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Cognitive-behavior therapy of obsessive-compulsive disorder in private practice: an effectiveness study
1Anxiety Disorders Clinic, Lake Oswego, OR 97035, USA. rickswrren@aol.com
Journal of Anxiety Disorders
|July 28, 2001
Summary
Cognitive-behavior therapy (CBT) for obsessive-compulsive disorder (OCD) shows high effectiveness in real-world private practice settings. Results suggest CBT is generalizable from clinical trials to routine care.
Area of Science:
- Psychiatry and Behavioral Sciences
- Clinical Psychology
- Mental Health Treatment
Background:
- A debate persists regarding the generalizability of randomized controlled trial (RCT) findings to routine clinical practice.
- Understanding treatment effectiveness in real-world settings is crucial for evidence-based mental healthcare.
- Obsessive-compulsive disorder (OCD) is a debilitating condition often treated with cognitive-behavior therapy (CBT).
Purpose of the Study:
- To evaluate the effectiveness of cognitive-behavior therapy (CBT) for obsessive-compulsive disorder (OCD) in a private practice setting.
- To compare treatment outcomes and client characteristics from a private practice with those from representative RCTs.
- To assess the generalizability of CBT for OCD from controlled trials to routine clinical practice.
Main Methods:
- A consecutive series of 26 clients diagnosed with OCD were referred to a private anxiety disorders specialty clinic.
- Clients received cognitive-behavior therapy (CBT) tailored to their OCD symptoms.
- Treatment outcomes, client demographics, and treatment completion rates were recorded and analyzed.
Main Results:
- Of the 19 clients (73%) who completed the CBT treatment, 84% were identified as treatment responders.
- A comparison with data from relevant RCTs indicated significant similarities in client profiles, treatment approaches, and outcomes.
- The findings suggest that CBT is effective and applicable in a routine clinical practice environment.
Conclusions:
- Cognitive-behavior therapy (CBT) demonstrates high effectiveness for treating obsessive-compulsive disorder (OCD) in a private practice setting.
- The results support the generalizability of CBT effectiveness for OCD from randomized controlled trials (RCTs) to routine clinical practice.
- This study concludes that CBT can be successfully and effectively delivered within standard clinical care settings.