Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder.

Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Research Abstract Details 

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Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Abstract Text:

I Hand,

BACKGROUND: With regard to long-term outcome, behaviour therapy is the first choice treatment for obsessive-compulsive disorder (OCD), with or without concomitant selective serotonin reuptake inhibitor (SSRI) medication. Yet, results from research trials, usually restricted to exposure with response-preventions and other symptom-directed techniques, may not be generalisable to people with OCD in community health care services. METHOD: For more than 20 years we have delivered out-patient behaviour therapy to unselected people with OCD from the community, including those with motivational and compliance problems. Prospective-retrospective follow-ups were carried out from 1-13 years after treatment. RESULTS: This paper describes the applied multi-modal, strategic-systemic behaviour therapy, and our partially new model of OCD. Compliant patients achieved the usual success rate of 65-70%, but this drops to 50% if all patients treated are included in the analysis. CONCLUSIONS: For major subgroups of OCD, behavior therapy is a very effective treatment modality. Exposure is essential, but additional ('causal') interventions are equally important in about half of the patients from unselected samples. Both behaviour therapy and drug-treatments need to be improved and predictive variables for outcome of either of them are urgently needed.

Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Publishing Authors By Initials

I Hand,

For similar diagnosis: prognosis research abstracts see: diagnosis: prognosis research

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Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Journal Published:

PUBLICATION TYPE: Review

Journal: The British journal of psychiatry. Supplement

VOLUME:

Page Numbers: 45-52

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ISSN: 0960-5371

DAY: 22

MONTH: 02

YEAR: 1998

Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Information

Number of References: 30

LANGUAGE: eng

NlmUniqueID: 9001294

Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder. Keywords Mesh Terms:

KEYWORDS: Prognosis

MESH TERMS: therapy

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Grant and Affiliation Information for Out-patient, multi-modal behaviour therapy for obsessive-compulsive disorder.

AFFILIATION: Universitätskrankenhaus Eppendorf, Psychiatrische und Nervenklinik, Hamburg, Germany.

Country: ENGLAND

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MEDLINETA: Br J Psychiatry Suppl

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