scholarly journals Effectiveness of Cognitive Behavioral Therapy based on Exposure and Response Prevention on Patients with Contamination Obsessive-Compulsive disorder and Scrupulosity

2020 ◽  
Author(s):  
Farzad Farhoodi ◽  
Javad Salehi Fadardi ◽  
Ali Ghanaie Chamanabad ◽  
Seyed Hamid Mirhoseini
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Response Prevention ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Significant Difference

Introduction: The aim of the present study was to compare the effectiveness of cognitive behavior therapy based on exposure and response prevention on the patients with contamination obsessive-compulsive disorder (OCD) and scrupulosity. Methods: The method was semi-experimental pretest-posttest design by control group. Sixty OCD participants who were suffering from scrupulosity and contamination OCD were diagnosed by means of diagnostic interviewing, Yale-Brown Obsessive-Compulsive Scale and Penn inventory of scrupulosity. They were selected through convenience sampling method and were assigned in two experimental groups and one control group (each group 20). The cognitive behavioral therapy based on exposure and response prevention was performed on the subjects in nine individual sessions for 45 minutes for each experimental group. The data were analyzed using SPSS Inc., Chicago, IL; Version 16 by the multivariate analysis of covariance. Results: The results of multivariate analysis of covariance and Bonferroni post hoc tests showed that cognitive behavioral therapy based on exposure and response prevention were effective in decreasing OCD in the experimental groups compared to the control group (0.001≥ P). Bonferroni post hoc test showed that there was a significant difference between the scrupulosity group and the contamination group and control group on the obsession variable (0.05 < P). There was no significant difference between the contamination group and the scrupulosity group on the compulsion variable (0.15 < p). Conclusion: The findings suggest that cognitive behavioral therapy based on exposure and response prevention could help alleviate symptoms of obsessive-compulsive disorder in both religious and contamination OCD.

Religious cognitive behavioral therapy in religiousoriented obsessive compulsive disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 962-962
Author(s):  
S. Akouchekian ◽  
Z. Jamshidian ◽  
M.R. Maracy ◽  
A. Almasi ◽  
A.H. Davarpanah Jazi ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Intervention Group ◽  
Cognitive Behavioral ◽  
P Value ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Significant Difference ◽  
Three Stages

ObjectiveObsessive compulsive disorder (OCD) with religious contents is more prevalent among religious populations. The aim of this study was to evaluate efficacy of religious cognitive-behavioral therapy (RCBT) on OCD with religious content and co-morbidities.Design & methodThis is a randomized controlled clinical trial. Our intervention consists of 10 weekly RCBT 90 minutes sessions supervised by both clergyman and psychiatrist.Randomly 50 patients with 17 and more Yale Brown scores and religious content obsessive symptoms were selected and divided into two intervention and control groups. Yale Brown, SCL-90, and Hamilton depression questionnaires were used in this study. Data were analyzed by ANOVA/ANCOVA repeated measure tests using SPSS ver. 13.ResultsMean age of patients was 32.9 ± 8.86 years. 94% (n = 47) were female. Yale Brown scores in three stages (before intervention, after fifth and tenth session) in both groups decreased specially in intervention group but showed no significant difference (p = 0.294). However there were significant difference between mean scores of two groups (p = 0.047). Comparison of obsession subscale and compulsion subscale of Yale Brown scale showed decrease in three stages of the study. Decreasing trend in obsession subscale is not statistically significant (f (2, 42) = 0.94, p-value = 0.398), but decreasing trend in compulsive subscale is statistically significant (f(2,43) = 36.008, p value < 0.001).ConclusionIn obsessive compulsive disorder with religious contents, religious CBT not only could significantly increase clinical responses, especially in compulsive behavior but also improve co-morbid symptoms such as depression as well as global severity index and decrease symptoms.

scholarly journals Developing the Schema Therapy Based on Obsessive-compulsive Disorder and Comparing With Cognitive-behavioral Therapy

2020 ◽  
Vol 6 (2) ◽  
pp. 108-123
Author(s):  
Mehdi Aflakian ◽  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Schema Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Second Stage ◽  
Content Analysis Method

Background: Obsessive-Compulsive Disorder (OCD) is a type of anxiety disorder different treatment, but its treatment is very difficult. Objectives: This study aimed to develop schema therapy based on psychosocial issues of patients and compare this therapy with cognitive-behavioral therapy on rumination. Materials and Methods: In this analytical cross-sectional study, the study population included all referred to specialized psychotherapy centers in the field of Obsessive-Compulsive Disorder (OCD) in Isfahan City, Iran, during spring and summer of 2019. This research consists of four stages. The first stage was a qualitative research using a directional content analysis method through a semistructured interview. The second stage was quantitatively done with a quantitative content analysis method. The third stage was of validation type with Lawshe’s method, and the last stage used a quasi-experimental method, pret-est/post-test type with a control group, and a follow-up period of 45 days. The subjects responded to the questionnaire based on the rumination response scale before and after the intervention. Results: The results of the first stage suggested 7 main themes. The second stage led us to the development of a treatment package for schema therapy. The findings of the third study indicated the validity of the package developed by the evaluators. The results of the fourth study showed that the mean scores of rumination in the two experimental groups (schema therapy and cognitivebehavioral therapy) significantly differed from the control group scores (P<0.01). Besides, based on the results, schema therapy was more effective in reducing the rumination of patients compared with cognitive-behavioral therapy (P<0.001). Conclusion: Compared with cognitive-behavioral therapy, psychosocial-based schema therapy is more effective in reducing the rumination of the patients.

Decoupling of Obsessions and Compulsions During Cognitive Behavioral Therapy for Youths With Obsessive Compulsive Disorder

2021 ◽  
pp. 216770262110137
Author(s):  
Bunmi O. Olatunji ◽  
David Cole ◽  
Joseph F. McGuire ◽  
Sophie C. Schneider ◽  
Brent J. Small ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Cognitive Behavioral Therapy ◽  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Relationship

Although exposure and response prevention (ERP) is an effective treatment for obsessive compulsive disorder (OCD), it is unclear whether the decoupling of obsessions and compulsions is associated with treatment response. Accordingly, the present study examined change in the association between obsessions and compulsions during ERP for OCD as well as the association between decoupling of obsessions and compulsions and treatment outcome. The sample consisted of 140 youths with OCD who received 10 sessions of cognitive behavioral therapy with an emphasis on ERP. The findings show that the correlation and covariance of obsessions and compulsions increased during treatment. However, for participants that did not show improvement, the association between obsessions and compulsions strengthened over the course of treatment. In contrast, the association between obsessions and compulsions weakened over the course of ERP for treatment responders. These findings highlight the importance of the relationship between obsessions and compulsions in the treatment of OCD.

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