scholarly journals Full remission and relapse of obsessive-compulsive symptoms after cognitive-behavioral group therapy: a two-year follow-up

2010 ◽  
Vol 32 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Daniela Tusi Braga ◽  
Gisele Gus Manfro ◽  
Kátia Niederauer ◽  
Aristides Volpato Cordioli
Keyword(s):  
Group Therapy ◽  
Partial Remission ◽  
Protective Factor ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Cognitive Behavioral Group Therapy ◽  
Full Remission ◽  
Behavioral Group

OBJECTIVE: The aim of this study was to assess whether the results obtained with 12 sessions of cognitive-behavioral group therapy with obsessive-compulsive patients were maintained after two years, and whether the degree of symptom remission was associated with relapse. METHOD: Forty-two patients were followed. The severity of symptoms was measured at the end of cognitive-behavioral group therapy and at 18 and 24 months of follow-up. The assessment scales used were the Yale-Brown Obsessive-Compulsive Scale, Clinical Global Impression, Beck Depression Inventory, and Beck Anxiety Inventory. RESULTS: The reduction in symptom severity observed at the end of treatment was maintained during the two-year follow-up period (F = 57.881; p < 0.001). At the end of the treatment, 9 (21.4%) patients presented full remission, 22 (52.4%) presented partial remission, and 11 (26.2%) had unchanged scores in the Yale-Brown Obsessive-Compulsive Scale. After two years, 13 patients (31.0%) presented full remission, 20 (47.6%) had partial remission, and 9 (21.4%) had unchanged Yale-Brown Obsessive-Compulsive Scalescores. The full remission of symptoms at the end of the treatment was a protective factor against relapse (χ2 = 4,962; df = 1; p = 0.026). CONCLUSION: Our findings underscore the importance of attaining full remission of obsessive-compulsive symptoms during treatment and the need for new therapeutic strategies to achieve this.

A Randomized Clinical Trial to Examine Enhancing Cognitive-Behavioral Group Therapy for Obsessive-Compulsive Disorder with Motivational Interviewing and Thought Mapping

2010 ◽  
Vol 38 (3) ◽  
pp. 319-336 ◽  
Author(s):  
Elisabeth Meyer ◽  
Fernanda Souza ◽  
Elizeth Heldt ◽  
Paulo Knapp ◽  
Aristides Cordioli ◽  
...  
Keyword(s):  
Group Therapy ◽  
Motivational Interviewing ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behavioral ◽  
Symptom Reduction ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioral Group Therapy ◽  
Behavioral Group

Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

scholarly journals Cognitive-behavioral group therapy in obsessive-compulsive disorder: a clinical trial

2002 ◽  
Vol 24 (3) ◽  
pp. 113-120 ◽  
Author(s):  
Aristides V Cordioli ◽  
Elizeth Heldt ◽  
Daniela B Bochi ◽  
Regina Margis ◽  
Marcelo B de Sousa ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Group Therapy ◽  
Cognitive Behavioral ◽  
Treatment Results ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Cognitive Behavioral Group Therapy ◽  
Behavioral Group ◽  
Therapy Protocol

Objective: To develop a cognitive-behavioral group therapy protocol and to verify its efficacy to reduce obsessive-compulsive symptoms. Methods: An open clinical trial with 32 obsessive-compulsive patients was performed, in which a cognitive-behavioral group therapy protocol of 12 weekly sessions of two hours, in 5 consecutive groups, was applied. The severity of symptoms was rated with the Yale-Brown Obsessive-Compulsive (Y-BOCS), Hamilton Anxiety (HAM A) and Hamilton Depression (HAM D) scales. The patients were followed up for 3 months after the end of the treatment. Results: There was a significant reduction in the scores of Y-BOCS, HAM A and HAM D scales with the treatment regardless the use of anti-obsessive medications. The rate of improved patients (decrease of > or = 35% in Y-BOCS) was 78.1%. Two patients (6.25%) dropped out from the study. The effect size calculated for the Y-BOCS scale was 1.75. Conclusions: This study suggests that cognitive-behavioral group therapy reduces obsessive-compulsive symptoms. In addition, patients presented good compliance.

scholarly journals Effectiveness of Text Messaging for the Management of Psychological and Somatic Distress in Depressed and Anxious Outpatients

2019 ◽  
Vol 12 (1) ◽  
pp. 12-19
Author(s):  
Roberto Truzoli ◽  
Cecilia Rovetta ◽  
Eliana Nola ◽  
Luca Matteucci ◽  
Caterina Viganò
Keyword(s):  
Group Therapy ◽  
Patient Compliance ◽  
Text Messaging ◽  
Post Treatment ◽  
Cognitive Behavioral ◽  
Depression And Anxiety ◽  
Cognitive Behavioral Group Therapy ◽  
Treatment Of Depression ◽  
Behavioral Group

Background:Cognitive behavioral group therapy has developed several techniques in order to make the treatment of depressive and anxiety disorders more effective. Particularly, the “homework” is a tool in order to practice therapeutic skills in ecological settings. When working with this aim, it is often necessary to support patient compliance.Researches have shown the efficacy of sending a text to the patients in order to support the patient compliance, but only a few data are available on the effectiveness of sending text in the treatment of depression and anxiety.Objective:Verify the effectiveness of sending text in the treatment of depression and anxiety in order to support patient compliance.Methods:Participants were enrolled for cognitive behavioral group therapy. Once completed the treatment, a sub-group of participants (Yes SMS group) was reached by a weekly text message for the whole 3 months time between the end of the intervention and the scheduled follow-up session.All the participants were assessed for the overall psychopathological symptoms, depression, and anxiety before and after the group intervention, and at the 3 months follow up.Results:Both groups improved from pre to post-treatment in all the assessed dimensions; the enhancement endures up to the 3 months follow up.Comparing the two groups regardless of the diagnosis, the Yes SMS group shows significant better outcomes in depression at follow-up and in anxiety both at post-treatment and at follow-up.Conclusion:The weekly SMS as prompt seems to enhance the patient’s compliance.

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