Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-16T18:05:27.416Z Has data issue: false hasContentIssue false
  • English
  • Français

Frequency and level of self-efficacy predict the effectiveness of therapist- and self-guided exposure in obsessive compulsive disorder

Published online by Cambridge University Press:  20 August 2020

Ulrich Voderholzer ,
Sven Hilbert ,
Anne Fischer ,
Jakob Neumüller ,
Caroline Schwartz  and
Johannes Baltasar Hessler-Kaufmann Open the ORCID record for Johannes Baltasar Hessler-Kaufmann [Opens in a new window]
Ulrich Voderholzer
Affiliation:
University of Freiburg, Department for Psychiatry and Psychotherapy, Hauptstrasse 5, 79104Freiburg, Germany Schön Clinic Roseneck, Am Roseneck 6, 83209Prien am Chiemsee, Germany
Sven Hilbert
Affiliation:
University of Munich (LMU), Department of Methodology and Diagnostics, Leopoldstrasse 13, 80802Munich, Germany
Anne Fischer
Affiliation:
University of Munich (LMU), Department of Methodology and Diagnostics, Leopoldstrasse 13, 80802Munich, Germany
Jakob Neumüller
Affiliation:
University of Munich (LMU), Department of Psychiatry and Psychotherapy, Nußbaumstrasse 7, 80336Munich, Germany
Caroline Schwartz
Affiliation:
University of Munich (LMU), Department of Psychiatry and Psychotherapy, Nußbaumstrasse 7, 80336Munich, Germany
Johannes Baltasar Hessler-Kaufmann*
Affiliation:
Schön Clinic Roseneck, Am Roseneck 6, 83209Prien am Chiemsee, Germany University of Munich (LMU), Department of Psychiatry and Psychotherapy, Nußbaumstrasse 7, 80336Munich, Germany
*
*Corresponding author. Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

While exposure and response prevention (ERP) is the most effective treatment for obsessive compulsive disorder (OCD), less is known about the specific mechanisms underlying symptom change after ERP.

Aims:

We tested the hypothesis that the frequency of self- and therapist-guided ERP related to the extent of symptom reduction and that this link is mediated by increased self-efficacy.

Method:

In a sample of 377 in-patients with a primary diagnosis of OCD receiving in-patient CBT, we assessed symptoms (YBOCS-SR) and self-efficacy (General Self-Efficacy Scale), before and after treatment, as well as the frequency of therapist- and self-guided ERP sessions.

Results:

Patients with more therapist-guided ERP sessions during treatment showed more symptom reduction and the association of self-guided ERP on outcome was mediated by enhanced self-efficacy.

Conclusions:

These findings highlight the importance of both therapist- and self-guided ERP sessions and suggest that therapists should conduct a sufficient number of ERP sessions to optimise treatment.

Keywords

cognitive behaviour therapyexposuremediationobsessive compulsive disorderself-efficacy
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 6 , November 2020 , pp. 751 - 755
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Craske, M. C., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: an inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. doi: 10.1016/j.brat.2014.04.0060005-7967CrossRefGoogle ScholarPubMed
Foa, E. B., Yadin, E., & Lichner, T. K. (2012). Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder: Therapist Guide. New York, USA: Oxford University Press.CrossRefGoogle Scholar
Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989). The Yale–Brown Obsessive-Compulsive Scale: I. Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011. doi: 10.1001/archpsyc.1989.01810110048007CrossRefGoogle ScholarPubMed
Hansen, B., Kvale, G., Hagen, K., Havnen, A., & Öst, L.-G. (2019). The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting. Cognitive Behaviour Therapy, 48, 89–105.CrossRefGoogle Scholar
O’Connor, K., Todorov, C., Robillard, S., Borgeat, F., & Brault, M. (1999). Cognitive-behaviour therapy and medication in the treatment of obsessive-compulsive disorder: a controlled study. Canadian Journal of Psychiatry - Revue Canadienne De Psychiatrie, 44, 64–71. doi: 10.1177/070674379904400108CrossRefGoogle ScholarPubMed
Schwartz, C., Hilbert, S., Schubert, C., Schlegl, S., Freyer, T., Löwe, B., … Voderholzer, U. (2017). Change factors in the process of cognitive-behavioural therapy for obsessive-compulsive disorder. Clinical Psychology & Psychotherapy, 24, 785–792. doi: 10.1002/cpp.2045CrossRefGoogle ScholarPubMed
Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In Weinman, J., Wright, S., & Johnston, M. (eds), Measures in Health Psychology: A User’s Portfolio. Causal and Control Beliefs (pp. 35–37). Windsor, UK: NFER-NELSON.Google Scholar
Submit a response

Comments

No Comments have been published for this article.