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- Title
Immediate outcomes after inpatient intensive CBT for severe, resistant OCD.
- Authors
Pozza, Andrea; Mazzoni, Gian Paolo; Coradeschi, Davide; Dèttore, Davide
- Abstract
Obsessive-Compulsive Disorder (OCD) with comorbid Obsessive-Compulsive Personality Disorder (OCPD) is associated to greater impairment than OCD alone. No research examined comorbid OCPD as a predictor of outcomes in resistant OCD. The current study investigated whether inpatients with resistant OCD and comorbid OCPD could benefit from an inpatient intensive CBT program (II-CBT). Fifty-six inpatients with resistant OCD were enrolled. Twenty had OCPD. Participants underwent a 5-week II-CBT including daily and prolonged ERP sessions. SCID-I and SCID-II were administered at baseline, Y-BOCS, and BDI-II at baseline and post-treatment. Treatment effects were large [unbiased Hedges' g = 1.11]. An interaction effect emerged between baseline Y-BOCS scores and comorbid OCPD on outcomes (F = 4.05, p<.05). Inpatients with more severe Y-BOCS scores and comorbid OCPD had greater pre-posttreatment changes on Y-BOCS (B = .85, t = 2.01, p<.01), but not on BDI-II. II-CBT seemed to be a strategy tailored for inpatients with resistant OCD with comorbid OCPD. However, II-CBT did not seem to target comorbid depression.
- Subjects
COGNITIVE therapy; INPATIENT care; MENTAL health services; OBSESSIVE-compulsive disorder; OBSESSIVE-compulsive personality disorder; COMORBIDITY
- Publication
BPA - Applied Psychology Bulletin (Bollettino di Psicologia Applicata), 2016, Vol 64, Issue 275, p15
- ISSN
0006-6761
- Publication type
Article