Cognitive-behavioral group therapy in obsessive-compulsive disorder: a clinical trial

Revista Brasileira de Psiquiatria

Aristides V Cordioli²  Elizeth Heldt²  Daniela B Bochi²  Regina Margis¹  Marcelo B De Sousa¹  Juliano F Tonello¹  Betina Teruchkin¹  Flavio Kapczinski¹ 

[1] ,University of Rio Grande do Sul Department of Psychiatry and Forensic Medicine Porto Alegre RS ,Brazil

关键词: Obsessive-compulsive disorder;    Behavior therapy;    Cognitive therapy;    Group therapy;    Transtorno obsessivo-compulsivo;    Terapia comportamental;    Terapia cognitiva;    Terapia comportamental cognitiva;    Terapia de grupo;   

DOI  :  10.1590/S1516-44462002000300004

来源: SciELO

【 摘 要 】

Objective: To develop a cognitive-behavioral group therapy protocol and to verify its efficacy to reduce obsessive-compulsive symptoms. Methods: An open clinical trial with 32 obsessive-compulsive patients was performed, in which a cognitive-behavioral group therapy protocol of 12 weekly sessions of two hours, in 5 consecutive groups, was applied. The severity of symptoms was rated with the Yale-Brown Obsessive-Compulsive (Y-BOCS), Hamilton Anxiety (HAM A) and Hamilton Depression (HAM D) scales. The patients were followed up for 3 months after the end of the treatment. Results: There was a significant reduction in the scores of Y-BOCS, HAM A and HAM D scales with the treatment regardless the use of anti-obsessive medications. The rate of improved patients (decrease of> or = 35% in Y-BOCS) was 78.1%. Two patients (6.25%) dropped out from the study. The effect size calculated for the Y-BOCS scale was 1.75. Conclusions: This study suggests that cognitive-behavioral group therapy reduces obsessive-compulsive symptoms. In addition, patients presented good compliance.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License