A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping

Elisabeth Meyer; Fernanda Souza; Elizeth Heldt; Paulo Knapp; Aristides Cordioli; Roseli G. Shavitt; Carl Leukefeld

doi:10.1017/S1352465810000111

A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping

Elisabeth Meyer, Fernanda Souza, Elizeth Heldt, Paulo Knapp, Aristides Cordioli, Roseli G. Shavitt, Carl Leukefeld

Research output: Contribution to journal › Article › peer-review

38 Scopus citations

Abstract

Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

Original language	English
Pages (from-to)	319-336
Number of pages	18
Journal	Behavioural and Cognitive Psychotherapy
Volume	38
Issue number	3
DOIs	https://doi.org/10.1017/S1352465810000111
State	Published - May 2010

Bibliographical note

Funding Information:
We would like to thank the Hospital de Clinicas of Federal University of Rio Grande do Sul (HCPA-UFRGS) which has made this study possible. We would like to thank Andreia Raffin, Cenita Borges and Lucas Lovato for their assistance with treatment. We also would like to thank Katia Niederauer, Vinicius Dornelles e Ygor Londero for their assistance with assessment interviews. The authors thank Dr Manuela Polydoro, Dr Cynthia Campbell, Dr Brian Rush and Dr Ygor Ferrão for their suggestions and review of the preliminary forms of this manuscript. Finally, we would like to thank Jennifer R. Havens, Daniela Benzano and Ceres Oliveira for their statistical advice. Dr Elisabeth Meyer has a doctoral grant from Conselho Nacional de Desenvolvimento Científico e Tecnologico (CNPQ), process number 142030/2006-6. Dr Roseli G. Shavitt has a post-doctoral grant from Fundac¸ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP), process number 06/61459-7.

Keywords

CBGT
Cognitive-behavioral group therapy
Motivational Interviewing
OCD
Thought Mapping

ASJC Scopus subject areas

Clinical Psychology

Access to Document

10.1017/S1352465810000111

Cite this

@article{dc18482fec4c45f2891a08181fc97e31,

title = "A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping",

abstract = "Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.",

keywords = "CBGT, Cognitive-behavioral group therapy, Motivational Interviewing, OCD, Thought Mapping",

author = "Elisabeth Meyer and Fernanda Souza and Elizeth Heldt and Paulo Knapp and Aristides Cordioli and Shavitt, {Roseli G.} and Carl Leukefeld",

note = "Funding Information: We would like to thank the Hospital de Clinicas of Federal University of Rio Grande do Sul (HCPA-UFRGS) which has made this study possible. We would like to thank Andreia Raffin, Cenita Borges and Lucas Lovato for their assistance with treatment. We also would like to thank Katia Niederauer, Vinicius Dornelles e Ygor Londero for their assistance with assessment interviews. The authors thank Dr Manuela Polydoro, Dr Cynthia Campbell, Dr Brian Rush and Dr Ygor Ferr{\~a}o for their suggestions and review of the preliminary forms of this manuscript. Finally, we would like to thank Jennifer R. Havens, Daniela Benzano and Ceres Oliveira for their statistical advice. Dr Elisabeth Meyer has a doctoral grant from Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnologico (CNPQ), process number 142030/2006-6. Dr Roseli G. Shavitt has a post-doctoral grant from Fundac¸{\~a}o de Amparo {\`a} Pesquisa do Estado de S{\~a}o Paulo (FAPESP), process number 06/61459-7.",

year = "2010",

month = may,

doi = "10.1017/S1352465810000111",

language = "English",

volume = "38",

pages = "319--336",

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A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping. / Meyer, Elisabeth; Souza, Fernanda; Heldt, Elizeth et al.
In: Behavioural and Cognitive Psychotherapy, Vol. 38, No. 3, 05.2010, p. 319-336.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping

AU - Meyer, Elisabeth

AU - Souza, Fernanda

AU - Heldt, Elizeth

AU - Knapp, Paulo

AU - Cordioli, Aristides

AU - Shavitt, Roseli G.

AU - Leukefeld, Carl

N1 - Funding Information: We would like to thank the Hospital de Clinicas of Federal University of Rio Grande do Sul (HCPA-UFRGS) which has made this study possible. We would like to thank Andreia Raffin, Cenita Borges and Lucas Lovato for their assistance with treatment. We also would like to thank Katia Niederauer, Vinicius Dornelles e Ygor Londero for their assistance with assessment interviews. The authors thank Dr Manuela Polydoro, Dr Cynthia Campbell, Dr Brian Rush and Dr Ygor Ferrão for their suggestions and review of the preliminary forms of this manuscript. Finally, we would like to thank Jennifer R. Havens, Daniela Benzano and Ceres Oliveira for their statistical advice. Dr Elisabeth Meyer has a doctoral grant from Conselho Nacional de Desenvolvimento Científico e Tecnologico (CNPQ), process number 142030/2006-6. Dr Roseli G. Shavitt has a post-doctoral grant from Fundac¸ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP), process number 06/61459-7.

PY - 2010/5

Y1 - 2010/5

N2 - Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

AB - Background: Obsessive-compulsive disorder (OCD) is characterized by repeated and persistent attempts to control thoughts and actions with rituals. These rituals are used in order to prevent feared or personally distressing outcomes. Cognitive behavioral group therapy (CBGT) has been reported to be effective for treating OCD patients. However, about one-third (30%) of patients do not benefit from CBGT. Some of these patients do not show significant improvement and continue to use rituals following CBGT, partially because they fail to complete the exposure and ritual prevention (ERP) exercises. Consequently, it is important to motivate patients to fully engage in CBGT treatment and complete the ERP exercises. Aims: A randomized behavioral trial examined 12 weeks of manual directed CBGT, with the addition of individual sessions of Motivational Interviewing (MI) and Thought Mapping (TM), and compared treatment outcome to the effectiveness of CBGT group alone. Method: Subjects were randomized (n = 93) into a CBGT group or a CBGT group with MI+TM. Results: When the two groups were compared, both groups reduced OCD symptoms. However, symptom reduction and remission were significantly higher in the MI+TM CBGT group. Positive outcomes were also maintained, with additional symptom reduction at the 3-month follow-up for the MI+TM CBGT group. Conclusions: Adding two individual sessions of MI and TM before CBGT successfully reduced OCD symptoms and was more effective than using CBGT group alone.

KW - CBGT

KW - Cognitive-behavioral group therapy

KW - Motivational Interviewing

KW - OCD

KW - Thought Mapping

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JO - Behavioural and Cognitive Psychotherapy

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ER -

A randomized clinical trial to examine enhancing cognitive-behavioral group therapy for obsessive-compulsive disorder with motivational interviewing and thought mapping

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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