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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Group cognitive behaviour therapy in obsessive-compulsive disorder (OCD): a controlled study.

Naomi A Fineberg1, Annette Hughes, Tim M Gale

  • 1Department of Psychiatry, QEII Hospital, Welwyn Garden City, UK.

International Journal of Psychiatry in Clinical Practice
|June 17, 2014
PubMed
Summary

Cognitive Behavioural Therapy (CBT) and Relaxation Therapy (RT) showed similar outcomes for obsessive compulsive disorder (OCD) treatment. However, group CBT had significantly lower dropout rates, indicating greater patient acceptability.

Keywords:
CBTOCDObsessive-compulsive disordercognitive behavioural therapygroup

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Obsessive Compulsive Disorder (OCD) treatment research often lacks controlled designs.
  • Group-based therapies are increasingly explored for OCD management.

Purpose of the Study:

  • To compare the efficacy of group Cognitive Behavioural Therapy (CBT) against group Relaxation Therapy (RT) for OCD.
  • To evaluate the acceptability of group CBT versus group RT in OCD patients.

Main Methods:

  • A controlled study involving 41 patients diagnosed with OCD.
  • Participants were randomized to 12 weekly sessions of either group CBT or group RT.
  • Outcomes were assessed using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), alongside measures for depressive and anxiety symptoms, by blind raters.

Main Results:

  • No significant differences were observed in primary (Y-BOCS) or secondary outcome measures between group CBT and group RT.
  • The dropout rate was substantially higher in the Relaxation Therapy (RT) group (35%) compared to the Cognitive Behavioural Therapy (CBT) group (4%).

Conclusions:

  • The observed benefits of group CBT for OCD may not be solely attributable to its specific therapeutic components.
  • Controlled trials are crucial for accurately assessing the effectiveness of psychological interventions for OCD.
  • Group CBT appears to be a more acceptable treatment option for OCD patients than group RT, as evidenced by lower dropout rates.