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New developments in behaviour therapy for obsessive-compulsive disorder

J H Greist1

  • 1Dean Foundation for Health, Research and Education, Madison, WI 53717-1914, USA.

International Clinical Psychopharmacology
|December 1, 1996
PubMed
Summary
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See all related articles

Exposure and response prevention (ERP) is an effective behavior therapy for obsessive-compulsive disorder (OCD). While challenging to implement, ERP shows significant short- and long-term effectiveness, comparable to serotonin reuptake inhibitors.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Obsessive-compulsive disorder (OCD) is a debilitating mental health condition.
  • Exposure and response prevention (ERP) is a primary behavioral intervention for OCD, based on habituation principles.
  • While conceptually simple, ERP can be difficult to implement and sustain.

Purpose of the Study:

  • To review the effectiveness and acceptability of behavior therapy techniques for OCD.
  • To discuss challenges hindering the wider dissemination of behavior therapy for OCD.
  • To present preliminary findings on a computer-administered ERP program, BT STEPS.

Main Methods:

  • Review of controlled trials and meta-analyses on behavior therapy for OCD.
  • Examination of studies supporting the efficacy and patient acceptance of ERP.

Related Experiment Videos

  • Presentation of initial results from the BT STEPS computer-administered program.
  • Main Results:

    • Behavior therapy, particularly ERP, is proven effective in short- and long-term treatment of OCD.
    • Meta-analyses indicate behavior therapy is as effective as serotonin reuptake inhibitors (SRIs).
    • Preliminary data on the computer-administered BT STEPS program are presented.

    Conclusions:

    • Behavior therapy, especially ERP, is a highly effective treatment for OCD.
    • Combined behavioral and pharmacological approaches may offer optimal OCD treatment.
    • Addressing implementation challenges is crucial for broader access to effective OCD therapies.