A qualitative study of the acceptability of an intensive format for the delivery of cognitive‐behavioural therapy for obsessive‐compulsive disorder

Bevan, Anna; Oldfield, Victoria B.; Šalkovskis, Paul M.

doi:10.1348/014466509x447055

Cited by 26 publications

(20 citation statements)

References 19 publications

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“…Similar to our sample, the twelve patients in the study by Bevan et al [33] reported that their overall experience with the treatment was very positive. The authors focused on the comparison of an intense form of CBT to a weekly format and did not explicitly focus on treatment components that were perceived as helpful or difficult.…”

Section: Discussionsupporting

confidence: 81%

“…Comparing our results to a qualitative study on patients with OCD who received CBT [33], we observed that the patients apparently perceive both CBT and MBCT as helpful in dealing with their OCD. Similar to our sample, the twelve patients in the study by Bevan et al [33] reported that their overall experience with the treatment was very positive.…”

Section: Discussionsupporting

confidence: 46%

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Mindfulness-based cognitive therapy in obsessive-compulsive disorder – A qualitative study on patients’ experiences

et al. 2012

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BackgroundCognitive behavioral therapy (CBT) with exposure and response prevention (ERP) is the first-line treatment for patients with obsessive-compulsive disorder (OCD). However, not all of them achieve remission on a longterm basis. Mindfulness-based cognitive therapy (MBCT) represents a new 8-week group therapy program whose effectiveness has been demonstrated in various mental disorders, but has not yet been applied to patients with OCD.The present pilot study aimed to qualitatively assess the subjective experiences of patients with OCD who participated in MBCT.MethodSemi-structured interviews were conducted with 12 patients suffering from OCD directly after 8 sessions of a weekly MBCT group program. Data were analyzed using a qualitative content analysis.ResultsParticipants valued the treatment as helpful in dealing with their OCD and OCD-related problems. Two thirds of the patients reported a decline in OCD symptoms. Benefits included an increased ability to let unpleasant emotions surface and to live more consciously in the present. However, participants also discussed several problems.ConclusionThe data provide preliminary evidence that patients with OCD find aspects of the current MBCT protocol acceptable and beneficial. The authors suggest to further explore MBCT as a complementary treatment strategy for OCD.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 46%

Mindfulness-based cognitive therapy in obsessive-compulsive disorder – A qualitative study on patients’ experiences

et al. 2012

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“…42 Acceptability of psychotherapies for OCD was evaluated in one large pragmatic effectiveness trial and one randomized controlled trial, but these focused on delivery formats for CBT interventions (low and high intensity respectively). 43, 44 Research on acceptability of mental health treatments is a burgeoning field, and further research is need to provide evidence-based, patient-centered care. 12–14 …”

Section: Discussionmentioning

confidence: 99%

Acceptability of treatments and services for individuals with hoarding behaviors

Rodríguez

Levinson

Patel

et al. 2016

Journal of Obsessive-Compulsive and Related Disorders

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Objective To explore the acceptability of currently available treatments and services for individuals who self-report hoarding behaviors. Method Between 10/2013 and 8/2014, participants were invited to complete an online survey that provided them descriptions of eleven treatments and services for hoarding behaviors and asked them to evaluate their acceptability using quantitative (0 [not at all acceptable] -10 [completely acceptable]) Likert scale ratings. The a priori definition of acceptability for a given resource was an average Likert scale score of six or greater. Two well-validated self-report measures assessed hoarding symptom severity: the Saving Inventory-Revised and the Clutter Image Rating Scale. Results Two hundred and seventy two participants who self-reported having hoarding behaviors completed the questionnaire. Analyses focused on the 73% of responders (n=203) who reported clinically significant hoarding behaviors (i.e., Saving Inventory-Revised scores of ≥40). The three most acceptable treatments were individual cognitive behavioral therapy (6.2 ±3.1 on the Likert scale), professional organizing service (6.1 ±3.2), and use of a self-help book (6.0 ±3.0). Conclusion In this sample of individuals with self-reported clinically significant hoarding behaviors (n=203), only 3 out of 11 treatments and services for hoarding were deemed acceptable using an a priori score. While needing replication, these findings indicate the need to design more acceptable treatments and services to engage clients and maximize treatment outcomes for hoarding disorder.

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“…Patients travelling from out of town may prefer intensive treatment (eg, 12 hours of therapy delivered in 5 days) although some patients may worry this model is too intense or brief 45. Storch et al,27 in a study of 56 patients, found intensive daily CBT was as effective as weekly sessions.…”

Section: Erp Therapy Formats: Visit Frequency Individual Group Andmentioning

confidence: 99%

Psychotherapy and medication management strategies for obsessive-compulsive disorder

Walsh¹,

McDougle²

2011

NDT

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Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not respond adequately to initial trials of serotonergic medication or cognitive-behavioral therapy (CBT) and require multiple treatment trials or combination therapies. Comorbidity may also influence treatment response. The role of streptococcal infections in pediatric OCD has become an area of intense scrutiny and controversy. In this article, current treatment methods for OCD will be reviewed, with special attention to strategies for treating OCD in children and in patients with comorbid tic disorders. Alternative psychotherapy strategies for patients who are highly anxious about starting CBT, such as cognitive therapy or augmentation with D-cycloserine, will be reviewed. Newer issues regarding use of antibiotics, neuroleptics, and glutamate modulators in OCD treatment will also be explored.

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A qualitative study of the acceptability of an intensive format for the delivery of cognitive‐behavioural therapy for obsessive‐compulsive disorder

Abstract: An intensive treatment format for the delivery of CBT for OCD can be highly motivating and acceptable to service users who have chosen to undertake it. Good quality follow-up and crisis support may be particularly important following intensive treatment.

Cited by 26 publications

References 19 publications

Mindfulness-based cognitive therapy in obsessive-compulsive disorder – A qualitative study on patients’ experiences

Mindfulness-based cognitive therapy in obsessive-compulsive disorder – A qualitative study on patients’ experiences

Acceptability of treatments and services for individuals with hoarding behaviors

Psychotherapy and medication management strategies for obsessive-compulsive disorder

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