ERIC Number: EJ796983
Record Type: Journal
Publication Date: 2007-Jun
Reference Count: 0
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.
Descriptors: Behavior Disorders, Patients, Drug Therapy, Counseling Techniques, Behavior Modification, Cognitive Restructuring, Psychological Patterns, Mental Disorders, Adults, Responses, Emotional Response, Symptoms (Individual Disorders), Intervention
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A