The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Need for speed: Evaluating slopes of OCD recovery in behavior therapy enhanced with d-cycloserine
Abstract
Evidence suggests that the antibiotic d-cycloserine (DCS) enhances the treatment effects of exposure and response prevention (ERP) for Obsessive-Compulsive Disorder (OCD). Further, evidence suggests that the effects of DCS diminish partway through treatment, but it is unclear to what extent. In an effort to evaluate these issues, the current study re-analyzes data from a 10-session randomized controlled trial of ERP+DCS versus ERP+placebo in a sample of 22 adults with OCD. We analyzed repeated-measures mixed models with random slopes and intercepts across different intervals: sessions 1-10, 1-5, and 6-10. The results indicate that the course of ERP was 2.3 times faster over the full 10 sessions for the DCS compared to the placebo group, and nearly six times quicker in the first half of ERP. Further interpretation of the results suggests that DCS does not amplify the effects of ERP, but instead initiates treatment effects sooner in treatment. In addition, DCS does not necessarily lose its effect over repeated use, but instead may exhaust its maximum utility after effectively jump-starting ERP. Ultimately, DCS may provide a means for curtailing treatment costs, decreasing treatment dropout and refusal rates, and enhancing access to care.
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“, 2004) and social anxiety disorder (Hofmann et al., 2006). Three studies of DCS and ERP for OCD have been published to date: Kushner et al. (2007), Storch et al. (2007), and Wilhelm et al. (2008). While both the Kushner et al. (2007) and the Storch et al.”
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Katzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., Van Ameringen, M., & the Canadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada/Association Canadienne des troubles anxieux and McGill University (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-s1-s1 · Cited by 1,090
“Adding d-cycloserine may hasten the onset of improvements with ERP, with significant benefits over placebo during the first four or five ERP sessions [698-700], but this effect has not been seen in all studies [701].”
BackgroundFrom Pavlov to PTSD: The extinction of conditioned fear in rodents, humans, and anxiety disorders
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Metadata
- Authors
- Chasson, G. S., Buhlmann, U., Tolin, D. F., Rao, S. R., Reese, H. E., Rowley, T., Welsh, K. S., & Wilhelm, S.
- Affiliations
- Harvard University (US)
- Humboldt-Universität zu Berlin (DE)
- Yale University (US)
- Corresponding author
- Wilhelm, Sabine
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 48
- Issue
- 7
- Pages
- 675-679
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1990461673
- Cited by
- 106
- References
- 20
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 6 · 2018: 6 · 2017: 8 · 2016: 7 · 2015: 10 · 2014: 19 · 2013: 19 · 2012: 6
- FWCI
- 12.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- D-cycloserine, obsessive-compulsive disorder, exposure and response prevention, placebo comparison, treatment discontinuation, treatment costs, health care access
- MeSH terms
- Adult, Behavior Therapy, Combined Modality Therapy, Cycloserine, Female, Humans, Interview, Psychological, Male, Middle Aged, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Psychotropic Drugs, Self-Assessment, Time Factors, Treatment Outcome, Young Adult
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