Versorgung Zwangserkrankter mit kognitiver Verhaltenstherapie als Behandlungsmethode erster Wahl
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Hintergrund: Die kognitive Verhaltenstherapie (KVT) mit Exposition und Reaktionsverhinderung stellt die Behandlungsmethode erster Wahl für Patienten mit Zwangsstörung dar. Ziel der vorliegenden Studie war die Bestimmung des Anteils an Patienten mit einer Zwangsstörung, die in Deutschland eine KVT mit Exposition und Reaktionsverhinderung erhalten. Methode: Hierzu wurden die Daten aus einer Befragung zur Behandlungsvorgeschichte einer Stichprobe von 369 Patienten mit einer Zwangsstörung nach ICD-10 analysiert. Ergebnisse: Insgesamt berichteten 60% der Patienten, in ihrer Behandlungsvorgeschichte mindestens einmal eine KVT mit Expositionsübungen erhalten zu haben. Bei 37% war dies die erste Behandlung. 46% gaben an, mindestens einmal eine KVT mit therapeutenbegleiteten Expositionsübungen erhalten zu haben. Durchschnittlich vergingen 6 Jahre zwischen Beginn der Zwangsstörung und Beginn der ersten Behandlung. Schlussfolgerungen: Zwei Fünftel der Patienten unserer Stichprobe berichteten, dass sie noch nie eine KVT mit Exposition und Reaktionsverhinderung erhalten hatten, obwohl es sich dabei um die Methode erster Wahl bei Zwangsstörungen handelt. Wir diskutieren potenzielle Hürden aufseiten der Patienten, Ärzte und Therapeuten sowie Maßnahmen, die zur Verbesserung der Versorgungssituation beitragen könnten.
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Therapists often avoid offering ERP, so that 40% of OCD patients do not receive CBT with ERP.
“therapists often avoid offering ERP, so that 40% of OCD patients do not receive CBT with ERP [24, 25].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [24]
The Summary reports that two fifths of the 369 patients in this German sample had never received CBT with exposure and response prevention. In “Demografische und klinische Merkmale der Stichprobe” (page not provided), the authors suggest that some therapists may not offer exposure treatment, but explicitly say their study did not investigate why patients went without it. The claim’s causal link between therapists’ avoidance and the 40% figure is therefore unsupported. (LLM, conf=0.88)
Experimental — accuracy not yet measuredFear of being confronted with anxiety-inducing stimuli might be one reason why patients do not want to undergo CBT with ERP.
“Voderholzer et al. [24] suggest that the fear of being confronted with anxiety-inducing stimuli might be one of the reasons why patients do not want to undergo this treatment.”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [24]
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Cites
The Yale-Brown Obsessive Compulsive Scale: I. Development, Use, and Reliability
Goodman, W. K. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810110048007 · Cited by 7,712 · see citing works
The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010) · Molecular Psychiatry · doi:10.1038/mp.2008.94 · Cited by 2,771 · see citing works
Foa, E. B., Liebowitz, M. R., Kozak, M. J., Davies, S., Campeas, R., Franklin, M. E., Huppert, J. D., Kjernisted, K., Rowan, V., Schmidt, A. B., et al. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.1.151 · Cited by 1,048 · see citing works
Jacobi, F., Höfler, M., Strehle, J., Mack, S., Gerschler, A., Scholl, L., Busch, M. A., Maske, U., Hapke, U., Gaebel, W., et al. (2014) · Der Nervenarzt · doi:10.1007/s00115-013-3961-y · Cited by 750 · see citing works
A 40-Year Follow-up of Patients With Obsessive-compulsive Disorder
Skoog, G., & Skoog, I. G. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.2.121 · Cited by 634 · see citing works
Eddy, K. T., Dutra, L., Bradley, R., & Westen, D. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.08.004 · Cited by 475 · see citing works
Jacobi, F., Höfler, M., Strehle, J., Mack, S., Gerschler, A., Scholl, L., Busch, M. A., Maske, U., Hapke, U., Gäebel, W., et al. (2015) · Der Nervenarzt · doi:10.1007/s00115-015-4458-7 · Cited by 457 · see citing works
Psychological treatment of obsessive–compulsive disorder: A meta-analysis
Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A., & Marín-Martínez, F. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.001 · Cited by 444 · see citing works
Pinto, A., Mancebo, M. C., Eisen, J. L., Pagano, M. E., & Rasmussen, S. A. (2006) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v67n0503 · Cited by 386 · see citing works
Quality of life for patients with obsessive-compulsive disorder
Koran, L. M., Thienemann, M., & Davenport, R. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.6.783 · Cited by 366 · see citing works
Marques, L., LeBlanc, N. J., Weingarden, H. M., Timpano, K. R., Jenike, M., & Wilhelm, S. (2010) · Depression and Anxiety · doi:10.1002/da.20694 · Cited by 283 · see citing works
Combination of behaviour therapy with fluvoxamine in comparison with behaviour therapy and placebo
Hohagen, F., Winkelmann, G., Rasche-Räuchle, H., Hand, I., König, A., Münchau, N., Hiss, H., Geiger-Kabisch, C., Käppler, C. D. O., Schramm, P. J., et al. (1998) · The British Journal of Psychiatry · doi:10.1192/s0007125000297924 · Cited by 280 · see citing works
Obsessive-compulsive disorder in the community: 12-month prevalence, comorbidity and impairment
Adam, Y., Meinlschmidt, G., Gloster, A. T., & Lieb, R. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0337-5 · Cited by 206 · see citing works
Die Versorgungssituation psychischer Störungen in Deutschland
Wittchen, H.-U., & Jacobi, F. (2001) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s001030100269 · Cited by 186 · see citing works
Patterns of Remission and Relapse in Obsessive-Compulsive Disorder
Eisen, J. L., Goodman, W. K., Keller, M. B., Warshaw, M. G., DeMarco, L. M., Luce, D. D., & Rasmussen, S. A. (1999) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v60n0514 · Cited by 185 · see citing works
A 2-Year Prospective Follow-Up Study of the Course of Obsessive-Compulsive Disorder
Eisen, J. L., Pinto, A., Mancebo, M. C., DYCK, I. R., Orlando, M., & Rasmussen, S. A. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04806blu · Cited by 165 · see citing works
Quality of life in obsessive-compulsive disorder before and after treatment
Moritz, S., Rufer, M., Fricke, S., Karow, A., Morfeld, M., Jelinek, L., & Jacobsen, D. (2005) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2005.04.002 · Cited by 150 · see citing works
Self-citationCognitive-Behavioral Therapy for Anxiety: Is Dissemination Working?
