Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-26T01:35:56.367Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of an adapted cognitive behavioural therapy (CBT) group programme for people with obsessive compulsive disorder: a case study

Published online by Cambridge University Press:  23 April 2013

Abigail L. Wroe  and
Caroline Wise
Abigail L. Wroe*
Affiliation:
Royal Holloway University of London, Clinical Psychology, Holloway Hill, Egham, Surrey, UK
Caroline Wise
Affiliation:
University of Plymouth, Clinical Psychology, Plymouth, UK
*
*Author for correspondence: Dr A. L. Wroe, Royal HollowayUniversity of London, Clinical Psychology, Holloway Hill, Egham, Surrey TW20 0EX, UK (email: abigail.wroe@rhul.ac.uk).
Get access Rights & Permissions [Opens in a new window]

Abstract

Despite a strong evidence base for cognitive behavioural therapy (CBT) for obsessive compulsive disorder (OCD), there is limited evidence regarding the effectiveness of group therapy compared to individual therapy. As services struggle to manage high demands, CBT for OCD is often offered in group format. This paper examines the current evidence base for group CBT for OCD considering both clinical outcomes and cost, and describes a group CBT intervention for people with OCD. A CBT group was set up, consistent with NICE guidelines, but slightly adapted from standard group protocols, in line with recommendations from experts in the field. It was evaluated as part of an audit of the service. Statistical analyses demonstrated significant improvements in both measures of depression and the impact of difficulties, and on specific measures of OCD, in clients who attended group CBT (n = 17). The analyses also demonstrated improved effectiveness of therapist hours for group therapy compared to individual therapy. It is concluded that group therapy for OCD should be considered as an alternative to individual therapy when there are significant demands on the service. Recommendations regarding specific adaptations to the standard group CBT format are made.

Keywords

AnxietyCBTgroup psychotherapyOCD
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 5 , Issue 4 , December 2012 , pp. 112 - 123
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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

Recommended follow-up reading

Jónsson, H, Hougaard, E (2009). Group cognitive behavioural therapy for obsessive-compulsive disorder: a systematic review and meta-analysis. Acta Psychiatrica Scandinavica 119, 98–106.Google Scholar
Jónsson, H, Hougaard, E, Bennedsen, BE (2011). Randomized comparative study of group versus individual cognitive behavioural therapy for obsessive compulsive disorder. Acta Psychiatrica Scandinavica 123, 387–397.CrossRefGoogle ScholarPubMed
Veale, D, Willson, R (2005). Overcoming Obsessive Compulsive Disorder. London: Robinson Publishing.Google Scholar

References

Anderson, RA, Rees, CS (2007). Group versus individual cognitive behavioural treatment for obsessive compulsive disorder. A controlled trial. Behaviour Research and Therapy 45, 123–137.Google Scholar
Beck, AT (1990). Beck Anxiety Inventory. San Antonio: The Psychological Corporation, Harcourt Brace & Company.Google Scholar
Beck, AT (2001). Beck Depression Inventory. San Antonio: The Psychological Corporation, Harcourt Brace & Company.Google Scholar
Braga, DT, Cordioli, AT, Niederauer, K, Manfro, GG (2005). Cognitive-behavioral group therapy for obsessive-compulsive disorder: a 1-year follow-up. Acta Psychiatrica Scandinavica 112, 180–186.Google Scholar
Cabedo, E, Belloch, A, Carrió, C, Larsson, C, Fernández-Alvarez, H, García, F (2010). Group versus individual cognitive treatment for obsessive-compulsive disorder: changes in severity at post-treatment and one-year follow-up. Behavioural and Cognitive Psychotherapy 38, 227–232.CrossRefGoogle ScholarPubMed
Cordioli, A, Heldt, E, Bochi, D, Margis, R, de Sousa, M, Tonello, J, Manfro, G, Kapczinski, F (2003). Cognitive-behavioural group therapy in obsessive-compulsive disorder: a randomised clinical trial. Psychotherapy and Psychodynamics 72, 211–297.Google Scholar
Fals-Stewart, W, Marks, AP, Schafer, J (1993). A comparison of behaviour group therapy and individual behaviour therapy in treatment obsessive-compulsive disorder. Journal of Nervous and Mental Disease 181, 189–193Google Scholar
Foa, EB, Kozak, MJ, Salkovskis, P, Coles, ME, Amir, N (1998). The Obsessive Compulsive Inventory. Psychological Assessment 10, 206–214.Google Scholar
Goodman, WK, Price, LH, Rasmussen, SA, Mazure, C, Fleischmann, RL, Hill, CL, Heninger, GR, Charney, DS (1989). The Yale-Brown Obsessive Compulsive Scale: I. Development, use and reliability. Archives of General Psychiatry 46, 1006–1011.Google Scholar
Jaurrieta, N, Jimenez-Murcia, S, Alonso, P, Roser, G, Cinto, S, Labad, J, Menchón, JM (2008). Individual versus group cognitive behavioral treatment for obsessive-compulsive disorder: follow up. Psychiatry and Clinical Neurosciences 62, 697–704.Google Scholar
Jónsson, H, Hougaard, E, Bennedsen, BE (2011). Randomized comparative study of group versus individual cognitive behavioural therapy for obsessive compulsive disorder. Acta Psychiatrica Scandinavica 123, 387–397.Google Scholar
Krone, KP, Himle, JA, Nesse, RM (1991). A standardised behavioural group treatment for obsessive compulsive disorder: preliminary outcomes. Behaviour Research and Therapy 29, 627–631Google Scholar
Morrison, N (2001). Group cognitive therapy treatment of choice or sub optimal option? Behavioural and Cognitive Psychotherapy 29, 311–332.Google Scholar
NICE (2005). Obsessive-compulsive disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder (CG31) London: National Institute for Health and Clinical Excellence.Google Scholar
Salkovskis, P (1985). Obsessional-compulsive problems: a cognitive-behavioural analysis. Behaviour Research and Therapy 23, 571–583.Google Scholar
Van Noppen, BL, Pato, MT, Marsland, R, Rasmussen, SA (1998). A time-limited group therapy treatment of obsessive-compulsive disorder. Journal of Psychotherapy Practice and Research 7, 272–280.Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.