Cited by 137Obsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychoanalysis and Psychopathology Research

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Danger ideation reduction therapy (DIRT) for obsessive–compulsive washers. A controlled trial

Jones, Mairwen K., Menzies, Ross G.·1998·Behaviour Research and Therapy

DOI 10.1016/s0005-7967(98)00057-6

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Abstract

Twenty-one OCD sufferers with washing/contamination concerns took part in a controlled treatment trial at the Anxiety Disorders Clinic, University of Sydney. Eleven of the subjects received danger ideation reduction therapy (DIRT) over eight, 1 h weekly group sessions conducted by the second author. Ten subjects were placed on a wait list and did not receive DIRT or any other treatment. DIRT procedures were solely directed at decreasing danger-related expectancies concerning contamination and did not include exposure, response prevention or behavioral experiments. Components of DIRT include attentional focusing, filmed interviews, corrective information, cognitive restructuring, expert testimony, microbiological experiments and a probability of catastrophe assessment task. All subjects were assessed at pre-treatment, post-treatment and three-month follow-up using the Maudsley Obsessional-Compulsive Inventory, Leyton Obsessionality Inventory, Beck Depression Inventory and a Self Rating of Severity Scale. Changes from pre-treatment to after treatment (post-treatment and follow-up scores averaged) were significantly greater in the DIRT condition than in the control condition for all measures. No significant differences were obtained between groups on post-treatment to follow-up change on any measure. The implications of these findings for theoretical models of OCD and its management are discussed.

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Authors: Jones, M. K., & Menzies, R. G.
Affiliations: The University of Sydney (AU)
Corresponding author: Jones, Mairwen K.
ORCID: Jones, Mairwen K.
Menzies, Ross G.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 1998-10
Volume: 36
Issue: 10
Pages: 959-970
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/s0005-7967(98)00057-6
OpenAlex: W2040704693
Cited by: 137
References: 38
Citations by year: 2023: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 2 · 2014: 11 · 2013: 6 · 2012: 33
FWCI: 2.97
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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: obsessive-compulsive disorder, cognitive restructuring, expert testimony, group therapy, depression
MeSH terms: Adult, Analysis of Variance, Compulsive Behavior, Female, Hand Disinfection, Humans, Middle Aged, Obsessive-Compulsive Disorder, Psychotherapy, Rational-Emotive, Cognitive Behavioral Therapy, Treatment Outcome

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Danger ideation reduction therapy (DIRT) for obsessive–compulsive washers. A controlled trial

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