Drop-out and efficacy of group versus individual cognitive behavioural therapy: what works best for Obsessive-Compulsive Disorder? A systematic review and meta-analysis of direct comparisons

Cognitive behavioural therapy (CBT) is the first-line psychological treatment for Obsessive-Compulsive Disorder (OCD). However, a relevant proportion of individuals with OCD remain untreated or inadequately treated. Group cognitive behavioural therapy (GCBT) may be an alternative treatment modality. Little knowledge is available about the efficacy between GCBT versus individual CBT, particularly on long-term secondary outcomes including anxiety and depression. In addition, drop-out rates have not been investigated by previous meta-analyses.
Source: Psychiatry Research - Category: Psychiatry Authors: Source Type: research

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Publication date: Available online 31 July 2020Source: Journal of Anxiety DisordersAuthor(s): Danielle E. Katz, Judith M. Laposa, Neil A. Rector
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
ConclusionReassurance seeking appears to be a common factor across anxiety disorders though the themes of the reassurance may differ. Further, reduction in excessive reassurance seeking may be an important component in treatment outcome.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
ConclusionsGuided ICBT for perfectionism improves associated psychopathology and transdiagnostic processes. ClinicalTrials.gov registration no. NCT02756871.
Source: Journal of Behavior Therapy and Experimental Psychiatry - Category: Psychiatry Source Type: research
Karen Morley blogs about her experience of seeking help for her Obsessive-Compulsive Disorder (OCD) and how finding and using Cochrane evidence was a turning point. This blog post was originally published onEvidently Cochrane.Without knowing what it was, I had experienced episodes of Obsessive-Compulsive Disorder (OCD) since I was an adolescent, usually when I was particularly stressed. But it was when I was caring full time for my mother, who had multiple conditions including dementia, that I had an unusually distressing episode of contamination-related OCD. When I took to the internet I was amazed to discover that the ob...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
There’s misperception among some people today that psychotherapy isn’t effective for serious mental illness and therefore can’t be used to treat it. A person might say, “Well, I have severe depression and have tried therapy on multiple occasions, with little effect.” Lived experience is an important thing to take into consideration when choosing a treatment option. However, I believe it’s equally important to examine the research too, to see what science has to say to such questions. Can psychotherapy be used to treat serious mental illness, including clinical depression or obsessive-com...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Medications Mental Health and Wellness Psychotherapy Research Treatment efficacy of psychotherapy OCD treatment psychotherapy efficacy therapy for depression therapy for OCD Treatment For Depression Source Type: blogs
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Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
This study describes the treatment of a 38-year-old female with longstanding ORD using Cognitive Behavioural Therapy (CBT). Case conceptualisation focused on identifying unhelpful beliefs and maintaining factors including safety-seeking behaviours, self-focus and avoidance. These were then targeted using a variety of techniques including discussion and behavioural experiments to facilitate belief and behaviour change. Following a 12-week treatment, measures of anxiety and depression reduced to below clinical thresholds. In addition, there were reductions on a specific measure of symptoms of ORD. Issues regarding the use of...
Source: Journal of Obsessive Compulsive and Related Disorders - Category: Psychiatry Source Type: research
Authors: Key BL, Rowa K, Bieling P, McCabe R, Pawluk EJ Abstract A significant number of obsessive-compulsive disorder (OCD) patients continue to experience symptoms that interfere with their functioning following cognitive behavioural therapy (CBT). Providing an additional augmentation treatment following CBT could help reduce these residual symptoms. Mindfulness interventions that facilitate less reactivity to thoughts and feelings may be helpful for patients suffering from residual OCD symptoms. The purpose of the current randomized waitlist control trial was to evaluate the feasibility and impact of providing a...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
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Source: Adult ADD Strengths - Category: Psychiatry Authors: Tags: ADD / ADHD Medication ADD / ADHD Treatment adult ADHD anxiety depression dysthymia misdiagnosed undiagnosed Source Type: blogs
Abstract The present review evaluated studies which effectively employed cognitive behavioural therapy (CBT) to alleviate symptoms of common mental health problems in young people with autism spectrum disorder (ASD). It assessed the modifications applied to CBT and compliance with recent guidelines from the National Institute of Health Care Excellence (NICE). Systematic searches of electronic databases, reference lists, and journals identified 12 studies meeting predetermined inclusion criteria. Results indicated that modified CBT yielded reductions in anxiety, obsessive-compulsive disorder (OCD), and depression. ...
Source: Review Journal of Autism and Developmental Disorders - Category: Child Development Source Type: research
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