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

Abstract

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.

Mindfulness-based and acceptance-based programmes in the treatment of obsessive–compulsive disorder: a study protocol for a systematic review and meta-analysis

“…Searches in MEDLINE, PsycINFO, PSYINDEX, Web of Science, CINAHL and CENTRAL are specified in the online supplemental material. We will perform also backward and forward citation searches of all included studies and relevant reviews 16 47 48. To find studies in the grey literature, we will contact the authors of included studies or relevant conference abstracts of unpublished studies identified through the database, backward or forward searches.…”

“…Further RCTs are also expected to be available soon 46. Previous reviews hint at the usefulness of MABPs for people with OCD 15 16 47 48. However, a systematic review of all available evidence including a meta-analysis on the effectiveness of MABPs in the treatment of OCD is still lacking.…”

Obsessive compulsive disorder and attachment

“…Patří v celosvětovém měřítku mezi hlavní příčiny postižení (15), je významným osobním, sociálním a zdravotním problémem a je spojená s vysokou mírou psychiatrické komorbidity, zejména s depresivní poruchou a s úzkostnými poruchami (16)(17)(18)(19)(20). Dobře ověřenou metodou volby je spolu s medikací kognitivně behaviorální terapie s expozicemi a zábranou odpovědi (ERP; Exposure and Response Prevention) (11,(21)(22)(23)(24)(25)(26)(27). Odpověď pacientů na léčbu bývá různá a bohužel často přetrvávají reziduální příznaky (1,2).…”