Cognitive therapy for autogenous and reactive obsessions: Clinical and cognitive outcomes at post-treatment and 1-year follow-up

Efficacy of cognitive-behavioral therapy for obsessive–compulsive disorder

“…We have made every effort to be clear about this important distinction in describing the relative efficacy of different CBT methods for OCD. recent research supports the long-term durability of the efficacy of CT on primary OCD symptoms as well as associated symptoms such as depression (Wilhelm et al, 2009;Belloch et al, 2010), where symptom remission was observed at 1-year follow-up Several studies have reported response to combined treatments using the most stringent criterion for recovery of YBOCS r7 at posttreatment, that is, no longer meeting criteria for OCD. In an early study of longer therapy duration, Sookman and Pinard (1999) reported recovery on symptoms, related beliefs, and depression of a case series of seven patients who had been previously unable to collaborate in ERP (mean duration previous CBT of 2 years).…”

“…However, as the authors' point out, the effect size estimate for CT was derived from only three comparisons of treatment versus control groups. Additional research has suggested that CT for OCD is efficacious compared to wait-list control groups (Wilhelm et al, 2009;Belloch et al, 2010;Olatunji et al, 2013). While additional research is required to examine the efficacy of CT the available evidence base indicates that CT should not be used on its own as a first-line treatment for OCD at this point; however, CT can be helpful when administered prior to and in combination with ERP in order to optimize change in patients' symptom related difficulties including dysfunctional beliefs, tolerance of distress, improve adherence to treatment, and reduce drop out.…”

Thought control moderates the relation between autogenous intrusions and the severity of obsessional symptoms: Further support for the autogenous–reactive model of obsessions

“…As noted, Lee and Kwon (2003) asserted that cognitively based techniques might be particularly useful when treating patients with autogenous obsessions. Consistent with this notion, Belloch, Cabedo, Carrio, and Larsson (2010) found that patients who were primarily distressed by autogenous obsessions evidenced a significant decrease in their use of certain attempts of thought control (e.g., punishment, thought suppression) during the course of their cognitive treatment. In addition, Belloch et al found that patients primarily distressed by autogenous obsessions evidenced significant reductions in their beliefs related to both the over-importance of thoughts and the importance of thought control from pre-to post-treatment.…”

“…Finally, it should be noted that a number of patients with autogenous obsessions fail to recover in response to standard interventions for OCD. For example, approximately 26.6% of patients with primarily autogenous obsessions in Belloch et al' (2010) study failed to recover at post-treatment. As such, it remains important to continue to identify ways to improve upon extant treatment efforts for autogenous obsessions.…”

Understanding Treatment Response and Resistance in Obsessive Compulsive Disorder in the Context of Cognitive Neuropsyhological Model

“…Bu bağlamda hastalık belirtilerini ilişkili olduğu bilişsel-duygusal-davranış-sal özelliklerle birlikte düşünerek yapılan fenomenolojik ayı-rımlar, hem tedavi etkisini anlamak hem yeni araştırma soruları geliştirmek açısından yararlı olabilir. Lee ve Kwon (2002) (Belloch ve ark. 2010, Besiroglu ve ark.…”