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ERIC Number: EJ796983
Record Type: Journal
Publication Date: 2007-Jun
Pages: 13
Abstractor: Author
Reference Count: 0
ISBN: N/A
ISSN: ISSN-0005-7894
A Randomized Controlled Trial of Self-Directed versus Therapist-Directed Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder Patients with Prior Medication Trials
Tolin, David F.; Hannan, Scott; Maltby, Nicholas; Diefenbach, Gretchen J.; Worhunsky, Patrick; Brady, Robert E.
Behavior Therapy, v38 n2 p179-191 Jun 2007
Cognitive-behavioral therapy incorporating exposure and response prevention (ERP) is widely considered a first-line psychosocial treatment for patients with obsessive-compulsive disorder (OCD). However, a number of obstacles prevent many patients from receiving this treatment, and self-administered ERP may be a useful alternative or adjunct. Forty-one adult outpatients with a primary diagnosis of OCD, who reported at least 1 current or previous adequate medication trial, were randomly assigned to self-administered or therapist-administered ERP. Patients in both treatment conditions showed statistically and clinically significant symptom reduction. However, patients receiving therapist-administered ERP showed a superior response in terms of OCD symptoms and self-reported functional impairment. We discuss several potential reasons for the superiority of therapist-administered treatment, and propose a stepped-care integration of self-administered and therapist-administered interventions for OCD.
Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A