MINDFULNESS BASED COGNITIVE THERAPY AND SYMPTOMS SEVERITY IN PATIENTS WITH OBSESSIVE COMPULSIVE DISORDER

2021 ◽  
pp. 33-34
Author(s):  
Neha Farheen Mushtaq ◽  
G Venkatesh Kumar

BACKGROUND: Obsessive Compulsive Disorder (OCD) is a mental disorder characterized by the presence of obsessions and compulsions with lifetime prevalence of around 2%-3%. Increase in symptoms severity often signicantly seen impairment with work, relationships and other responsibilities. Therefore, timely and effective intervention is required. Literature favors cognitive Behavioral therapy (CBT) as intervention in the management of symptoms severity. AIM: The present study attempts to see the role of mindfulness based cognitive therapy in reducing symptoms severity in OCD. METHODS AND MATERIALS: Pre- and post- MBCT intervention with a control group design were used to conduct this study involving 34 patients with OCD. Patients were equally distributed in two groups where one group was given intervention Mindfulness based cognitive therapy (MBCT) sessions for 8 weeks. Pre- and post- intervention assessment was done using Yale-Brown Obsessive Compulsive Scale (YBOCS) symptoms severity. And the results were compared. RESULTS: Obtained research data indicates that there is a signicant declined in the composite score on YBOCS symptoms severity at post intervention assessment in the group which had been undergone MBCTas compare to the other group. CONCLUSION: Findings revealed that MBCThas a signicant effect on reducing symptoms severity in patients with OCD.

2021 ◽  
pp. 44-45
Author(s):  
Neha Farheen Mushtaq ◽  
G Venkatesh Kumar

Background: 1. Aim: The present study attempts to see the impact of Mindfulness Based Cognitive Therapy on response inhibition ability in adults with Obsessive Compulsive Disorder (OCD) Methods and Materials: MBCT was applied on Pre- and post-assessments as intervention with a control group design were used to conduct this study including 34 patients with OCD. Clients were equally distributed in two groups where one group was given intervention Mindfulness based cognitive therapy (MBCT) sessions for 8 weeks. Pre- and post- intervention assessment was done using The Stroop Color and Word Test (SCWT) and the results were compared. Results: Obtained research data indicates that there was no signicant in the stroop effect between the group which had been undergone MBCT as compared to the other group. Conclusion: Findings revealed that MBCT did not had signicant effect on overall enhancement of stroop effect in adults with OCD


2021 ◽  
Vol 12 (1) ◽  
pp. 58-65
Author(s):  
T. Danylova ◽  

Mindfulness is non-judgmental awareness that arises as a result of conscious focus on the current moment. It may be seen as one of the useful therapeutic tools that helps to alleviate symptoms of OCD. In recent decades, there has been a growing interest in studying the concept of mindfulness as a psychological construct and as a form of psychotherapeutic intervention for the prevention and treatment of mental disorders. The purpose of mindfulness-based cognitive therapy (MBCT) like cognitive behavioral therapy (CBT) is to assist patients in developing awareness of their thoughts and reactions. MBCT teaches that the best way to spot these triggers and overcome stress and anxiety is to be aware of and accept the current moment. Instead of trying too hard to realize negative thoughts, fears, and anxieties, MBCT teaches to accept any thought in a non-judgmental way and allow it to disappear as easily as to appear. Mindfulness is a proven skill of awareness and a way of responding in a non-judgmental manner to unwanted thoughts, feelings, and urges. Clearing the mind, mindfulness helps to kill off habitual connections between neurons and develop new ones, to reduce the level of obsessive thoughts and stereotypes, to overcome automatic thinking and eradicate existing patterns of behavior that ultimately leads to a qualitatively new level of living and development of human abilities and talents. Complementing cognitive behavioral therapy (CBT), the gold standard for the treatment of obsessive-compulsive disorder (OCD), mindfulness-based cognitive therapy (MBCT) enhances and improves the therapeutic effect and opens new horizons for further research. The paper aims to analyze the place and role of mindfulness in the treatment of obsessive-compulsive disorders.


CNS Spectrums ◽  
1999 ◽  
Vol 4 (S3) ◽  
pp. 35-40 ◽  
Author(s):  
Fritz Hohagen

AbstractObsessive-compulsive disorder (OCD) has long been considered a treatment-refractory mental condition. Neither pharmacologic nor psychodynamic therapy has been proven to treat OCD effectively. Yet the prognosis for OCD has changed dramatically in recent years with the introduction of behavior therapy and the use of selective serotonin reuptake inhibitors (SSRIs). Many studies have shown that behavior therapy, especially exposure with response prevention, and SSRIs reduce obsessive-compulsive symptoms significantly. Still, many unanswered questions—including the role of cognitive therapy in the treatment of OCD, exposure therapy vs multimodal behavioral therapy, individual versus group therapy, outcome predictors in adults, adolescents, and children, and the role of combination treatment using an SSRI and cognitive-behavioral therapy—remain. This article will explore these issues as well as suggest directions for further research into OCD.


