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Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder

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Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder. / Schwartz, C; Hilbert, S; Schubert, C; Schlegl, S; Freyer, T; Löwe, B; Osen, B; Voderholzer, U.

In: CLIN PSYCHOL PSYCHOT, Vol. 24, No. 3, 05.2017, p. 785-792.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Schwartz, C, Hilbert, S, Schubert, C, Schlegl, S, Freyer, T, Löwe, B, Osen, B & Voderholzer, U 2017, 'Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder', CLIN PSYCHOL PSYCHOT, vol. 24, no. 3, pp. 785-792. https://doi.org/10.1002/cpp.2045

APA

Schwartz, C., Hilbert, S., Schubert, C., Schlegl, S., Freyer, T., Löwe, B., Osen, B., & Voderholzer, U. (2017). Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder. CLIN PSYCHOL PSYCHOT, 24(3), 785-792. https://doi.org/10.1002/cpp.2045

Vancouver

Schwartz C, Hilbert S, Schubert C, Schlegl S, Freyer T, Löwe B et al. Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder. CLIN PSYCHOL PSYCHOT. 2017 May;24(3):785-792. https://doi.org/10.1002/cpp.2045

Bibtex

@article{dbf7cd34d9bb4ea4b92bf0bda932cc7d,
title = "Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder",
abstract = "While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpatient treatment. The Yale-Brown Obsessive-Compulsive Scale-SR served as a measure of symptom severity. In addition, the following process change factors were measured: therapeutic relationship, experience of self-esteem during therapy, experience of mastery, problem actualization and clarification. All variables were assessed on a weekly basis for seven weeks. Linear mixed growth curve analyses were conducted to model the decrease of symptoms over time and to analyse whether the change factors predicted symptom reduction. The analyses revealed a linear decrease of symptoms with high inter-individual variation. Results further showed that increase in self-esteem and mastery experiences as well as the initial score on mastery experience and clarification predicted decrease on the Y-BOCS. We conclude that CBT therapists should focus on clarification in the very first sessions, and try to boost self-esteem and self-efficacy, which is related to mastery, throughout the treatment of OCD. Copyright {\textcopyright} 2016 John Wiley & Sons, Ltd. Key Practitioner Message Increase in mastery and self-esteem experiences are associated with symptom decrease in obsessive-compulsive disorder (OCD) during cognitive-behavioural therapy (CBT). Initial score of mastery experiences and problem clarification predict symptom decrease in OCD during CBT. CBT therapists should focus on problem clarification in the very first sessions and try to boost self-esteem and self-efficacy throughout the treatment of OCD.",
author = "C Schwartz and S Hilbert and C Schubert and S Schlegl and T Freyer and B L{\"o}we and B Osen and U Voderholzer",
note = "Copyright {\textcopyright} 2016 John Wiley & Sons, Ltd.",
year = "2017",
month = may,
doi = "10.1002/cpp.2045",
language = "English",
volume = "24",
pages = "785--792",
journal = "CLIN PSYCHOL PSYCHOT",
issn = "1063-3995",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

RIS

TY - JOUR

T1 - Change Factors in the Process of Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder

AU - Schwartz, C

AU - Hilbert, S

AU - Schubert, C

AU - Schlegl, S

AU - Freyer, T

AU - Löwe, B

AU - Osen, B

AU - Voderholzer, U

N1 - Copyright © 2016 John Wiley & Sons, Ltd.

PY - 2017/5

Y1 - 2017/5

N2 - While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpatient treatment. The Yale-Brown Obsessive-Compulsive Scale-SR served as a measure of symptom severity. In addition, the following process change factors were measured: therapeutic relationship, experience of self-esteem during therapy, experience of mastery, problem actualization and clarification. All variables were assessed on a weekly basis for seven weeks. Linear mixed growth curve analyses were conducted to model the decrease of symptoms over time and to analyse whether the change factors predicted symptom reduction. The analyses revealed a linear decrease of symptoms with high inter-individual variation. Results further showed that increase in self-esteem and mastery experiences as well as the initial score on mastery experience and clarification predicted decrease on the Y-BOCS. We conclude that CBT therapists should focus on clarification in the very first sessions, and try to boost self-esteem and self-efficacy, which is related to mastery, throughout the treatment of OCD. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message Increase in mastery and self-esteem experiences are associated with symptom decrease in obsessive-compulsive disorder (OCD) during cognitive-behavioural therapy (CBT). Initial score of mastery experiences and problem clarification predict symptom decrease in OCD during CBT. CBT therapists should focus on problem clarification in the very first sessions and try to boost self-esteem and self-efficacy throughout the treatment of OCD.

AB - While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpatient treatment. The Yale-Brown Obsessive-Compulsive Scale-SR served as a measure of symptom severity. In addition, the following process change factors were measured: therapeutic relationship, experience of self-esteem during therapy, experience of mastery, problem actualization and clarification. All variables were assessed on a weekly basis for seven weeks. Linear mixed growth curve analyses were conducted to model the decrease of symptoms over time and to analyse whether the change factors predicted symptom reduction. The analyses revealed a linear decrease of symptoms with high inter-individual variation. Results further showed that increase in self-esteem and mastery experiences as well as the initial score on mastery experience and clarification predicted decrease on the Y-BOCS. We conclude that CBT therapists should focus on clarification in the very first sessions, and try to boost self-esteem and self-efficacy, which is related to mastery, throughout the treatment of OCD. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message Increase in mastery and self-esteem experiences are associated with symptom decrease in obsessive-compulsive disorder (OCD) during cognitive-behavioural therapy (CBT). Initial score of mastery experiences and problem clarification predict symptom decrease in OCD during CBT. CBT therapists should focus on problem clarification in the very first sessions and try to boost self-esteem and self-efficacy throughout the treatment of OCD.

U2 - 10.1002/cpp.2045

DO - 10.1002/cpp.2045

M3 - SCORING: Journal article

C2 - 27699920

VL - 24

SP - 785

EP - 792

JO - CLIN PSYCHOL PSYCHOT

JF - CLIN PSYCHOL PSYCHOT

SN - 1063-3995

IS - 3

ER -