Efficacy of Danger Ideation Reduction Therapy in Obsessive-Compulsive Disorder Washer with Poor Insight: A Case Study and Literature Review

Maqbool, Mohammad; Sengar, K. S.; Vikas, .; Kumar, Mohit; Uparikar, Premkant Damodhar

doi:10.4103/0253-7176.211754

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…[71] A case study reported from India with untreated OC washing behavior showed improvements with symptoms of OCD, insight, and functioning, following 15 DIRT sessions over 2 months. [72] Similarly, a treatment-refractory adolescent (medications as well as ERP) with contamination fears, washing compulsions, and significant avoidance responded to 16 sessions of DIRT. There was substantial improvement in OCD symptoms, depression, and anxiety; these improvements were maintained at 12 months of follow-up.…”

Section: Methodsmentioning

confidence: 99%

New-wave behavioral therapies in obsessive-compulsive disorder: Moving toward integrated behavioral therapies

Manjula

Sudhir

2019

Indian J Psychiatry

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New-wave behavioral therapies in obsessive-compulsive disorders (OCDs) comprise of third-wave therapies and newer cognitive therapies (CTs). This review covers outcome studies published in English until December 2017. A total of forty articles on mindfulness-based CT, metacognitive therapy, acceptance and commitment therapy, and danger ideation reduction therapy in the form of single-case studies, case series, open-label trials, two-group comparison studies, and randomized controlled studies were included. Results show that studies on these therapies are limited in number. Methodological limitations including lack of active control groups, randomized controlled trials, small sample sizes, and short follow-up periods were also noted. However, the available literature demonstrates the feasibility and utility of these therapies in addressing the issues unresolved by exposure and response prevention (ERP) and cognitive behavior therapy (CBT). These therapies were often combined with traditional ERP and CBT based on the profile and response of the client; hence, it is unclear whether they can be used as standalone therapies in the larger segment of the OCD population. Supplementary use of these strategies alongside established therapies could provide better utilization of resources. In view of the need for such integration, further research is warranted. The use of sound methodologies and establishing the mechanism of action of these therapies would assist in choosing the techniques for integration.

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Section: Methodsmentioning

confidence: 99%

New-wave behavioral therapies in obsessive-compulsive disorder: Moving toward integrated behavioral therapies

Manjula

Sudhir

2019

Indian J Psychiatry

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“…Rational emotive therapy, on the other hand, has been shown to have some possible beneficial effects in OCD (Emmelkamp et al, 1988). Australian researchers have developed danger ideation reduction therapy (DIRT), using rational emotive therapy but with instructions not to undergo exposure for patients with contamination fears; good outcomes in case reports and some small controlled trials have been found (Jones and Menzies, 1998;Krochmalik et al, 2001;Maqbool et al, 2017). The techniques used in DIRT include cognitive restructuring using rational emotive therapy (Ellis, 1962); filmed interviews with people who work in feared situations; corrective information about the real risks of 'contamination' as opposed to the deleterious effects of overzealous hand-washing and attentional focussing whereby patients are taught to focus the mind away from the danger-related intrusive thoughts.…”

Section: Novel Forms Of Psychotherapymentioning

confidence: 99%

Clinical advances in obsessive-compulsive disorder: a position statement by the International College of Obsessive-Compulsive Spectrum Disorders

Fineberg

Hollander

Pallanti

et al. 2020

International Clinical Psychopharmacology

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In this position statement, developed by The International College of Obsessive-Compulsive Spectrum Disorders, a group of international experts responds to recent developments in the evidence-based management of obsessive-compulsive disorder (OCD). The article presents those selected therapeutic advances judged to be of utmost relevance to the treatment of OCD, based on new and emerging evidence from clinical and translational science. Areas covered include refinement in the methods of clinical assessment, the importance of early intervention based on new staging models and the need to provide sustained well-being involving effective relapse prevention. The relative benefits of psychological, pharmacological and somatic treatments are reviewed and novel treatment strategies for difficult to treat OCD, including neurostimulation, as well as new areas for research such as problematic internet use, novel digital interventions, immunological therapies, pharmacogenetics and novel forms of psychotherapy are discussed.

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Obsesif-Kompulsif Bozuklukta Üçüncü Kuşak Terapilerin Etkililiği: Bir Gözden Geçirme

Onaral

2021

Psikiyatride Güncel Yaklaşımlar

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Tekrarlayan obsesyonlar ve/veya kompulsiyonlar ile karakterize olan Obsesif-Kompulsif Bozukluk tedavisinde ilaç tedavisi ve Bilişsel Davranışçı Terapi olmak üzere 2 ana tedavi yaklaşımının etkililiği kanıtlanmış görünmektedir. Ancak tedaviyi yarıda bırakma oranlarının yüksek olması ve BDT sonrası kalıntı belirtilerin görülmesi, araştırmacıları farklı tedavi yaklaşımlarına yöneltmiştir. Bu bağlamda ortaya çıkan yeni gelişmeler, 3. Kuşak Terapiler açısından umut vermektedir. Bu gözden geçirme çalışmasında; Obsesif-Kompulsif Bozukluk'un tedavisinde kullanılan 3. Kuşak Terapilerin kuramsal alt yapısının özetlenmesi, bu bağlamdaki terapi yaklaşımlarının etkililiğine dair araştırmaların yöntemsel ve terapi süreci açısından gözden geçirilmesi amaçlanmıştır. Bu amaçla bu gözden geçirme çalışmasında; 2004-2020 yılları arasında İngilizce/Türkçe dilinde yayınlanmış ve Ebscohost, Ulakbim, Google Akademik, Science Direct ve Web of Science olmak üzere 5 veri tabanından ulaşılan Kabul ve Kararlılık Terapisi, Bilinçli Farkındalık Temelli Terapi, Üstbilişsel Terapi, Şema Terapi ve Diyalektik Davranış Terapisi'nin obsesif-kompulsif bozukluk'taki etkililiğini inceleyen araştırmalara yer verilmiştir. Yapılan gözden geçirme sonucunda, 3. Kuşak Terapiler'in genel olarak obsesif kompulsif belirtileri azalttığı görülmüştür. Buna ek olarak, depresyon, anksiyete ve stres belirtilerinde azalma; öz-şefkat ve bilinçli farkındalık gibi becerilerde ise artış sağladığı belirlenmiştir. Buradan yola çıkarak, Obsesif-Kompulsif Bozukluk tedavisinde 3. Kuşak Terapiler'in yetişkin örneklemindeki etkililiğine dair ilk kanıtların birikmeye başladığı ancak daha büyük örneklemler ile bilişsel davranışçı terapi, maruz bırakma ve tepki önleme ya da ilaç tedavisi ile karşılaştırmalı olarak yapılan seçkisiz kontrollü klinik çalışmalara ihtiyaç olduğu sonucuna ulaşılmıştır.

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Efficacy of Danger Ideation Reduction Therapy in Obsessive-Compulsive Disorder Washer with Poor Insight: A Case Study and Literature Review

Cited by 3 publications

References 9 publications

New-wave behavioral therapies in obsessive-compulsive disorder: Moving toward integrated behavioral therapies

New-wave behavioral therapies in obsessive-compulsive disorder: Moving toward integrated behavioral therapies

Clinical advances in obsessive-compulsive disorder: a position statement by the International College of Obsessive-Compulsive Spectrum Disorders

Obsesif-Kompulsif Bozuklukta Üçüncü Kuşak Terapilerin Etkililiği: Bir Gözden Geçirme

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