1. Long-Term Follow-up of Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: Symptom Severity and the Role of Exposure 8–10 Years After Inpatient Treatment
- Author
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Magdalena Schmidt-Ott, Sarah Landmann, Andreas Wahl-Kordon, Anne Katrin Külz, Ulrich Voderholzer, and Bartosz Zurowski
- Subjects
Adult ,Male ,Obsessive-Compulsive Disorder ,Pediatrics ,medicine.medical_specialty ,Long term follow up ,medicine.medical_treatment ,Implosive Therapy ,Experimental and Cognitive Psychology ,Severity of Illness Index ,behavioral disciplines and activities ,03 medical and health sciences ,0302 clinical medicine ,Obsessive compulsive ,Secondary Prevention ,medicine ,Humans ,Psychiatric Status Rating Scales ,Cognitive Behavioral Therapy ,Inpatient stay ,Remission Induction ,Symptom severity ,Middle Aged ,030227 psychiatry ,Cognitive behavioral therapy ,Exposure and response prevention ,Psychiatry and Mental health ,Clinical Psychology ,Outcome and Process Assessment, Health Care ,Female ,Psychology ,030217 neurology & neurosurgery ,After treatment ,Follow-Up Studies - Abstract
Obsessive-compulsive disorder (OCD) can be effectively treated by cognitive behavioral therapy (CBT) with exposure and response prevention (ERP). Yet, little is known about the long-term effects of inpatient CBT up to one decade after treatment. Thirty patients who had been treated with 12 weeks of intensive inpatient CBT with ERP were examined 8–10 years after their stay in hospital with regard to obsessive-compulsive symptoms, secondary outcomes, and use of healthcare services. Significant (p < .001) improvements in OC symptoms with medium and large effects compared to baseline on the Yale-Brown-Obsessive-Compulsive Scale (Y-BOCS) and on the Obsessive-Compulsive Inventory (OCI-R) could still be observed, with 20% of the patients reaching remission status. Continuation of exposure exercises after the inpatient stay was the sole significant factor for improved scores at follow-up. The results suggest that OCD does not necessarily take a chronic course. However, maintenance of exposure training seems to be crucial for sustained improvement.
- Published
- 2020
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