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[A standardized cognitive-behavioural group treatment program for obsessive compulsive disorder: preliminary
1Unité de traitement de l'anxiété, Hôpital Neurologique, 59, boulevard Pinel, 69003, Lyon cedex 03, France.
L'Encephale
|October 19, 2002
Summary
This study shows cognitive behavioural group therapy effectively reduces obsessive compulsive disorder (OCD) symptoms and obsessive beliefs. Gains in OCD symptom severity were maintained at 6-month follow-up.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioural Science
Background:
- Obsessive compulsive disorder (OCD) is a debilitating mental health condition.
- Cognitive behavioural therapy (CBT) is a recognized treatment for OCD.
- Group therapy offers a potentially accessible and cost-effective delivery method for CBT.
Purpose of the Study:
- To evaluate the preliminary efficacy of a 12-week cognitive behavioural group therapy program for OCD.
- To assess symptom reduction and maintenance of gains at 6-month follow-up.
Main Methods:
- Twenty outpatients with a primary DSM-IV diagnosis of OCD participated.
- The program involved 12 weekly 3-hour sessions combining cognitive and behavioural techniques.
- Symptom severity was assessed using the Yale-Brown Obsessive Compulsive Scale (YBOCS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Obsessive Beliefs Questionnaire (OBQ).
Main Results:
- Significant reductions were observed in YBOCS scores and obsessive beliefs (OBQ) post-treatment.
- No significant changes were found in Beck Depression and Anxiety Inventories immediately post-treatment.
- Most patients maintained treatment gains at 6-month follow-up, including for YBOCS and target symptoms.
Conclusions:
- Cognitive behavioural group therapy is an effective treatment for reducing OCD symptom severity.
- The therapy demonstrates utility in improving obsessive beliefs and maintaining symptom reduction long-term.
- While immediate effects on anxiety and depression were limited, anxiety levels showed improvement at 6-month follow-up.