Knowledge and competency standards for specialized cognitive behavior therapy for adult obsessive-compulsive disorder

Sookman, Debbie; Phillips, Katharine A.; Anholt, Gideon E.; Bhar, Sunil; Bream, Victoria; Challacombe, Fiona; Coughtrey, Anna; Craske, Michelle G.; Foa, Edna B.; Gagné, Jean Philippe; Huppert, Jonathan D.; Jacobi, David M.; Lovell, Karina; McLean, Carmen P.; Neziroglu, Fugen; Pedley, Rebecca; Perrin, Sean; Pinto, Anthony; Pollard, C. Alec; Radomsky, Adam S.; Riemann, Bradley C.; Shafran, Roz; Simos, Gregoris; Söchting, Ingrid; Summerfeldt, Laura J.; Szymański, J.; Treanor, Michael; Noppen, Barbara Van; Oppen, Patricia van; Whittal, Maureen L.; Williams, Monnica T.; Williams, Timothy D.; Yadin, Elna; Veale, David

doi:10.1016/j.psychres.2021.113752

Cited by 13 publications

(5 citation statements)

References 667 publications

(345 reference statements)

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“…Nevertheless, the present findings add to the existing evidence of unmet need in OCD care (Kirkham et al, 2022; Sookman et al, 2021; Vuong et al, 2016), as most of those who had received treatment still experienced clinical levels of OCD. Practitioners should be mindful of the chronic nature of OCD, and the likelihood that one course of CBT/ERP may be insufficient over the long term (Visser et al, 2014).…”

Section: Discussionsupporting

confidence: 64%

“…those that deliver treatment partly focused on OCD) may be better able to treat the more widely-known symptoms of OCD, such as checking and washing, than less well-known symptoms, such as neutralising (Pedley et al, 2019). Either way, this set of findings indicates the need for specialist treatment of OCD that goes beyond general mental health treatment (Sookman et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, research studies typically focus on whether a one specific course of treatment is effective, and usually include relatively short-term follow-ups of the participants. Subsequently there is a lack of knowledge about how people living with OCD, many of whom do not achieve remission (Pittenger & Bloch, 2014; Sookman et al, 2021), experience the treatments offered to them in the “real world”. This brief communication therefore seeks to provide an overview of the treatment experience of a group of people with OCD, and to detail the findings of exploratory analyses on whether prior treatment experiences are related to current OCD symptomatology.…”

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confidence: 99%

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Online survey of treatment experiences for obsessive-compulsive disorder

Kirkham

Cao

Król

2022

Preprint

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IntroductionThere is a lack of knowledge about the treatment experiences of people living with obsessive-compulsive disorder (OCD).MethodParticipants with OCD (n= 202) took part in an online survey in which they answered questions about what treatment they had received. They also completed measures of current OCD, anxiety and depression.ResultsScores above the clinical cut-off for OCD were high (> 70%) across the sample, irrespective of what kind of treatment had been received. Despite this, most participants felt their OCD was better now than it had been pre-treatment. Mean OCD scores were similar between treatment groups (OCD-focused, partly OCD-focused, non-OCD focused, no treatment), though there was some evidence that OCD-focused treatment was associated with lower OCD scores, especially for symptoms of hoarding, neutralising and ordering.DiscussionThese findings contribute to evidence of unmet need in OCD care. Practitioners should be aware that OCD is often a chronic condition which requires specialist care, and may require more than one course of treatment.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Online survey of treatment experiences for obsessive-compulsive disorder

Kirkham

Cao

Król

2022

Preprint

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“…Australian & New Zealand Journal of Psychiatry,56(10) bottleneck in treating the OCRDs is therefore not the absence of efficacious treatments but rather the absence, or inadequacy, of implementation of these treatments in the community. Treating OCRDs requires a specialised skillset, with almost 200 unique competencies identified to effectively assess and treat OCD alone (Sookman et al, 2021). As such, clinical skill capacity-building and maintenance is essential.…”

Section: Falling Through the Cracks In Science And Clinical Service -...mentioning

confidence: 99%

Falling through the cracks in science and clinical service – A call to action for people with OCD

Dyason

Farrell

Manning

et al. 2022

Aust N Z J Psychiatry

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“…The availability of evidence-based treatment for OCD in the past decades has dramatically improved the course and outcome of the disorder. Controlled clinical trials have demonstrated that the majority of patients receiving cognitive-behavioral therapy (CBT) based on exposure and response prevention (ERP) and/or pharmacotherapy experience significant improvement in their symptoms (Bloch et al, 2014; Sookman et al, 2021). Unfortunately, among patients who come to clinical attention, only about 40% receive OCD-tailored treatment and only 10% receive evidence-based treatment (Herzog et al, 2021; Hirschtritt et al, 2017; Torres et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Predictors of the 6-year outcome of obsessive-compulsive disorder: Findings from the Netherlands Obsessive-Compulsive Disorder Association study

Tibi¹,

Oppen

Balkom

et al. 2023

Aust N Z J Psychiatry

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Objective: Obsessive-compulsive disorder is characterized by a chronic course that can vary between patients. The knowledge on the naturalistic long-term outcome of obsessive-compulsive disorder and its predictors is surprisingly limited. The present research was designed to identify clinical and psychosocial predictors of the long-term outcome of obsessive-compulsive disorder. Methods: We included 377 individuals with a current diagnosis of obsessive-compulsive disorder, who participated in the Netherlands Obsessive Compulsive Disorder Association study, a multicenter naturalistic cohort study. Predictors were measured at baseline using self-report questionnaires and clinical interviews. Outcome was assessed using the Yale-Brown Obsessive Compulsive Scale at 2-, 4- and 6-year follow-up. Results: The overall course of obsessive-compulsive disorder was characterized by two prominent trends: the first reflected an improvement in symptom severity, which was mitigated by the second, worsening trend in the long term. Several determinants affected the course variations of obsessive-compulsive disorder, namely, increased baseline symptom severity, late age of onset, history of childhood trauma and autism traits. Conclusion: The long-term outcome of obsessive-compulsive disorder in naturalistic settings was characterized by an overall improvement in symptom severity, which was gradually halted to the point of increased worsening. However, after 6 years, the severity of symptoms remained below the baseline level. While certain determinants predicted a more favorable course, their effect diminished over time in correspondence to the general worsening trend. The results highlight the importance of a regular and continuous monitoring for symptom exacerbations as part of the management of the obsessive-compulsive disorder, regardless of the presence of putative predictors.

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Knowledge and competency standards for specialized cognitive behavior therapy for adult obsessive-compulsive disorder

Cited by 13 publications

References 667 publications

Online survey of treatment experiences for obsessive-compulsive disorder

Online survey of treatment experiences for obsessive-compulsive disorder

Falling through the cracks in science and clinical service – A call to action for people with OCD

Predictors of the 6-year outcome of obsessive-compulsive disorder: Findings from the Netherlands Obsessive-Compulsive Disorder Association study

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