Aim. According to international guidelines, pharmacological therapy and cognitive-behavioural therapy are the elective treatments for Obsessive-Compulsive Disorder (OCD). The aim of the present study is to verify the effectiveness of a protocol that combines evidence-based procedures and original interventions, emphasizing the issue of acceptance, that is acceptance of those cognitive and emotional states reported by several recent researches as being poorly tolerated by obsessive-compulsive patients. Furthermore the Authors meant to test the effectiveness of a treatment according to a naturalistic design, in an outpatient fee-for-service setting. Method. In the past three years, 59 patients affected by OCD have undergone our treatment. They were recruited solely because of their request of psychotherapy. Evaluation of outcomes has been carried out through the Y-BOCS. Results. Hitherto 39 patients completed treatment. Data show a decrease of symptomatology both in patients who concluded psychotherapy and in those still undergoing it. Repeated measures ANOVA performed on the variable-treatment on 3 levels (pre- post- follow) turns out to be very significant (p<.0001). A series of mixed ANOVA have been also performed (between factors: SEX/subtype of OCD/comorbidity/length of treatment/length of disorder; within factor: TREATMENT), and they show that the only significant factor is TREATMENT (3 levels). Post-hoc analyses on TREATMENT variable show that there are significant differences between pre-treatment and post-treatment follow-up. Discussion. Outcomes will be discussed, pointing limits and merits of the study out, as well as problems to be solved in future researches.
Cognitive-behavioural treatment of Obsessive-Compulsive Disorder: Results of an outcome naturalistic open study with 6, 12, 24 months follow-up [Trattamento cognitivo-comportamentale nel Disturbo Ossessivo-Compulsivo: Risultati di uno studio di esito naturalistico in aperto con follow-up a 6, 12 e 24 mesi]
Mancini F;
2006-01-01
Abstract
Aim. According to international guidelines, pharmacological therapy and cognitive-behavioural therapy are the elective treatments for Obsessive-Compulsive Disorder (OCD). The aim of the present study is to verify the effectiveness of a protocol that combines evidence-based procedures and original interventions, emphasizing the issue of acceptance, that is acceptance of those cognitive and emotional states reported by several recent researches as being poorly tolerated by obsessive-compulsive patients. Furthermore the Authors meant to test the effectiveness of a treatment according to a naturalistic design, in an outpatient fee-for-service setting. Method. In the past three years, 59 patients affected by OCD have undergone our treatment. They were recruited solely because of their request of psychotherapy. Evaluation of outcomes has been carried out through the Y-BOCS. Results. Hitherto 39 patients completed treatment. Data show a decrease of symptomatology both in patients who concluded psychotherapy and in those still undergoing it. Repeated measures ANOVA performed on the variable-treatment on 3 levels (pre- post- follow) turns out to be very significant (p<.0001). A series of mixed ANOVA have been also performed (between factors: SEX/subtype of OCD/comorbidity/length of treatment/length of disorder; within factor: TREATMENT), and they show that the only significant factor is TREATMENT (3 levels). Post-hoc analyses on TREATMENT variable show that there are significant differences between pre-treatment and post-treatment follow-up. Discussion. Outcomes will be discussed, pointing limits and merits of the study out, as well as problems to be solved in future researches.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
