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A Randomized Clinical Trial to Examine Enhancing Cognitive-Behavioral Group Therapy for Obsessive-Compulsive Disorder with Motivational Interviewing and Thought Mapping

Published online by Cambridge University Press:  31 March 2010

Elisabeth Meyer ,
Fernanda Souza ,
Elizeth Heldt ,
Paulo Knapp ,
Aristides Cordioli ,
Roseli G. Shavitt  and
Carl Leukefeld
Elisabeth Meyer*
Affiliation:
Federal University of Rio Grande do Sul, Brazil
Fernanda Souza
Affiliation:
Federal University of Rio Grande do Sul, Brazil
Elizeth Heldt
Affiliation:
Federal University of Rio Grande do Sul, Brazil
Paulo Knapp
Affiliation:
Federal University of Rio Grande do Sul, Brazil
Aristides Cordioli
Affiliation:
Federal University of Rio Grande do Sul, Brazil
Roseli G. Shavitt
Affiliation:
University of São Paulo, Brazil
Carl Leukefeld
Affiliation:
University of Kentucky, USA
*
Reprint requests to Elisabeth Meyer, Anxiety Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2350 Room 400N, 90035-903, Brazil. E-mail: [email protected]
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Abstract

Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

Keywords

OCDcognitive-behavioral group therapyCBGTThought MappingMotivational Interviewing
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 38 , Issue 3 , May 2010 , pp. 319 - 336
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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