Motivation to Change as a Predictor of Treatment Response in Obsessive Compulsive Disorder

Abstract

Preliminary findings indicate that greater resistance to change is associated with less improvement in OCD symptom severity following pharmacotherapy. As this is the first use of the URICA as a predictor of OCD response, future research should further examine the role of motivation to change in treatment outcome in a larger OCD sample.

Measuring Motivation: Change Talk and Counter-Change Talk in Cognitive Behavioral Therapy for Generalized Anxiety

“…The CQ self-report measure fared particularly well, with higher scores on this measure being associated with lower post-treatment worry and greater subsequent homework compliance (although the homework compliance effects were only marginally significant). These findings are somewhat incongruent with other studies examining various self-report motivation measures which generally find weak and inconsistent relationships with outcomes (Field, Adinoff, Harris, Ball, & Carroll, 2009; Kampman et al, 2008; Pinto, Pinto, Neziroglu, & Yaryura-Tobias, 2007; Sutton, 2001). Thus, if future research can replicate these findings, it suggests that the CQ may be a more promising self-report measure of motivation.…”

Predictors of treatment outcome in modular cognitive therapy for obsessive-compulsive disorder

“…Measures of motivation collected during the first 4 to 6 weeks of therapy significantly predicted improvement, consistent with some studies (e.g., [10, 11, 33]; but see [34]). However, the relationship between motivation and outcome was not linear.…”

“…Clinical experience suggests that patient motivation is a critical prerequisite for treatment success, particularly in intensive ERP (e.g., [32]). Indeed, several studies have found that motivation predicted positive treatment outcome in both CBT and pharmacotherapy for OCD (e.g., [10, 11, 33]; but see [34]), and at least two studies are in progress to investigate the utility of adding motivational enhancement techniques to improve outcome [35, 36]. In addition, some have argued that a sizable portion of variance in treatment effects can be attributed to patient expectations (e.g., [37]).…”

The University of Rhode Island Change Assessment as Predictor of Treatment Outcome and Dropout in Outpatients with Obsessive-Compulsive Disorder Treated with Exposure and Response Prevention

“…Vogel et al [3] found that readiness to change showed no relation to treatment outcome for 37 outpatients treated with cognitive-behavioral therapy. A similar study conducted by Pinto et al [4] found a negative association between precontemplation and change in OCD symptoms using a sample of 32 outpatients receiving pharmacotherapy. In another outpatient study (n = 28), Maher et al [5] found no significant relationship between readiness to change and cognitive-behavioral treatment outcome.…”