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Titolo:
A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder
Autore:
Cottraux, J; Note, I; Yao, SN; Lafont, S; Note, B; Mollard, E; Bouvard, M; Sauteraud, A; Bourgeois, M; Dartigues, JF;
Indirizzi:
Univ Lyon, Hop Neurol, Anziety Disorder Unit, F-69003 Lyon, France Univ Lyon Lyon France F-69003 nziety Disorder Unit, F-69003 Lyon, France Univ Marseille, Behav Therapy Unit, Marseille, France Univ Marseille Marseille France , Behav Therapy Unit, Marseille, France Univ Bordeaux, Dept Epidemiol, Bordeaux, France Univ Bordeaux Bordeaux France ordeaux, Dept Epidemiol, Bordeaux, France Univ Bordeaux, Dept Psychiat, Bordeaux, France Univ Bordeaux Bordeaux France Bordeaux, Dept Psychiat, Bordeaux, France
Titolo Testata:
PSYCHOTHERAPY AND PSYCHOSOMATICS
fascicolo: 6, volume: 70, anno: 2001,
pagine: 288 - 297
SICI:
0033-3190(200111/12)70:6<288:ARCTOC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPOSURE; THOUGHTS;
Keywords:
obsessive-compulsive disorder; cognitive therapy; behavior therapy; exposure; randomized controlled trial;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Cottraux, J Univ Lyon, Hop Neurol, Anziety Disorder Unit, 59 Blvd Pinel, F-69003 Lyon,France Univ Lyon 59 Blvd Pinel Lyon France F-69003 69003 Lyon,France
Citazione:
J. Cottraux et al., "A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder", PSYCHOTH PS, 70(6), 2001, pp. 288-297

Abstract

Background. The study was designed to compare cognitive therapy (CT) with intensive behavior therapy (BT) in obsessive-compulsive disorder (OCD) and to study their change process. Methods: Sixty-five outpatients with DSM-4 OCD were randomized into 2 groups for 16 weeks of individual treatment in 3 centers. Group 1 received 20 sessions of CT. Group 2 received a BT program of 20 h in two phases: 4 weeks of intensive treatment (16 h), and 12 weeks of maintenance sessions (4 h). No medication was prescribed. Results: Sixty-two patients were evaluated at week 4, 60 at week 16 (post-test), 53 at week 26 and 48 at week 52 (follow-up). The response rate was similar in the 2groups. The Beck Depression Inventory (BDI) was significantly more improved by CT (p = 0.001) at week 16. The baseline BDI and Obsessive Thoughts Checklist scores predicted a therapeutic response in CT, while the baseline BDI score predicted a response in BT. At week 16, only the changes in Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and a scale measuring the interpretation of intrusive thoughts correlated in CT, while the changes in Y-BOCS, BDI, and interpretation of intrusive thoughts correlated in BT. Improvementwas retained at follow-up without a between-group difference. The intent-to-treat analysis (last observation carried forward) found no between-group differences on obsessions, rituals and depression, Conclusions: CT and BT were equally effective on OCD, but at post-test CT had specific effects on depression which were stronger than those of BT. Pathways to improvement maybe different in CT and BT. The outcomes are discussed in the light of an effect size analysis. Copyright (C) 2001

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Documento generato il 09/07/20 alle ore 23:59:17