Author(s):  
Hiva Mahmoodi ◽  
Hasan Gharibi ◽  
Mohamad Khaledian

The aim of this study was the investigation of the efficacy of the Cognitive and Exposure therapy on the treatment of obsessive- compulsive disorder. This study is experimental expanded with multiple group pre-test, post-test. The statistical population of this study are included all patients with OCD, referred to clinical centers, hospitals and private clinics and counseling centers in Saghez and Boukan citiesat the age of 40-20 years. The statistical sample of this study is included 45 patientswith Obsessive Compulsive Disorder, Who were selected randomly. Cognitive therapy was administered for the first experimental group and the second experimental group receives exposure therapy while the control group received no treatment. Subscales Madsly questionnaire was usedfor data gathering for OCD. For data analysis, multivariate analysis of covariance (MANCOVA) and least significant difference test to compare scores differences between pretest - posttest variables in the experimental and control groups was used. Findings showed that Cognitive and Aversion Therapy on the control group has a significant impact on the improvement of obsession, check out, washing, slowness and obsessive doubts. The results showed that Whittal Cognitive Therapy more impact on the reduction of obsessions in comparsion with Exposure therapy.


2020 ◽  
Author(s):  
sajedeh hamidian ◽  
Abbas Pourshahbaz ◽  
atefeh moradkhani ◽  
Behrooz Dolatshahi ◽  
Esmaeil Shahsavand Ananloo ◽  
...  

Abstract Background Previous studies have emphasized the role of genetic components in obsessive-compulsive disorder (OCD) and cognitive functions. One of the most controversial markers in this area is the COMT rs4680 polymorphism. In the present study, we aimed to investigate the effect of rs4680 on susceptibility to OCD and cognitive functions with respect to the moderating role of sex. Methods The subjects included 127 patients with OCD and 145 healthy controls. Genotyping was carried out by ARMS-PCR. The subjects underwent cognitive evaluations using the Wechsler Memory Scale-III. Data were analyzed using SPSS 22 and R package software. Results The results showed a significantly higher frequency of the AA genotype in the OCD group than in the healthy control group. Cognitive assessments showed weaker Immediate Memory and General Memory performance in the patients with OCD than in the control group. No significant association was found between rs4680 and memory dimensions in the total sample, whereas analysis by sex revealed a significant association of rs4680 with Working Memory only in females. Conclusions The results of this study confirm previous findings about the association of the AA genotype with OCD. These findings also corroborate previous assumptions about impaired episodic memory in patients with OCD. Moreover, the association of rs4680 with Working Memory only in females endorses the hypothesis of the sexual dimorphism of the effects of this COMT gene polymorphism.


Author(s):  
Farzad Farhoodi ◽  
Javad Salehi Fadardi ◽  
Ali Ghanaie Chamanabad ◽  
Seyed Hamid Mirhoseini

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.


2016 ◽  
Vol 10 (2) ◽  
pp. 91-103 ◽  
Author(s):  
Zoe Marsden

This article reports on the first 3 randomly allocated cases treated by the author in an ongoing trial comparing eye movement desensitization and reprocessing (EMDR) with cognitive behavioral therapy (exposure and response prevention) in the treatment of obsessive-compulsive disorder in a U.K. primary care setting. This article describes the treatment and data collection procedures, followed by a summary of each of the 3 cases supported by quantitative and qualitative data. The Adapted EMDR Phobia Protocol (Marr, 2012) was provided, following the trial protocol of 1-hour, 16-session treatment. The Yale-Brown Obsessive Compulsive Scale was administered at every 4th session. At posttreatment, 2 of the 3 cases showed more than a 50% reduction on validated psychometric measures, with symptoms below diagnostic cutoff. The final case started treatment below the diagnostic cutoff on the primary outcome measure and showed a slight improvement. Six-month follow-up data showed maintenance of treatment effects. Transcripts from a semistructured telephone interview carried out by an independent researcher following treatment were analyzed using a 6-stage thematic analysis method, which identified 3 themes: the role of traumatic experiences, role of shame, and importance of therapeutic alliance. This article concludes with a discussion of implications for EMDR practice and theory.


Author(s):  
Monnica T. Williams ◽  
Chad T. Wetterneck

Although there have been several manuals written about how to treat obsessive-compulsive disorder (OCD) using cognitive-behavioral therapy (CBT), there has been little focus on application of CBT principles to those suffering from sexual obsessions. Treating sexual obsessions in OCD differs from the treatment of other forms of OCD due to heightened feelings of shame surrounding symptoms, widespread misdiagnosis from professionals, and the covert nature of ritualizing behaviors. This book provides clinicians with the tools needed to successfully help clients suffering from unwanted, intrusive thoughts of a sexual nature. It provides instructions on how to diagnose OCD in clients reporting sexual obsessions, guidance on measures to employ during assessment, and a discussion of differential diagnoses. It includes a step-by-step manual describing how to provide treatment, using a combination of exposure and ritual (response) prevention (Ex/RP), cognitive therapy, and newer CBT techniques. Also included are case examples of pedophile-themed OCD (sometimes called P-OCD) and sexual orientation worries in OCD (called SO-OCD or H-OCD) and their treatment approaches, along with a catalogue of specific ideas for in vivo exposures and detailed templates for imaginal exposures. Included are strategies therapists can use to tackle relationship issues that commonly emerge as a result of sexually themed OCD. Also included are appendices of handouts for clients and helpful measures for therapists to utilize with clients.


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