Group cognitive behavioral therapy for obsessive-compulsive disorder: a review
Abstract
Behavioral therapy utilizing exposure and response prevention (ERP) is considered the psychosocial treatment of choice for obsessive-compulsive disorder (OCD). Individual ERP treatment is the most common therapy format, and much of the empirical support for ERP is based upon studies of OCD subjects treated individually. However, there are numerous advantages of delivering this effective intervention in a group format, including cost savings to patients and time-efficiency for ERP therapists. This review summarizes the 12 adult trials and 4 adolescent trials of group behavioral therapy for OCD conducted to date. The paper also describes a typical group therapy protocol in detail and describes the costs and benefits of delivering ERP for OCD in a group format. [Brief Treatment and Crisis Intervention 3:217–229 (2003)]
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Group therapy can enhance the creation of informal support networks and improve self-esteem and perception of social competence when members help other group members.
“Asimismo, la terapia grupal puede potenciar la creación de redes informales de apoyo y mejorar la autoestima y percepción de competencia social de sus miembros cuando ayudan a otros miembros del grupo (Himle et al., 2003).”
From Terapia cognitivo-conductual grupal por videoconferencia para el trastorno obsesivo-compulsivo: Estudio piloto. (2023) · cites this paper as Himle et al., 2003
The exercises in exposure-based CBT can be challenging for some, as participants are encouraged to change a habitual pattern of behavior, which may initially increase anxiety and other sensations that many have long struggled to avoid.
“The exercises in exposure-based CBT can be challenging for some, as participants are encouraged to change a habitual pattern of behavior, which may initially increase anxiety and other sensations that many have long struggled to avoid (Himle et al., 2003).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Himle et al., 2003
Cites
The Epidemiology of Obsessive-Compulsive Disorder in Five US Communities
Karno, M. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800360042006 · Cited by 1,340 · see citing works
26. Obsessions and Compulsions
Ross, C. (1994) · University of Toronto Press eBooks · doi:10.3138/9781442681972-027 · Cited by 1,001 · see citing works
A 2- to 7-Year Follow-up Study of 54 Obsessive-Compulsive Children and Adolescents
Leonard, H. L. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820180023003 · Cited by 399 · see citing works
Cognitive versus behavior therapy in the group treatment of obsessive–compulsive disorder
McLean, P. D., Whittal, M. L., Thordarson, D. S., Taylor, S., Söchting, I., Koch, W. J., Paterson, R., & Anderson, K. W. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.2.205 · Cited by 332 · see citing works
Obsessive-compulsive disorder: theory, research, and treatment
(1998) · Choice Reviews Online · doi:10.5860/choice.36-2444 · Cited by 313 · see citing works
FALS-STEWART, W., MARKS, A. P., & SCHAFER, J. (1993) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199303000-00007 · Cited by 279 · cited 4× · see citing works
“While the only direct comparative study of group versus individual treatment for OCD showed comparable outcomes (Fals-Stewart et al., 1993), some studies of individual CBT (e.g., Franklin et al., 1998; Lindsay, Crino, & Andrews, 1997) have shown larger effect sizes than in any group reports to date.”
BackgroundMethodResultInfluentialControlled trial of exposure and response prevention in obsessive–compulsive disorder
Lindsay, M., Crino, R., & Andrews, G. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.171.2.135 · Cited by 245 · see citing works
March, J. S., Mulle, K., & Herbel, B. L. (1994) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199403000-00006 · Cited by 244 · see citing works
GROUP AND INDIVIDUAL TREATMENT OF COMPULSIVE HOARDING: A PILOT STUDY
Steketee, G. S., Frost, R. O., Wincze, J. P., Greene, K., & Douglass, H. M. (2000) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465800003064 · Cited by 183 · see citing works
Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial
Franklin, M. E., Kozak, M. J., Cashman, L., Coles, M. E., Rheingold, A. A., & Foa, E. B. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199804000-00019 · Cited by 181 · see citing works
Group and multifamily behavioral treatment for obsessive compulsive disorder: A pilot study
Noppen, B. L. V., Steketee, G. S., McCorkle, B. H., & Pato, M. T. (1997) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(97)00021-2 · Cited by 116 · see citing works
Thienemann, M., Martin, J. L., CREGGER, B., THOMPSON, H. B., & Dyer-Friedman, J. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200111000-00004 · Cited by 94 · see citing works
Behaviour therapy for obsessive—compulsive disorder: a decade of progress
Marks, I. (1997) · The Canadian Journal of Psychiatry · doi:10.1177/070674379704201002 · Cited by 85 · cited 2× · see citing works
“Additionally, the number of CBT clinicians trained in treating OCD are relatively few (Marks, 1997), especially those proficient in working with children and adolescents (March, HIMLE ET AL.”
BackgroundHimle, J. A., Fischer, D., Etten, M. L. V., Janeck, A. S., & Hanna, G. L. (2003) · Depression and Anxiety · doi:10.1002/da.10088 · Cited by 66 · see citing works
Self-citationPsychosocial treatments for obsessive–compulsive disorder: Literature review.
Foa, E. B., Franklin, M. E., & Kozak, M. J. (1998) · Cited by 57 · see citing works
Krone, K. P., Himle, J. A., & Nesse, R. M. (1991) · Behaviour Research and Therapy · doi:10.1016/0005-7967(91)90012-r · Cited by 55 · see citing works
Self-citationA time-limited behavioral group for treatment of obsessive-compulsive disorder.
Noppen, B. L. V., Pato, M. T., Marsland, R., & Rasmussen, S. A. (1998) · PubMed Central · Cited by 49 · see citing works
Group behavioral therapy of obsessive-compulsive disorder: Seven- vs. twelve-week outcomes
Himle, J. A., Rassi, S., Haghighatgou, H., Krone, K. P., Nesse, R. M., & Abelson, J. L. (2001) · Depression and Anxiety · doi:10.1002/da.1032 · Cited by 48 · see citing works
Self-citationGroup Behavioral Therapy for Adolescents With Obsessive-Compulsive Disorder: Preliminary Outcomes
Fischer, D., Himle, J. A., & Hanna, G. L. (1998) · Research on Social Work Practice · doi:10.1177/104973159800800601 · Cited by 36 · see citing works
Self-citationGroup Treatment for Obsessive-Compulsive Disorder: An Evaluation
Enright, S. (1991) · Behavioural Psychotherapy · doi:10.1017/s0141347300012210 · Cited by 29 · see citing works
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Hans, E., & Hiller, W. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.07.003 · Cited by 158 · see citing works
Sánchez‐Meca, J., Alcázar, A. I. R., Iniesta‐Sepúlveda, M., & Rosa‐Alcázar, Á. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.10.007 · Cited by 148 · see citing works
An open trial of group metacognitive therapy for obsessive-compulsive disorder
Rees, C. S., & van Koesveld, K. E. (2008) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2007.11.004 · Cited by 123 · see citing works
Jónsson, H., & Hougaard, E. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01270.x · Cited by 110 · see citing works
Alcázar, A. I. R., Sánchez‐Meca, J., Rosa‐Alcázar, Á., Iniesta‐Sepúlveda, M., Rodríguez, J. O., & Parada-Navas, J. L. (2015) · The Spanish Journal of Psychology · doi:10.1017/sjp.2015.22 · Cited by 66 · see citing works
Skarphéðinsson, G., Hanssen‐Bauer, K., Kornør, H., Heiervang, E. R., Landrø, N. I., Axelsdottir, B., Biedilæ, S., & Ivarsson, T. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2014.941395 · Cited by 59 · see citing works
Iniesta‐Sepúlveda, M., Alcázar, A. I. R., Sánchez‐Meca, J., Parada-Navas, J. L., & Rosa‐Alcázar, Á. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.03.010 · Cited by 43 · see citing works
Chosak, A., Marques, L. M., Greenberg, J. L., Jenike, E. A., Dougherty, D. D., & Wilhelm, S. (2008) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.8.8.1209 · Cited by 42 · see citing works
Behavioural group therapy for obsessive–compulsive disorder in Norway. An open community-based trial
Håland, Å. T., Vogel, P. A., Lie, B., Launes, G., Pripp, A. H., & Himle, J. A. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.03.005 · Cited by 35 · see citing works
Self-citationGroup cognitive behaviour therapy in obsessive-compulsive disorder (OCD): a controlled study
Fineberg, N. A., Hughes, A., Gale, T. M., & Roberts, A. (2005) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651500500307180 · Cited by 27 · see citing works
The effectiveness of group metacognitive therapy for generalised anxiety disorder: a pilot study
van der Heiden, C., Melchior, K., & de Stigter, E. (2013) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-013-9235-y · Cited by 26 · see citing works
Farrell, L. J., Waters, A. M., Storch, E. A., Simcock, G. P., Perkes, I. E., Grisham, J. R., Dyason, K. M., & Ollendick, T. H. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00439-2 · Cited by 28 · see citing works
Bonnert, M., Särnholm, J., Andersson, E., Bergström, S.-E., Lalouni, M., Lundholm, C., Serlachius, E., & Almqvist, C. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100415 · Cited by 20 · see citing works
“The exercises in exposure-based CBT can be challenging for some, as participants are encouraged to change a habitual pattern of behavior, which may initially increase anxiety and other sensations that many have long struggled to avoid (Himle et al., 2003).”
BackgroundThe Metacognitive Training for obsessive-compulsive disorder: A pilot study
Miegel, F., Demiralay, C., Sure, A., Moritz, S., Hottenrott, B., Cludius, B., & Jelinek, L. (2022) · Current Psychology · doi:10.1007/s12144-020-01158-5 · Cited by 15 · see citing works
Using Research‐Supported Group Treatments
Johnson, J. E. (2008) · Journal of Clinical Psychology · doi:10.1002/jclp.20532 · Cited by 12 · see citing works
Hamedani, K. H., Amani, R., & Vasel, M. Y. (2023) · International Journal of Cognitive Therapy · doi:10.1007/s41811-023-00167-z · Cited by 9 · see citing works
Skarphéðinsson, G., & Ivarsson, T. (2015) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-015-0047-0 · Cited by 7 · see citing works
Trastorno obsesivo-compulsivo en niños y adolescentes: Una actualización. Segunda parte
Álvarez, L. A. V., Cruz, L. P., Thompson, G. G., & de la Peña, F. R. (2008) · Salud Mental · Cited by 6 · see citing works
Meier, S., Fricke, S., Moritz, S., Hand, I., & Rufer, M. (2006) · Verhaltenstherapie · doi:10.1159/000094892 · Cited by 6 · see citing works
Sun, N. Y., Pittenger, C., & Ching, T. H. W. (2025) · JMIR Formative Research · doi:10.2196/60899 · Cited by 4 · see citing works
Anxiety and Obsessive-Compulsive Disorder
DeLapp, R. C. T., Williams, M. T., Davis, D. M., & Sawyer, B. A. (2016) · Springer eBooks · doi:10.1007/978-3-319-25501-9_10 · Cited by 4 · see citing works
Raines, J. C. (2019) · doi:10.1093/oso/9780190886578.003.0009 · Cited by 2 · see citing works
Curriculum Vitae Personal Data
Selmeczi, D. (2008) · Cited by 2 · see citing works
Gagnreynd meðferð við áráttu- og þráhyggjuröskun hjá börnum og unglingum: Yfirlitsgrein
Skarphéðinsson, G., Lauth, B., Njarðvík, U., & Ivarsson, T. (2016) · Læknablaðið · doi:10.17992/lbl.2016.04.75 · Cited by 1 · see citing works
Panik-, Angst- und Zwangsstörungen
Härtling, S., & Hoyer, J. (2017) · Springer eBooks · doi:10.1007/978-3-662-54644-4_18 · Cited by 1 · see citing works
Yurtsever, S. S., & Sütcü, S. T. (2016) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.97769 · Cited by 1 · see citing works
Gil-Delgado Armada, I., Zaragoza Ferrando, L., Pelayo Revetún, P., García Fernández, L., Cabedo Barber, E., Roncero Sanchís, M., & García Soriano, G. (2023) · Revista de Psicopatologia y Psicologia Clinica · doi:10.5944/rppc.33872
del-Arco-Jódar, R., Gómez, M. J. T., & Soliveres, C. G. (2014) · Redalyc (Universidad Autónoma del Estado de México)
Metakognitiv gruppeterapi for pasienter med generalisert angstlidelse : en pilotstudie
Larsen, T. K. (2015) · BIBSYS Brage (BIBSYS (Norway))
Distressed Lonely Siblings’ Struggle with Obsessive Compulsive Disorder
Nehra, D. K., Bathla, J. C., & Kumar, P. (2019) · Indian Journal of Psychiatric Social Work · doi:10.29120/ijpsw.2019.v10.i2.134
Carter, J. D., Helliwell, E. L., Jordan, J., Woolcock, C., Bell, C., & Gilbert, C. (2022) · Behaviour Change · doi:10.1017/bec.2022.8
Aydın, A., Tunçel, Ö. K., & Pırıldar, Ş. (2024) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-024-00571-0
Panik-, Angst- und Zwangsstörungen
Chaker, S., & Hoyer, J. (2012) · Springer eBooks · doi:10.1007/978-3-642-03497-8_18
- Authors
- Himle, J. A., Van Etten, M., & Fischer, D. J.
- Affiliations
- University of Michigan (US)
- Venue
- Brief Treatment and Crisis Intervention
- Publisher
- Portico
- Published
- 2003-06-01
- Volume
- 3
- Issue
- 2
- Pages
- 217-230
- ISSN
- 1474-3310 (ISSN-L)
- 1474-3329
- OpenAlex
- W2000734753
- Cited by
- 32
- References
- 20
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brief Treatment and Crisis Intervention (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, group cognitive behavioral therapy, exposure and response prevention, group therapy, treatment costs
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