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Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
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A randomized waitlist-controlled trial comparing detached mindfulness and cognitive restructuring in

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Cognitive restructuring (CR) and detached mindfulness (DM) are effective treatments for obsessive-compulsive disorder (OCD). Both interventions significantly reduced OCD symptoms compared to a waitlist control group.

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Area of Science:

  • Clinical Psychology
  • Psychiatry
  • Behavioral Science

Background:

  • Cognitive restructuring (CR) is an established treatment for obsessive-compulsive disorder (OCD).
  • The efficacy of metacognitive interventions, such as detached mindfulness (DM), for OCD remains less understood.
  • This study aimed to compare CR and DM as standalone treatments for OCD.

Purpose of the Study:

  • To compare the efficacy of detached mindfulness (DM) and cognitive restructuring (CR) as stand-alone interventions for obsessive-compulsive disorder (OCD).
  • To evaluate the effectiveness of DM in reducing OCD symptoms.
  • To provide evidence for alternative treatment options for OCD.

Main Methods:

  • A randomized waitlist-controlled trial was conducted with 43 participants diagnosed with OCD.
  • Participants were randomly assigned to either DM or CR, with a waitlist control group included.
  • Treatment involved four double sessions within two weeks, with assessments at baseline, post-treatment, and four-week follow-up.

Main Results:

  • Both CR and DM were superior to the waitlist condition in reducing OCD symptoms.
  • CR (d = 1.67) and DM (d = 1.55) demonstrated comparable effectiveness in symptom reduction as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).
  • Approximately 40% of participants in both active treatment groups showed clinically significant improvement post-treatment.

Conclusions:

  • Detached mindfulness (DM) shows potential as a stand-alone intervention for obsessive-compulsive disorder (OCD).
  • Both CR and DM can be considered effective alternative treatments for OCD.
  • Further research is needed to elucidate the working mechanisms of DM in OCD treatment.