Mindfulness-Based Cognitive Therapy for OCD: Stand-Alone and Post-CBT Augmentation Approaches

Selchen, Steven; Hawley, Lance L.; Regev, Rotem; Richter, Peggy; Rector, Neil A.

doi:10.1007/s41811-018-0003-3

Cited by 27 publications

(14 citation statements)

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“…Overall, results suggest that teaching mindfulness and self-compassion skills is likely to have only a small overall effect on OCD symptoms, with possibly a small-to-medium effect on the dimension of obsessing symptoms. This notion is supported by recent RCTs of Mindfulness-Based Cognitive Therapy (MBCT) adapted to OCD, either as a first -line (Selchen et al 2018) or augmentation therapy for CBT for OCD (Key et al 2017;Külz et al 2018, Selchen et al 2018, which overall show modest effects. The findings furthermore suggest that training mindfulness skills, particularly nonjudging and nonreacting skills, may be more pertinent to OCD symptom reduction than training self-compassion skills, although the latter may have a small benefit for physical compulsions.…”

Section: Research and Clinical Implicationsmentioning

confidence: 95%

“…Also, MBIs for OCD may still effectively target obsessive beliefs (e.g. Key et al 2017;Külz et al 2018;Selchen et al 2018). Whilst reductions in obsessive beliefs following MBIs would not necessarily demonstrate that enhanced self-compassion and mindfulness skills accounted for the change, Key et al (2017) found that an increase in mindfulness skills was significantly correlated with a reduction in obsessive beliefs (r = − .63).…”

Section: Research and Clinical Implicationsmentioning

confidence: 99%

“…The growing interest in MBIs (adapted) for OCD (e.g. Key et al 2017;Külz et al 2019;Selchen et al 2018;Strauss et al 2018) is informed by the fact approximately 50% of patients do not experience OCD symptom remission following cognitive behavioural therapy for OCD (Öst et al 2015). The rationale for MBIs for OCD is predicated on the assumption that poor mindfulness and self-compassion skills contribute to OCD symptoms (e.g.…”

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The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

2019

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Little is known about the role of mindfulness and self-compassion in obsessive-compulsive disorder. This cross-sectional study examined associations of mindfulness and self-compassion with obsessive-compulsive disorder symptoms and with the obsessive beliefs and low distress tolerance thought to maintain them. Samples of treatment-seeking adults (N = 1871) and non-treatment-seeking adults (N = 540) completed mindfulness, self-compassion, obsessive-compulsive disorder, anxiety, depression, obsessive beliefs and distress tolerance questionnaires. Participants with clinically significant obsessivecompulsive disorder symptoms reported lower trait mindfulness and self-compassion compared to participants with clinically significant anxiety/depression and to non-clinical controls. Among the clinical sample, there were medium-large associations between mindfulness and self-compassion and obsessive-compulsive disorder symptoms, obsessive beliefs and distress tolerance. Mindfulness and self-compassion were unique predictors of obsessive-compulsive disorder symptoms, controlling for depression severity. Once effects of obsessive beliefs and distress tolerance were controlled, a small effect remained for mindfulness (facets) on obsessing symptoms and for self-compassion on washing and checking symptoms. Directions for future research and clinical implications are considered in conclusion. Keywords Obsessive-compulsive disorder • Mindfulness • Self-compassion • Obsessive beliefs • Distress tolerance Obsessive-compulsive disorder (OCD) is a debilitating mental health condition characterised by obsessions, i.e. persistent unwanted intrusive thoughts, images or urges that can cause significant distress, and compulsions, i.e. repetitive, ritualistic behaviours aimed at alleviating distress and/ or preventing negative outcomes (APA 2013). Obsessivecompulsive disorder is a heterogeneous disorder as obsessions can centre on contamination, harm, symmetry or taboo thoughts and compulsions include physical behaviours like Electronic supplementary material The online version of this article (

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Section: Research and Clinical Implicationsmentioning

confidence: 95%

Section: Research and Clinical Implicationsmentioning

confidence: 99%

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confidence: 99%

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The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

2019

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“…De hecho, un número creciente de estudios que muestran que las habilidades de mindfulness están relacionadas con las habilidades de cognición social como la teoría de la mente, procesamiento de emociones y empatía (Tripathi, Kar, y Shukla, 2018;Thabane et al, 2013;Teasdale et al, 2002;Tan, Lo, y Macrae, 2014). Las IBM han demostrado beneficios potenciales para tratar el TOC y la EZ (Gasnier et al, 2017;Bluett et al, 2014;Selchen et al, 2018;Ta-bak, Horan, y Green, 2015;Lam, y Chien, 2016). Sin embargo, se requiere más investigación para identificar los componentes terapéuticos específicos de los efectos de mindfulness, así como las facetas de mindfulness implicadas en sus resultados.…”

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Habilidades de Mindfulness y Cognición Social en la predicción de la sintomatología afectiva en Esquizofrenia, Trastorno Obsesivo-Compulsivo y controles sanos

