Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-19T10:46:00.375Z Has data issue: false hasContentIssue false
  • English
  • Français

Group Treatment for Obsessive-Compulsive Disorder: An Evaluation

Published online by Cambridge University Press:  16 June 2009

Simon J. Enright
Simon J. Enright
Affiliation:
Fair Mile Hospital, Oxfordshire
Get access Rights & Permissions [Opens in a new window]

Extract

This study presents the results of a preliminary investigation into the effectiveness of treating people with obsessive compulsive disorder (OCD) in group. Twenty-four clients in four groups run consecutively participated in the study. Outcome measures of statistical and clinical significance suggest that specific effects on the reduction of OCD symptoms were small. However, important positive non-specific effects were achieved relating to enhanced mood, reduction of the disabling effects of the symptoms, and clients self reported increased sense of hope, understanding and control. Initial improvements were maintained at six month follow-up. Clients' rating of helpfulness for the different contents of the group programme were highest for non-specific aspects. The author suggests that the presented group programme may have an important pre-treatment role in helping OCD clients prior to individual therapy.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 19 , Issue 2 , April 1991 , pp. 183 - 192
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1991

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

Beech, H. R. and Perigault, J. (1974). Toward a theory of obsessional disorder. In Beech, H. R. (Ed). Obsessional States. London: Methuen, pp. 113–142.Google Scholar
Christensen, L. and Mendoza, J. L. (1986). A method of assessing change in a single subject: an alteration of the RC index. Behaviour Therapy 17, 305–308.CrossRefGoogle Scholar
Diagnostic and Statistical Manual of Mental Disorders (1987). Third Edition, Revised. Washington DC: American Psychiatric Association.Google Scholar
Eayrs, C., Rowan, D. and Harvey, P. (1984). Behavioural group training for anxiety management. Behavioural Psychotherapy 12, 117–129.CrossRefGoogle Scholar
Emmelkamp, P. M. G., van Linden van den Hauvell, C., Ruphan, M. and Sanderman, R. (1989). Home based treatment of obsessive compulsive patients: intersession interval and therapist involvement. Bahaviour Research and Therapy 27, 89–93.CrossRefGoogle ScholarPubMed
Espie, C. A. (1986). The group treatment of obsessive-compulsive ritualisers: behaviour management of identified patterns of relapse. Behavioural Psychotherapy 14, 21–33.CrossRefGoogle Scholar
Foa, F. B., Steketee, G., Grayson, J. B. and Doppelt, H. G. (1983). Treatment of obsessive-compulsives: when do we fail? In Foa, E. B. and Emmelkamp, P. (Eds). Failures in Behaviour Therapy. New York: Wiley.Google Scholar
Gambrill, E. D. and Richey, C. A. (1975). An assertion inventory for use in assessment and research. Behaviour Therapy 6, 550–561.CrossRefGoogle Scholar
Hodgson, R. J. and Rachman, S. (1977). Obsessive-Compulsive Complaints. Behaviour Research and Therapy 15, 389–395.CrossRefGoogle Scholar
Hout, M. van der, Emmelkamp, P. M. G., Kraaykamp, H. and Griez, E. (1988). Behavioural treatment of obsessive-compulsives: inpatient vs outpatient. Behaviour Research and Therapy 26, 331–332.CrossRefGoogle ScholarPubMed
International Classification of Diseases. Ninth Revision (1975). Geneva: World Health Organisation. London: HMSO.Google Scholar
Jacobson, N. S., Follette, W. C. and Revenstorf, D. (1984). Psychotherapy outcome research: methods for reporting variability and evaluating clinical significance. Behaviour Therapy 15, 336–352.CrossRefGoogle Scholar
Jacobson, N. S. and Revenstorf, D. (1988). Statistics for assessing the clinical significance of psychotherapy techniques: issues, problems and new developments. Behavioural Assessment 10, 133–145.Google Scholar
Jupp, H. and Dudley, M. (1984). Group cognitive/anxiety management. Journal of Advanced Nursing 9, 573–580.CrossRefGoogle ScholarPubMed
Kirk, J. W. (1983). Behavioural treatment of obsessional-compulsive patients in routine clinical practice. Behaviour Research and Therapy 21, 57–62.CrossRefGoogle ScholarPubMed
Mathews, A. (1982). St. George's Hospital Anxiety Questionnaire. Unpublished manuscript. St. George's Hospital Medical School, University of London.Google Scholar
MacNair, D. M., Lorr, M. and Droppleman, L. F. (1971). Profile of Mood States. San Diego, Ca.: Educational and Industrial Testing Service.Google Scholar
MacNair, D. M., Lorr, M. and Droppleman, L. F. (1981). Manual for the Profile of Mood States (2nd edn). San Diego, Ca.: Educational and Industrial Testing Service.Google Scholar
Powell, T. J. (1987). Anxiety management groups in clinical practice: a preliminary report. Behavioural Psychotherapy 15, 181–187.CrossRefGoogle Scholar
Rachman, S. J. and Hodgson, R. J. (1980). Obsessions and Compulsions. Englewood Cliffs, NJ.: Prentice Hall.Google Scholar
Rachman, S. J. (1983). Obstacles to the successful treatment of obsessions. In Foa, E. B. and Emmelkamp, P. M. G. (Eds). Failures in Behaviour Therapy. New York: Wiley.Google Scholar
Salkovskis, P. M. (1989). Obsessive and intrusive thoughts: clinical and non-clinical aspects. In Emmelkamp, et al. (Eds). Advances in European Behaviour Research and Therapy 4.Google Scholar
Submit a response

Comments

No Comments have been published for this article.