Specialised in-patient treatment for severe, chronic, resistant obsessive-compulsive disorder

Drummond, L. M.; Pillay, Anand; Kolb, P; Rani, Shashi

doi:10.1192/pb.31.2.49

Cited by 9 publications

(12 citation statements)

References 1 publication

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“…Treatment in the inpatient unit is for a maximum of 6 months (M ¼ 135.51 days, SD ¼ 59.62). Details of the clinical services under which treatment was delivered has been provided elsewhere (Drummond, Fineberg, et al,2008;Drummond, Pillay, Rani, & Kolb, 2007). Only data collected at the pre-treatment and post-treatment timepoints were available for analyses, although some patients may have been evaluated using the Y-BOCS during treatment as part of routine clinical care.…”

Section: Methodsmentioning

confidence: 99%

Predicting outcome of treatment for severe, treatment resistant OCD in inpatient and community settings

Boschen

Drummond

Pillay

et al. 2010

Journal of Behavior Therapy and Experimental Psychiatry

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Treatment of OCD is effective, even for the most chronic and severe cases. It has been difficult to identify predictors of treatment outcome, with little work aimed at predicting treatment outcome in severe OCD. We examined the ability of a range of demographic and psychopathology variables to predict treatment outcome in a cohort of 52 inpatients and a second group of 62 community outpatients with severe, treatment-refractory OCD. Despite both cohorts showing significant improvement in OCD symptoms, reliable predictors were difficult to identify, and were different in the two cohorts. In the inpatient group, marital status was a significant predictor, with those who were married or cohabiting showing better outcome that those not currently in a relationship. This relationship was not observed in the community treatment group. Initial symptom severity was also found to be a significant predictor, but only in the community treatment group, where higher initial severity was associated with greater reduction in symptoms during treatment. Further research examining a wider range of predictors may assist in identifying those factors which predict outcome in severe OCD.

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Section: Methodsmentioning

confidence: 99%

Predicting outcome of treatment for severe, treatment resistant OCD in inpatient and community settings

Boschen

Drummond

Pillay

et al. 2010

Journal of Behavior Therapy and Experimental Psychiatry

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“…Penis size is considered important to homosexual men in terms of how they construct their sense of self [18], how they construct masculinity and that they recognize a notion of “bigger is better” when defining an ideal male partner [19]. Homosexual men's perceptions of size are significantly related to sexual positioning as those with smaller perceived size more often assume the anally submissive sexual position [20].…”

Section: Introductionmentioning

confidence: 99%

Sexual Functioning and Behavior of Men with Body Dysmorphic Disorder Concerning Penis Size Compared with Men Anxious about Penis Size and with Controls: A Cohort Study

et al. 2015

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IntroductionLittle is known about the sexual functioning and behavior of men anxious about the size of their penis and the means that they might use to try to alter the size of their penis.AimTo compare sexual functioning and behavior in men with body dysmorphic disorder (BDD) concerning penis size and in men with small penis anxiety (SPA without BDD) and in a control group of men who do not have any concerns.MethodsAn opportunistic sample of 90 men from the community were recruited and divided into three groups: BDD (n = 26); SPA (n = 31) and controls (n = 33).Main Outcome MeasuresThe Index of Erectile Function (IEF), sexual identity and history; and interventions to alter the size of their penis.ResultsMen with BDD compared with controls had reduced erectile dysfunction, orgasmic function, intercourse satisfaction and overall satisfaction on the IEF. Men with SPA compared with controls had reduced intercourse satisfaction. There were no differences in sexual desire, the frequency of intercourse or masturbation across any of the three groups. Men with BDD and SPA were more likely than the controls to attempt to alter the shape or size of their penis (for example jelqing, vacuum pumps or stretching devices) with poor reported success.ConclusionMen with BDD are more likely to have erectile dysfunction and less satisfaction with intercourse than controls but maintain their libido. Further research is required to develop and evaluate a psychological intervention for such men with adequate outcome measures.

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“…The defining features of OCD are obsessions and compulsions (American Psychiatric Association, 2000), and checking compulsions are one of the most common expressions of the disorder (Stein, Forde, Anderson, & Walker, 1997). It is a disabling condition with a high burden of disease and injury (Mathers, Vos, & Stevenson, 1999), and treatment-resistant OCD is associated with high levels of comorbidity and dependence on mental health services (Drummond, Pillay, Kolb, & Rani, 2007).…”

mentioning

confidence: 99%

“…The effectiveness of DIRT has been examined in 10 publications, including two randomised controlled trials (RCTs; Jones & Menzies, 1998;Krochmalik, Jones, Menzies, & Kirkby, 2004), one multiple baseline case series (Krochmalik, Jones, & Menzies, 2001), one uncontrolled case series (Jones & Menzies, 1997), one naturalistic study (Drummond et al, 2007), and five single case reports (Drummond & Kolb, 2008;Govender, Drummond, & Menzies, 2006;Hambridge & Loewenthal, 2003;O'Brien, Jones, & Menzies, 2004;St. Clare, 2004).…”

mentioning

confidence: 99%

Danger Ideation Reduction Therapy for Obsessive–Compulsive Checking: Preliminary Findings

Vaccaro

Jones

Menzies

et al. 2010

Cognitive Behaviour Therapy

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Danger Ideation Reduction Therapy (DIRT) is a cognitive treatment package developed in the mid-1990s to treat obsessive-compulsive (OC) washing. DIRT is solely directed at decreasing threat expectancies and does not involve direct or indirect exposure. The effectiveness of the DIRT package for OC washers has been examined, and to date a number of publications, including two randomised controlled trials, support its efficacy. Recently, the DIRT package was modified to treat people with the OC checking subtype. In the current study, three adult OC checkers received DIRT in 12 to 14 individual 1-hr sessions conducted by a clinical psychologist. At posttreatment, substantial and clinically significant reductions in scores on a range of standardized outcome measures of obsessive-compulsive disorder symptom severity were apparent for all three participants. Crucially, these improvements were maintained at 4-month follow-up. Although further research is clearly warranted, these preliminary findings suggest that DIRT for checkers may prove as effective as DIRT for OC washers.

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Specialised in-patient treatment for severe, chronic, resistant obsessive-compulsive disorder

Cited by 9 publications

References 1 publication

Predicting outcome of treatment for severe, treatment resistant OCD in inpatient and community settings

Predicting outcome of treatment for severe, treatment resistant OCD in inpatient and community settings

Sexual Functioning and Behavior of Men with Body Dysmorphic Disorder Concerning Penis Size Compared with Men Anxious about Penis Size and with Controls: A Cohort Study

Danger Ideation Reduction Therapy for Obsessive–Compulsive Checking: Preliminary Findings

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