Cognitive therapy with obsessive-compulsive disorder: A comparative evaluation
Abstract
After a 4-week waiting period 21 obsessive-compulsives were randomly allocated to two treatment conditions (1) Rational Emotive Therapy (RET) and (2) exposure in vivo. RET consisted of analysing irrational thoughts; exposure in vivo was self-controlled. After six sessions and another 4-week waiting period all patients received six sessions of exposure in vivo. Both treatments resulted in significant improvement on anxiety/discomfort, Maudsley Obsessional Compulsive Inventory, and Dutch Obsessional Compulsive Questionnaire and in a reduction of scores on the Irrational Beliefs Test. Results were maintained to a follow-up 6 months later. No significant differences were found between the two conditions.
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ERP was superior to CBT in one study and did not differ in five others, although several of these studies had relatively small samples.
“It was superior to CBT in one study (McLean et al., 2001) and did not differ in five others (Cottraux et al., 2001; Emmelkamp & Beens, 1991; O’Connor et al., 2005; Vogel et al., 2004; Whittal et al., 2005), although in a number of these studies, the sample sizes were relatively small.”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Emmelkamp & Beens, 1991
Another found no benefit from adding ERP to RET at midtreatment.
“another found no benefit from adding ERP to RET at midtreatment (with no differences up until that point) (Emmelkamp & Beens, 1991)”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Emmelkamp & Beens, 1991
Majority of trials comparing CBT to ERP found no differences between modalities in symptom reduction.
“the majority of the trials comparing CBT to ERP have found no differences between these two modalities in terms of symptom reduction (Emmelkamp & Beens, 1991; O’Connor et al., 2005; Vogel et al., 2004; Whittal et al., 2005).”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Emmelkamp & Beens, 1991
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References 28 · Cited by 175
- Authors
- Emmelkamp, P. M. G., & Beens, H.
- Affiliations
- University of Groningen (NL)
- ORCID
- Emmelkamp, Paul M.G.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1991
- Volume
- 29
- Issue
- 3
- Pages
- 293-300
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2101223693
- Cited by
- 175
- References
- 28
- Citations by year
- 2026: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 2 · 2017: 7 · 2016: 6 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 6
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- obsessive-compulsive disorder, cognitive therapy, rational emotive behavior therapy, exposure therapy, in vivo exposure, irrational beliefs, anxiety reduction, treatment comparison, maintenance of treatment effects
- MeSH terms
- Adult, Combined Modality Therapy, Desensitization, Psychologic, Female, Follow-Up Studies, Humans, Male, Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy
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