EMDR Treatment of Obsessive-Compulsive Disorder: Preliminary Research

2012 ◽  
Vol 6 (1) ◽  
pp. 2-15 ◽  
Author(s):  
John Marr
Keyword(s):  
Obsessive Compulsive Disorder ◽  
The Other ◽  
Future Research ◽  
Symptom Improvement ◽  
Video Playback ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Theoretical View ◽  
Preliminary Research

This article reports the results of two experiments, each investigating a different eye movement desensitization and reprocessing (EMDR) protocol for obsessive-compulsive disorder (OCD) and each with two young adult male participants with long-standing unremitting OCD. Two adaptations of Shapiro’s (2001) phobia protocol were developed, based on the theoretical view that OCD is a self-perpetuating disorder, with OCD compulsions and obsessions and current triggers reinforcing and maintaining the disorder. Both adaptations begin by addressing current obsessions and compulsions, instead of working on past memories; one strategy delays the cognitive installation phase; the other uses mental video playback in the desensitization of triggers. The four participants received 14–16 one-hour sessions, with no assigned homework. They were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with scores at pretreatment in the extreme range (mean = 35.3). Symptom improvement was reported by participants after 2 or 3 sessions. Scores at posttreatment were in the subclinical/mild range for all participants (mean = 8.5). Follow-up assessments were conducted at 4–6 months, indicating maintenance of treatment effects (mean = 7.5). Symptom reduction was 70.4% at posttreatment and 76.1% at follow-up for the Adapted EMDR Phobia Protocol and 81.4% at posttreatment and at follow-up for the Adapted EMDR Phobia Protocol with Video Playback. Theoretical implications are discussed, and future research is recommended.

Social Support and Treatment Outcome of Obsessive Compulsive Disorder at 9-Month Follow-up

1993 ◽  
Vol 21 (2) ◽  
pp. 81-95 ◽  
Author(s):  
Gail Steketee
Keyword(s):  
Social Support ◽  
Obsessive Compulsive Disorder ◽  
Life Events ◽  
Behavioral Treatment ◽  
Future Research ◽  
Positive Interactions ◽  
Family Interactions ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

The present study investigated whether social support and family members' reactions to clients with obsessive compulsive disorder played a significant role in the follow-up outcome of an intensive behavioral treatment program. The roles OCD symptoms, moodstate, social functioning and life events were also assessed. General social support did not predict relapse, but significant others' empathy and positive interactions were associated with maintenance of gains. Negative family interactions (especially criticism and anger) and belief that clients could control their symptoms predicted relapse. Higher levels of post-treatment anxiety and depression and poorer functioning were related to negative outcome, as was distress from life events during follow-up. Results are discussed with respect to possible mechanisms of action and future research needs.

Limbic system surgery for treatment-refractory obsessive-compulsive disorder: a prospective long-term follow-up of 64 patients

2013 ◽  
Vol 118 (3) ◽  
pp. 491-497 ◽  
Author(s):  
Sameer A. Sheth ◽  
Jonathan Neal ◽  
Frances Tangherlini ◽  
Matthew K. Mian ◽  
Andre Gentil ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Partial Response ◽  
Depressive Disorder ◽  
Obsessive Compulsive Disorder ◽  
Limbic System ◽  
Symptom Improvement ◽  
Obsessive Compulsive ◽  
Major Depressive ◽  
Compulsive Disorder

Object Obsessive-compulsive disorder (OCD) is a common and disabling psychiatric illness, and in a significant proportion of patients with OCD the disease is refractory to conventional pharmacotherapy and psychotherapy. For more than half a century, patients with severe, treatment-resistant OCD have been treated with stereotactic limbic system lesions, including dorsal anterior cingulotomy. The authors present their results describing the efficacy and durability of limbic system surgery for OCD, characterizing a large cohort of patients treated at a single institution with a mean follow-up of more than 5 years. Methods The authors identified 64 consecutive patients undergoing cingulotomy for refractory OCD at the Massachusetts General Hospital between 1989 and 2009. Changes in OCD and major depressive disorder symptom severity were assessed at both the initial and most recent postoperative follow-up by using the Yale-Brown Obsessive Compulsive Scale and the Beck Depression Inventory, respectively. Full and partial OCD symptom responses were defined as Yale-Brown Obsessive Compulsive Scale score reductions of ≥ 35% and 25%–34%, respectively. Results Regarding OCD symptom improvement, at the first postoperative follow-up (mean 10.7 months), 35% of patients demonstrated a full response and 7% were partial responders. Thirty patients had a subsequent procedure (repeat cingulotomy or subcaudate tractotomy). By the most recent follow-up (mean 63.8 months), rates climbed to 47% and 22% for full and partial responses, respectively. Of the 24 patients with at least a partial response at initial follow-up, 20 (83%) retained at least a partial response at final follow-up. Comorbid major depressive disorder severity decreased by 17% at the most recent follow-up. Conclusions Limbic system surgery based on initial cingulotomy offers a durable and effective treatment option for appropriately selected patients with severe OCD who have not responded to conventional pharmacotherapy or psychotherapy.

scholarly journals EMDR's Efficacy for Obsessive Compulsive Disorder

2019 ◽  
Vol 13 (4) ◽  
pp. 333-336 ◽  
Author(s):  
Karsten Rüdiger Böhm
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Future Research ◽  
Behavioral Strategies ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Randomized Controlled ◽  
Emdr Therapy

This article evaluates eye movement desensitization and reprocessing (EMDR) therapy for individuals with a diagnosis of obsessive compulsive disorder (OCD). Two randomized controlled trials (RCTs) have been conducted on 55 and 90 patients with OCD. One RCT showed that EMDR was superior to citalapram in reducing OCD symptoms, and the other found EMDR treatment and exposure and response prevention equally effective in decreasing symptoms, with results maintained at 6-month follow-up. In addition to examining these RCTs, this article looks at several case studies to discuss three types of EMDR treatment targets (past, present, and future), and the integration of EMDR therapy with cognitive behavioral strategies such as in vivo exposure. Future research is needed before any definitive conclusions can be made.

