Adding motivational interviewing and thought mapping to cognitive-behavioral group therapy: results from a randomized clinical trial

Meyer, Elisabeth; Shavitt, Roseli Gedanke; Leukefeld, Carl G.; Heldt, Elizeth Paz da Silva; Souza, Fernanda Pasquoto de; Knapp, Paulo; Cordioli, Aristides Volpato

doi:10.1590/s1516-44462010000100006

Cited by 26 publications

(10 citation statements)

References 28 publications

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“…A recent study demonstrated that cognitive behavioral group therapy was more effective if preceded by two individual sessions of motivational interviewing and thought mapping. The symptom reduction was still maintained at a 3-months follow up (48). …”

Section: Discussionmentioning

confidence: 93%

Dimensional correlates of poor insight in obsessive–compulsive disorder

Jakubovski

Pittenger

Torres

et al. 2011

Progress in Neuro-Psychopharmacology and Biological Psychiatry

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Background Cross-sectional studies have associated poor insight in patients with obsessive-compulsive disorder (OCD) with increased OCD symptom severity, earlier age of comorbid depression, and treatment response. The goal of this current study was to examine the relationship between dimensions of OCD symp tomatology and insight in a large clinical cohort of Brazilian patients with OCD. We expect poor insight to be associated with total symptom severity as well as with hoarding symptoms severity. Methods 824 outpatients underwent a detailed clinical assessment for OCD, including the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS), the Dimensional Yale–Brown Obsessive–Compulsive Scale (D-YBOCS), the Brown Assessment of Beliefs Scale (BABS), a socio-demographic questionnaire, and the Stuctured Clinical Interview for axis I DSM-IV disorders (SCID-P). Tobit regression models were used to examine the association between level of insight and clinical variables of interest. Results Increased severity of current and worst-ever hoarding symptoms was associated with poor insight in OCD after controlling for current OCD severity, age and gender. Poor insight was also correlated with increased current OCD symptom severity. Conclusion Hoarding and overall OCD severity explained were significantly but weakly associated with level of insight in OCD patients. Further studies should examine insight as a moderator and mediator of treatment response in OCD in both behavioral therapy and pharmacological trials. Behavioral techniques aimed at enhancing insight may be potentially beneficial in OCD, especially among patients with hoarding.

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Section: Discussionmentioning

confidence: 93%

Dimensional correlates of poor insight in obsessive–compulsive disorder

Jakubovski

Pittenger

Torres

et al. 2011

Progress in Neuro-Psychopharmacology and Biological Psychiatry

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“…Some variations of CBT have been also developed, including CBT with bibliotherapy [29], CBT with cognitive rehabilitation [30] CBT with motivational interviewing [31], CBT with internet supported group [32] and isolated bibliotherapy [33][34][35]. In conclusion, these studies reveal that there are a percentage of hoarders who do not benefit the current CBT approaches.…”

Section: Methods Based On Cbtmentioning

confidence: 99%

Untitled

2016

JPCPY

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Background and aims: Non-pharmaceutic approaches to the treatment of hoarding disorder (HD) use interventions based of cognitive-behavioral therapy (CBT). Inference-based therapy (IBT) focuses on the doubts which form the basis of preoccupation in HD and deals with ego syntonic values in hoarding by exposing how the hoarding-self sabotages the authentic self. The objective was to establish if the IBT would lead to the clinically significant decrease of hoarding symptoms.

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“…Upon making a diagnosis, the clinician must determine whether the patient's insight is good or fair; poor; or is absent/has delusional beliefs. [11,12] However, insight is a multidimensional concept, including both the recognition that the cause of the belief is psychological/psychiatric and the willingness to consider that the belief may be false.…”

Section: Clinical Significance Of New Insight Specifiersmentioning

confidence: 99%

DSM-5 Obsessive-Compulsive and Related Disorders: Clinical Implications of New Criteria

2014

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For the publication of DSM-5, obsessive-compulsive disorder (OCD) was the subject of significant revisions to its classification and diagnostic criteria. One of these significant changes was the placement of OCD in a new category, "Obsessive-Compulsive and Related Disorders (OCRDs)," which also includes body dysmorphic disorder (BDD), trichotillomania (hair-pulling disorder), excoriation (skin-picking) disorder, hoarding disorder, substance/medication-induced OCRD, OCRD due to another medical condition, and other specified OCRDs. Changes in the diagnostic criteria and grouping of these disorders may have significant clinical implications, and will be reviewed in this article.

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Adding motivational interviewing and thought mapping to cognitive-behavioral group therapy: results from a randomized clinical trial

Cited by 26 publications

References 28 publications

Dimensional correlates of poor insight in obsessive–compulsive disorder

Dimensional correlates of poor insight in obsessive–compulsive disorder

Untitled

DSM-5 Obsessive-Compulsive and Related Disorders: Clinical Implications of New Criteria

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