González-Panzano¹,

Borao²,

Herrera‐Mercadal³

et al. 2019

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Mindfulness and social cognition skills in the prediction of affective symptomatology in schizophrenia, obsessive-compulsive disorder and nonclinical participants. The aim of the study was to investigate significant predictors of affective symptomatology in schizophrenia, obsessive-compulsive disorder and healthy controls. The sample was of 91 participants who completed the following instruments: the Eye Test (emotional recognition), the Hinting Task (theory of mind), the Ambiguous Intentions and Hostility Questionnaire(AIHQ; attributional style), Interpersonal Reactivity Index (IRI; empathy), the Mindful Attention Awareness Scale (MAAS; mindfulness trait), the Five Facet Mindfulness Questionnaire-Short Form(FFMQ-SF), and the Hospital Anxiety and Depression Scale(HADS). Significant predictors of affective symptomatology were: mindfulness (dispositional or trait mindfulness, nonreactivity and nonjudgment), and social cognition (SC) (attributional style and theory of mind). Mediation analysis showed that theory of mind was the only significant mediator of affective symptomatology. This paper shows the role of mindfulness and SC skills in the prediction of affective symptomatology.Keywords: mindfulness, social cognition, theory of mind, affective symptomatology, schizophrenia, obsessive-compulsive disorder.Resumen:El objetivo del estudio fue investigar predictores significativos de sintomatología afectiva en Esquizofrenia (EZ), trastorno obsesivo compulsivo (TOC) y controles no clínicos. La muestra fue de 91 participantes que completaron los siguientes instrumentos: Eyes Test (reconocimiento emocional), Hinting Task (teoría de la mente), Ambiguous Intentions and Hostility Questionnaire (AIHQ; estilo atribucional), Índice de Reactividad Interpersonal (IRI; empatía), Mindful Attention Awareness Scale (MAAS;mindfulness rasgo), Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF), y Hospital Anxiety and Depression Scale (HADS).Los resultados mostraron que el mindfulness (mindfulness rasgo, no reactividad y no juicio) y la cognición social (estilo atribucional y teoría de la mente) fueron predictores significativos. Los análisis de mediación señalaron la variable de teoría de la mente, como único mediador significativo de la sintomatología afectiva.Los resultados de este estudio señalan el papel de las habilidades de mindfulness y cognición social en la predicción de sintomatología afectiva.Palabras clave: mindfulness, cognición social, teoría de la mente, sintomatología afectiva, esquizofrenia, trastorno obsesivo-compulsivo.

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“…Finally, Selchen et al (2018) provide an initial examination of mindfulness-based cognitive therapy (MBCT) for OCD. The authors provide an overview of the development of the MBCT for OCD treatment protocol and step-by-step procedures that introduce new opportunities to impact on the O-C cycle.…”

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Advancements in Cognitive-Behavioral Modeling and Treatment of OCD

Rector

2018

J Cogn Ther

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I am grateful for the opportunity to bring together a number of recently completed studies that develop and test new cognitive and behavioral constructs that expand our understanding of factors relevant to the maintenance of obsessive-compulsive (O-C) cycles and their treatment. Obsessive compulsive disorder (OCD) is a debilitating disorder characterized by distressing obsessive thoughts and/or images and compulsive behaviors. OCD occurs in approximately 2% of the population, tends to be chronic with a waxing and waning of symptoms over time, and leads to a variety of significant functional impairments and decreased quality of life, establishing it as the 10th leading cause of disability worldwide. Exposure response prevention (ERP) is the most wellresearched and recognized psychotherapeutic intervention for OCD and is consistently included as a frontline treatment in clinical guidelines (NICE, 2006). Less frequently studied or well established than ERP as a treatment for OCD, the aim of cognitive therapy is to reduce obsessions and compulsions by targeting the maladaptive appraisals and dysfunctional beliefs that are implicated in the development and persistence of symptoms. The majority of meta-analyses and controlled trials have examined ERP versus cognitive therapy and found them to be equally efficacious treatments on outcome measures at post-treatment and follow-up and recent studies have increasingly tested and shown support for their integration as a combined CBT intervention. The papers included in this Special Issue address different aspects of the O-C cycle within an integrated cognitive-behavioral therapy (CBT) frameworkbeliefs and appraisals, safety behaviors, and developments in mindfulness-based approaches that introduce new ways of conceiving of O-C symptom maintenance and change.In the first article, Riskind et al. (2018) address the role of negative appraisals of unwanted intrusive thoughts, not from the customary self-perspective (e.g., being bad J Cogn Ther (2018) 11:1-3 https://doi.

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Mindfulness-Based Cognitive Therapy for OCD: Stand-Alone and Post-CBT Augmentation Approaches

Cited by 27 publications

References 44 publications

The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

Habilidades de Mindfulness y Cognición Social en la predicción de la sintomatología afectiva en Esquizofrenia, Trastorno Obsesivo-Compulsivo y controles sanos

Advancements in Cognitive-Behavioral Modeling and Treatment of OCD

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