Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A quantitative Review.

Abstract

Quantitative review of the controlled treatment outcome literature for obsessive-compulsive disorder (OCD) showed that exposure with response prevention was highly effective in reducing OCD symptoms. Cognitive approaches were also found to be at least as effective as exposure procedures. It appears that both cognitive and exposure interventions involve some overlapping procedures and capitalize on similar mechanisms of change. Serotonergic medication, particularly clomipramine, also substantially reduced OCD symptoms. However, clomipramine may not be particularly superior to other serotonergic medication. The relationship between side effects and effect size in medication trials was explored.

A terapia cognitivo-comportamental no transtorno obsessivo-compulsivo

“…A similar or slightly higher efficacy of ERP therapy as compared to SSRIs was found in several clinical trials, 13,14 and in several metanalyses, [15][16][17] having been definitively consolidated as the first choice treatment when rituals prevail and the symptoms have mild to moderate intensity. 20 ) have adapted Mowrer's model to explain the appearance and maintenance of the OC symptoms.…”

Cognitive-behavioral group therapy in obsessive-compulsive disorder: a clinical trial

“…5,8 ERP therapy was systematically brought into use in the 70's 9,10 and is considered as effective for more than 70% of OCD patients. 11 Nevertheless, refusal or withdrawal are common and may reach 30%. The therapy is not effective in approximately half of the patients beginning the treatment and in 1/4 of those who complete it.…”

Acceptance in behavior therapy: Understanding the process of change

“…Exposure plus response prevention have been found effective not only for compulsive behavior (Abramowitz, 1997) but for a range of phobias (e.g., Farkas, 1989), posttraumatic stress disorder (Foa, Rothbaum, Riggs, & Murdock, 1991), and pathological gambling (Echeburua, Fernandez-Montalvo, & Baez, 2000). Notice that this type of intervention is different from those that vocally relate stimuli.…”