scholarly journals The effects of depression on the treatment of OCD in a residential sample

2020 ◽  
Vol 84 (Supplement A) ◽  
pp. 12-33
Author(s):  
Chad T. Wetterneck ◽  
Rachel C. Leonard ◽  
Thomas G. Adams ◽  
Bradley C. Riemann ◽  
Peter Grau ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Residential Treatment ◽  
Cognitive Behavior ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Treatment Change ◽  
Compulsive Disorder ◽  
Symptoms Of Depression ◽  
Intensive Residential Treatment ◽  
The Impact

Studies investigating the impact of depressive symptoms on obsessive-compulsive disorder (OCD) treatment have yielded mixed findings. The purpose of the study is to extend previous research, which primarily used outpatient samples, to determine whether depression affects OCD treatment outcome among patients receiving intensive residential treatment. OCD patients receiving residential treatment based primarily on exposure and response prevention (ERP) provided data regarding symptoms of depression and OCD at admission and discharge. Patients reported large and significant reductions in OCD symptoms over the course of treatment. Change in OCD symptoms was not significantly affected by depressive symptoms, including patients with severe depressive symptoms. Change in depressive symptoms over the course of treatment was, however, robustly related to change in OCD symptoms, especially among patients who began treatment with severe symptoms of depression. These findings suggest that cognitive-behavior therapy delivered in a residential treatment setting drastically reduces OCD symptoms regardless of depressive symptoms.

Long-term outcome following Intensive Residential Treatment of Obsessive–Compulsive Disorder

2009 ◽  
Vol 43 (13) ◽  
pp. 1118-1123 ◽  
Author(s):  
S. Evelyn Stewart ◽  
Denise Egan Stack ◽  
Svetlana Tsilker ◽  
Jen Alosso ◽  
Matt Stephansky ◽  
...  
Keyword(s):  
Residential Treatment ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Compulsive Disorder ◽  
Intensive Residential Treatment

scholarly journals Proof of Principle: Is a Pre-treatment Behavior Approach Test a Potential Predictor for Response to Intensive Residential Treatment in Patients With Treatment Refractory Obsessive Compulsive Disorder?

2021 ◽  
Vol 12 ◽  
Author(s):  
Malinda van Geijtenbeek-de Vos van Steenwijk ◽  
Aart de Leeuw ◽  
Harold van Megen ◽  
Jonathan Selier ◽  
Henny Visser
Keyword(s):  
Residential Treatment ◽  
Treatment Response ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Predictive Tool ◽  
Compulsive Disorder ◽  
Behavioral Measurement ◽  
Treatment Refractory ◽  
Pre Treatment ◽  
Intensive Residential Treatment

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.

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

2019 ◽  
Vol 49 (4) ◽  
pp. 294-306 ◽  
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

scholarly journals Acceptance and commitment therapy for a case of scrupulosity-related obsessive-compulsive disorder

2018 ◽  
Vol 82 (4) ◽  
pp. 407-423 ◽  
Author(s):  
Eric B. Lee ◽  
Clarissa W. Ong ◽  
Woolee An ◽  
Michael P. Twohig
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Treatment Process ◽  
Cognitive Behavior ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Modern Form

Acceptance and commitment therapy (ACT) is a modern form of cognitive behavior therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP.

Perfectionism in Intensive Residential Treatment of Obsessive–Compulsive Disorder

2019 ◽  
Vol 44 (1) ◽  
pp. 136-144
Author(s):  
Michael G. Wheaton ◽  
Angela Marinilli Pinto ◽  
Cynthia Cervoni ◽  
Jesse M. Crosby ◽  
Eric D. Tifft ◽  
...  
Keyword(s):  
Residential Treatment ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Intensive Residential Treatment
Sign in / Sign up

Export Citation Format

Share Document