The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Frequency and level of self-efficacy predict the effectiveness of therapist- and self-guided exposure in obsessive compulsive disorder
Abstract
Background: While exposure and response prevention (ERP) is the most effective treatment for obsessive compulsive disorder (OCD), less is known about the specific mechanisms underlying symptom change after ERP. Aims: We tested the hypothesis that the frequency of self- and therapist-guided ERP related to the extent of symptom reduction and that this link is mediated by increased self-efficacy. Method: In a sample of 377 in-patients with a primary diagnosis of OCD receiving in-patient CBT, we assessed symptoms (YBOCS-SR) and self-efficacy (General Self-Efficacy Scale), before and after treatment, as well as the frequency of therapist- and self-guided ERP sessions. Results: Patients with more therapist-guided ERP sessions during treatment showed more symptom reduction and the association of self-guided ERP on outcome was mediated by enhanced self-efficacy. Conclusions: These findings highlight the importance of both therapist- and self-guided ERP sessions and suggest that therapists should conduct a sufficient number of ERP sessions to optimise treatment.
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Self-efficacy has a mediating role in the treatment of OCS.
“Moreover, self-efficacy was found to have a mediating role in the treatment of OCS [22].”
In a larger study, ERP outcomes were mediated by enhanced perceived self-efficacy.
“In a larger study, V oderholzer et al. (2020) found that ERP outcomes were mediated by enhanced perceived self-efficacy.”
From Feeling more confident to encounter negative emotions: The mediating role of distress tolerance on the relationship between self-efficacy and outcomes of exposure and response prevention for OCD (2024) · cites this paper as Voderholzer et al., 2020
Citations
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Maximizing exposure therapy: An inhibitory learning approach
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“Our findings are in line with the inhibitory learning hypothesis of ERP (Craske et al., 2014) and provide tentative evidence of a dose–response relationship between therapist-guided ERP and OCD symptom reduction.”
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Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder: Therapist Guide
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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. (2016) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2045 · Cited by 15
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Elsner, B., Jacobi, T., Kischkel, E., Schulze, D., & Reuter, B. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03701-z · Cited by 52
Obsessive-Compulsive Disorders
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Why does exposure-based therapy fail in some individuals with obsessive-compulsive disorder?
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High intensity approaches to exposure and response prevention for obsessive-compulsive disorder
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Improving outcome of anxiety and obsessive-compulsive disorders
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“Moreover, self-efficacy was found to have a mediating role in the treatment of OCS [22].”
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Metadata
- Authors
- Voderholzer, U., Hilbert, S., Fischer, A., Neumüller, J., Schwartz, C., & Hessler-Kaufmann, J. B.
- Affiliations
- University of Freiburg (DE)
- Ludwig-Maximilians-Universität München (DE)
- Schön Klinik Roseneck (DE)
- Corresponding author
- Hessler-Kaufmann, Johannes Baltasar
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2020-08-20
- Volume
- 48
- Issue
- 6
- Pages
- 751-755
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W3081278895
- Cited by
- 23
- References
- 7
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 1
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (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, exposure and response prevention, self-efficacy, treatment frequency, symptom relief, mediation, treatment outcomes
- MeSH terms
- Allied Health Personnel, Humans, Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy
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