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Danger ideation reduction therapy (DIRT) for obsessive–compulsive washers. A controlled trial
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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“a pair of Australian studies (Jones and Menzies, 1998; Krochmalik et al., 2004) that evaluated a novel cognitive intervention called Danger Ideation Reduction Therapy (DIRT) provides perhaps the strongest evidence for the efficacy of more purely cognitive interventions that do not involve any exposure procedures.”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Jones and Menzies, 1998
In the citing paper
“In the first of two studies of patients presenting with primarily contamination/washing symptoms, DIRT resulted in markedly greater reductions in OCD symptoms as compared to a wait list control (Jones & Menzies, 1998).”
From An update on the efficacy of psychological treatments for obsessive-compulsive disorder in adults (2013) · cites this paper as Jones & Menzies, 1998
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Sorted by citations
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
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“…of DIRT has been demonstrated in a range of studies and research designs (Govender, Drummond, & Menzies, 2006; Hambridge & Loewenthal, 2003; Jones & Menzies, 1997b, 1998, 2002; Krochmalik, Jones, & Menzies, 2001; Krochmalik, Jones, Menzies, & Kirkby, 2004; O'Brien, Jones, & Menzies, 2004;…”
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Metadata
- Authors
- Jones, M. K., & Menzies, R. G.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Jones, Mairwen K.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1998-10
- Volume
- 36
- Issue
- 10
- Pages
- 959-970
- ISSN
- 0005-7967 (ISSN-L)
- 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
- 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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