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ØCD: protocol for the development and evaluation of a cognitive-behavioral prevention program for
Roxana A I Cardoș1, Elisa P Dumitru2, Oana A David1
1The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, Cluj-Napoca, Romania.
BMC Psychiatry
|May 9, 2024
Summary
This study introduces the first prevention program for adults at risk of obsessive-compulsive disorder (OCD), using cognitive-behavioral therapy (CBT) and exposure response prevention (ERP). The program aims to reduce OCD symptoms and prevent future diagnoses.
Area of Science:
- Mental Health
- Clinical Psychology
- Psychiatry
Background:
- Obsessive-compulsive disorder (OCD) significantly impacts individuals and healthcare systems, with symptoms often exacerbated by events like the COVID-19 pandemic.
- A critical gap exists in mental health services due to the absence of validated OCD prevention programs.
- This study addresses the need for proactive interventions for individuals at risk of developing OCD.
Purpose of the Study:
- To develop and validate the first OCD prevention program for at-risk adults.
- To utilize cognitive-behavioral therapy (CBT) and exposure response prevention (ERP) techniques within the program.
- To evaluate the program's efficacy in reducing OCD symptoms and preventing diagnoses.
Main Methods:
- A single-blind, randomized controlled trial comparing the OCD prevention program to a waitlist control group.
- Participants are at-risk adults (18-65 years) with subclinical OCD symptoms (OCI-R score ≥ 12).
- The program consists of six online group sessions over three modules, employing CBT and ERP techniques. Primary outcomes include OCD, depression, and anxiety symptom severity, with secondary outcomes assessing OCD-related beliefs, avoidance, resilience, and quality of life. Follow-up includes diagnostic incidence assessment.
Main Results:
- This section is for study results, which are not yet available as the study is in progress.
- Anticipated results will focus on the program's effectiveness in reducing OCD symptom severity, depression, and anxiety.
- Analysis will also cover changes in OCD-related beliefs, experiential avoidance, resilience, quality of life, and the incidence of OCD diagnoses over one year.
Conclusions:
- The study is expected to provide novel data on the efficacy of OCD prevention strategies.
- Successful validation could lead to the development of an evidence-based OCD prevention program.
- This program has the potential to significantly alleviate the individual and societal burdens associated with OCD.
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