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A cognitive behavioral workshop for subclinical obsessions and compulsions.

Bonnie G Zucker1, Michelle G Craske, Michelle A Blackmore

  • 1University of California, Los Angeles, USA. bonnie.zucker@cshs.org

Behaviour Research and Therapy
|December 27, 2005
PubMed
Summary

A cognitive behavioral workshop reduced obsessive-compulsive symptoms and thought-action fusion in young adults. While not impacting overall symptom severity or comorbidity, the intervention showed promise for subclinical anxiety.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Cognitive Behavioral Therapy

Background:

  • Subclinical obsessions and compulsions affect young adults, potentially increasing risk for obsessive-compulsive disorder (OCD).
  • Early intervention for subclinical symptoms may prevent the development of full-threshold OCD.
  • Cognitive behavioral interventions are established treatments for OCD and related disorders.

Purpose of the Study:

  • To evaluate the effectiveness of a brief (3-hour) cognitive behavioral workshop for young adults (ages 18-22) with subclinical obsessions and compulsions.
  • To assess the impact of the workshop on obsessive-compulsive (OC) symptomatology, comorbidity, and thought-action fusion.
  • To examine the rate of incident obsessive-compulsive disorder (OCD) cases in workshop participants versus a waitlist control group.

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Main Methods:

  • A randomized controlled trial comparing a 3-hour cognitive behavioral workshop group (n=43) to an assessment-only waitlist control group (n=42).
  • Participants were assessed at baseline, 1-month, and 5-month follow-up.
  • Measures included OC symptomatology, comorbidity, thought-action fusion, and incident OCD diagnoses.

Main Results:

  • The workshop group showed a significant reduction in OC symptoms at the 5-month follow-up compared to the waitlist group.
  • Participants in the workshop group endorsed significantly less thought-action fusion at both 1-month and 5-month follow-ups.
  • No significant differences were found between groups regarding overall OC symptom severity or the number of comorbid diagnoses.

Conclusions:

  • A brief cognitive behavioral workshop can effectively reduce specific obsessive-compulsive symptoms and thought-action fusion in young adults with subclinical presentations.
  • The intervention shows potential for managing early signs of anxiety and obsessive-compulsive difficulties.
  • Further research is needed to determine long-term effects and impact on OCD development.