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Group and multifamily behavioral treatment for obsessive compulsive disorder: a pilot study
B Van Noppen1, G Steketee, B H McCorkle
1Butler Hospital, Boston, MA, USA.
Journal of Anxiety Disorders
|July 1, 1997
Summary
Group behavioral treatments for obsessive-compulsive disorder (OCD) show significant symptom reduction and improved functioning. Multifamily group behavioral treatment (MFBT) demonstrated slightly better clinical improvement than group behavioral treatment (GBT).
Area of Science:
- Psychiatry
- Behavioral Science
- Mental Health Treatment
Background:
- Managed care trends necessitate efficient, cost-effective mental health treatments.
- Shorter treatment durations and reduced therapist involvement are increasingly important.
- Obsessive-compulsive disorder (OCD) treatment efficacy requires evaluation in varied formats.
Purpose of the Study:
- To investigate the efficacy and cost-effectiveness of two group behavioral treatments for OCD.
- To compare group behavioral treatment (GBT) with multifamily group behavioral treatment (MFBT).
- To assess treatment outcomes at posttest and 1-year follow-up.
Main Methods:
- An uncontrolled trial involving two types of group behavioral treatments for OCD.
- Seventeen patients received GBT in ten 2-hour sessions.
- Nineteen patients received MFBT, including family members, in ten or twelve 2-hour sessions.
Main Results:
- Both GBT and MFBT significantly reduced Yale-Brown Obsessive Compulsive Scale (YBOCS) scores.
- Overall functioning, measured by the Sheehan Disability Scale, improved significantly post-treatment and at follow-up.
- MFBT showed a higher proportion of clinically significant improvement compared to GBT.
Conclusions:
- Group behavioral treatments for OCD are effective and comparable to intensive individual therapy.
- MFBT may offer advantages over GBT in terms of clinical improvement.
- These cost-effective group treatments warrant further investigation in controlled trials.