Additive and Alternative Approaches to Treating Obsessive Compulsive Disorder

2012 ◽  
Author(s):  
Jordana Muroff ◽  
Abigail Ross ◽  
Joseph Rothfarb
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Alternative Methods ◽  
Herbal Remedies ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Specific Alternative ◽  
Alternative Approaches ◽  
Complementary And Alternative

While cognitive-behavioral therapy (CBT) and pharmacotherapy are “gold standard” treatments for obsessive-compulsive disorder (OCD), complementary and alternative treatments are frequently sought for anxiety disorders. The purpose of this chapter is to review and discuss the available research on the application, efficacy and effectiveness of complementary and alternative methods for treating OCD. The first section identifies and reviews studies focusing on specific alternative and complementary treatments that are independent from, or work in conjunction with CBT, such as yoga, herbal remedies, motivational strategies, and bibliotherapy. The second section discusses alternative and complementary methods of more mainstream CBT and related techniques, with a particular focus on technology-supported approaches. The chapter concludes with a discussion of the methodological issues in the existing research on complementary and alternative methods in the treatment of OCD, questions for future research, and implications for providers.

scholarly journals Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study

2018 ◽  
Vol 9 ◽  
Author(s):  
Torun Grøtte ◽  
Bjarne Hansen ◽  
Svein Haseth ◽  
Patrick A. Vogel ◽  
Ismail C. Guzey ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Inpatient Treatment ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Follow Up Study

scholarly journals Patient-reported outcomes in obsessive-compulsive disorder

2014 ◽  
Vol 16 (2) ◽  
pp. 239-254 ◽  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Patient Reported Outcomes ◽  
Functional Disability ◽  
Psychometric Evaluation ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Patient Reported

The purpose of the article was to provide an overview of patient-reported outcomes (PROs) and related measures that have been examined in the context of obsessive-compulsive disorder (OCD). The current review focused on patient-reported outcome measures (PROMs) that evaluated three broad outcome domains: functioning, health-related quality of life (HRQoL), and OCD-related symptoms. The present review ultimately included a total of 155 unique articles and 22 PROMs. An examination of the PROs revealed that OCD patients tend to suffer from significant functional disability, and report lower HRQoL than controls. OCD patients report greater symptom severity than patients with other mental disorders and evidence indicates that PROMs are sensitive to change and may be even better than clinician-rated measures at predicting treatment outcomes. Nonetheless, it should be noted that the measures reviewed lacked patient input in their development. Future research on PROMs must involve patient perspectives and include rigorous psychometric evaluation of these measures.

scholarly journals A Qualitative Study Exploring Neurodiversity Conference Themes, Representations and Evidence-Based Justifications for the Explicit Inclusion and Valuing of OCD

2021 ◽  
Vol 5 (2) ◽  
pp. 111-138
Author(s):  
Damian Mellifont
Keyword(s):  
Qualitative Study ◽  
Obsessive Compulsive Disorder ◽  
Google Scholar ◽  
Future Research ◽  
Evidence Based ◽  
Exploratory Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

The inclusivity of neurodiversity conferences is a new field of research. Utilising Obsessive Compulsive Disorder (OCD) as an example, this study aims to critically investigate issues of inclusivity in the flyers advertising these conferences. This exploratory research is informed by 22 conference flyers and 14 scholarly articles retrieved from respective internet and Google Scholar enquiries. These articles offered evidence-based justifications for a greater inclusion of OCD-focused content in neurodiversity conferences. The study cautions that the lack of explicit inclusion of OCD as a topic among conferences can be harmful to persons who identify with this particular type of neurodivergence. This study offers a sound base from which future research focusing upon other forms of neurodivergence and issues of neurodiversity conference inclusivity and intersectionality can develop.

scholarly journals Results of the Nursing Outcomes Classification/NOC for patients with obsessive-compulsive disorder

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Ananda Ughini Bertoldo Pires ◽  
Amália de Fátima Lucena ◽  
Andressa Behenck ◽  
Elizeth Heldt
Keyword(s):  
Mental Health ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Ethics Committee ◽  
Nursing Process ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification

ABSTRACT Objective: To analyze the application of nursing outcomes and indicators selected from the Nursing Outcomes Classification (NOC) to evaluate patients with obsessive-compulsive disorder (OCD) in outpatient follow-up. Method: Outcome-based research. First, a consensus was achieved between nurses specialized in mental health (MH) and in the nursing process to select NOC-related outcomes and indicators, followed by the elaboration of their conceptual and operational definitions. Then, an instrument was created with these, which was tested in a pilot group of six patients treated at a MH outpatient clinic. The instrument was applied to patients with OCD undergoing Group Cognitive Behavioral Therapy (GCBT). The study was approved by the Research Ethics Committee of the institution. Results: Four NOC outcomes and 17 indicators were selected. There was a significant change in the scores of nine indicators after CBGT. Conclusion: The study showed feasibility for evaluating symptoms of patients with OCD through NOC outcomes and indicators in an outpatient situation.

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