keyword(s):

Emotion Regulation ◽

Obsessive Compulsive Disorder ◽

Strategy Use ◽

Intensive Treatment ◽

Symptom Change ◽

Transitional Age Youth ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Emotion Regulation Strategy ◽

Transitional Age

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Intensive treatment for adolescent obsessive compulsive disorder

Mental Health Practice ◽

10.7748/mhp.12.2.25.s31 ◽

2008 ◽

Vol 12 (2) ◽

pp. 25-25

Keyword(s):

Obsessive Compulsive Disorder ◽

Intensive Treatment ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Quality of life in children and adolescents with obsessive-compulsive disorder: The Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)

Bulletin of the Menninger Clinic ◽

10.1521/bumc_2019_83_03 ◽

2019 ◽

Vol 83 (4) ◽

pp. 377-397 ◽

Cited By ~ 1

Author(s):

Brian A. Zaboski ◽

Alexandra Gilbert ◽

Rebecca Hamblin ◽

Jessica Andrews ◽

Amaya Ramos ◽

...

Keyword(s):

Quality Of Life ◽

Children And Adolescents ◽

Obsessive Compulsive Disorder ◽

Functional Impairment ◽

Intensive Treatment ◽

Self Report ◽

Obsessive Compulsive ◽

Satisfaction Questionnaire ◽

Compulsive Disorder

The current study examined quality of life (QOL) and its clinical correlates among 225 intensive treatment-seeking children and adolescents with obsessive-compulsive disorder (OCD) using the Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q). Youth completed the PQ-LES-Q along with self-report measures assessing functional impairment, anxiety sensitivity, OCD symptoms, nonspecific anxiety, depression, and social anxiety. Parents completed measures on their child's anxiety, the presence of inattention/hyperactivity, depression, functional impairment, and frequency of family accommodation of symptoms. Contrary to expectation, child-reported OCD symptoms did not significantly predict QOL; however, lower overall QOL was strongly associated with the presence of comorbid major depressive disorder (g=3D −0.76) and slightly related to comorbid social phobia (g=3D −0.36). These results suggest that assessing and addressing comorbid conditions in the treatment of youth with OCD is an important component of intensive treatment.

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