Freiheit, S. R., Vye, C. S., Swan, R., & Cady, M. E. (2004) · Behavior Therapy · Cited by 117 · see citing works
Common pitfalls in exposure and response prevention (EX/RP) for OCD
Gillihan, S. J., Williams, M. T., Malcoun, E., Yadin, E., & Foa, E. B. (2012) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2012.05.002 · Cited by 114 · see citing works
“Contents may vary”: a pilot study of treatment histories of OCD patients
Stobie, B., Taylor, T., Quigley, A., Ewing, S., & Salkovskis, P. M. (2007) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246580700358x · Cited by 109 · see citing works
Patient Utilization of Cognitive-Behavioral Therapy for OCD
Mancebo, M. C., Eisen, J. L., Sibrava, N. J., Dyck, I. R., & Rasmussen, S. A. (2011) · Behavior Therapy · doi:10.1016/j.beth.2010.10.002 · Cited by 107 · see citing works
Rufer, M., Hand, I., Alsleben, H., Braatz, A., Ortmann, J., Katenkamp, B., Fricke, S., & Peter, H. (2004) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-004-0544-8 · Cited by 107 · see citing works
Self-citationMethodological Challenges of Characterizing Usual Care Psychotherapeutic Practice
Garland, A. F., Hurlburt, M. S., Brookman-Frazee, L. I., Taylor, R. M., & Accurso, E. C. (2009) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-009-0237-8 · Cited by 69 · see citing works
Versorgungsrealität der Zwangsstörungen: Werden Expositionsverfahren eingesetzt?
hm, K. B. O., rstner, U. F. O., lz, A. K. U., & Voderholzer, U. (2008) · Verhaltenstherapie · doi:10.1159/000115956 · Cited by 61 · see citing works
Self-citationYale-Brown Obsessive Compulsive Scale: Sind Selbst- und Fremdrating äquivalent?
Schaible, R., Armbrust, M., & Nutzinger, D. O. (2001) · Verhaltenstherapie · doi:10.1159/000056673 · Cited by 61 · see citing works
A Review on Quality of Life and Depression in Obsessive-Compulsive Disorder
Moritz, S. (2008) · CNS Spectrums · doi:10.1017/s1092852900026894 · Cited by 61 · see citing works
Self-citationAmbulante psychotherapeutische Versorgung bei Zwangserkrankungen
Külz, A. K., Hassenpflug, K., Riemann, D. W., Linster, H. W., Dornberg, M., & Voderholzer, U. (2009) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0029-1202837 · Cited by 53 · see citing works
Self-citationCullen, B., SAMUELS, J. F., Pinto, A., Fyer, A. J., McCracken, J. T., Rauch, S. L., Murphy, D. L., Greenberg, B. D., Knowles, J. A., Piacentini, J. C., et al. (2007) · Depression and Anxiety · doi:10.1002/da.20293 · Cited by 41 · see citing works
Therapie von Angst- und Zwangspatienten in der verhaltenstherapeutischen Praxis
Roth, C., Siegl, J., Aufdermauer, N., & Reinecker, H. (2004) · Verhaltenstherapie · doi:10.1159/000078027 · Cited by 37 · see citing works
Hertenstein, E., Thiel, N., Herbst, N., Freyer, T., Nissen, C., Külz, A. K., & Voderholzer, U. (2013) · Annals of General Psychiatry · doi:10.1186/1744-859x-12-4 · Cited by 28 · see citing works
Self-citationEpidemiologie und Versorgungssituation von Zwangsstörungen
Voderholzer, U., Schlegl, S., & Külz, A. K. (2011) · