Randomized comparative study of group versus individual cognitive behavioural therapy for obsessive compulsive disorder: Group vs. Individual CBT for OCD
Abstract
OBJECTIVE: The primary aim of the study was to compare the effectiveness of group and individual cognitive behaviour therapy (CBT) for obsessive compulsive disorder (OCD). METHOD: One hundred and ten out-patients with OCD were randomly assigned to 15 sessions of either group CBT or individual CBT. Outcome measures were administered before and after treatment, as well as at 6- and 12-month follow-ups. The study was supplemented by a meta-analysis of accomplished comparative studies of group vs. individual CBT for OCD. RESULTS: Large and stable pre-post effect sizes were found for both treatment conditions in the study (d = 1.06-1.24 on the Yale-Brown Obsessive Compulsive Scale). There were no significant between-group differences in outcome at any data point (ds= -0.13 to 0.15). The meta-analysis of four accomplished comparative studies (including the present one) found a between-group mean effect size of (d= 0.15 favouring individual over group CBT at posttreatment (95% confidence interval, -0.12, 0.42). CONCLUSION: The results of this study suggest that OCD can be treated effectively with a group format of CBT, thus sparing some therapist resources, although the four accomplished comparative studies do not rule out the possibility of a small superiority of individually conducted CBT.
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The literature has shown efficacy of group CBT for different disorders with effect sizes comparable to individual therapy.
“The literature has shown the efficacy of group CBT for different disorders with effect sizes comparable to those of individual therapy (e.g., Burlingame et al., 2013; Jónsson et al., 2011).”
From Feasibility, acceptability, and preliminary efficacy of a blended transdiagnostic group CBT for the treatment of emotional disorders (2025) · cites this paper as Jónsson et al., 2011
Most studies report that individual CBT and group CBT are equally effective in patients with OCD.
“Although some studies have found that individual CBT is superior to group CBT in patients with OCD [26, 27], most studies report that both are equally effective [29, 97].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [97]
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Leadbetter, D., Burke, B., Howe, D., Jordan, R., Teater, B., Skinner, J., Fook, J., Weaver, B., Tew, J., Jones, C., et al. (2013) · doi:10.1002/9781394260775.ch42
Karadağ, B., Sevinçok, D., Özbek, M. M., & Sevinçok, L. (2026) · Psychiatry · doi:10.1080/00332747.2026.2680634
Söderholm, P., & Brander, G. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
- Authors
- Jónsson, H., Hougaard, E., & Bennedsen, B. E.
- Affiliations
- Aarhus University (DK)
- Aarhus University Hospital (DK)
- Corresponding author
- Jónsson, H.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2010-10-12
- Volume
- 123
- Issue
- 5
- Pages
- 387-397
- ISSN
- 0001-690X (ISSN-L)
- OpenAlex
- W1825303032
- Cited by
- 80
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 10 · 2013: 9 · 2012: 5
- FWCI
- 5.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Aarhus Universitetshospital
- 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, treatment effectiveness, outpatient care
- MeSH terms
- Adult, Aged, Compulsive Behavior, Female, Follow-Up Studies, Humans, Individuality, Male, Middle Aged, Obsessive-Compulsive Disorder, Outpatients, Psychiatric Status Rating Scales, Psychotherapy, Group, Surveys and Questionnaires, Psychotherapeutic Processes, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction
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