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Expectancy and Compliance as Predictors of Outcome in Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  16 June 2009

Teresa Lax
Affiliation:
Institute of Psychiatry, London
Metin Başoǧlu
Affiliation:
Institute of Psychiatry, London

Extract

Forty-nine obsessive-compulsive ritualizers had clomipramine and live exposure in a randomized controlled design. The effect on outcome of pre-treatment expectations from psychological and from drug treatment and of subsequent compliance with exposure instructions was studied. Exposure instructions led to greater pre-treatment expectations than did anti-exposure instructions, but this did not affect outcome, suggesting that the effect of exposure was not due to expectation. Initially, more ill patients expected more from drug but improved less. Compliance with psychological treatment did not predict better improvement, but most patients were fairly compliant.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1992

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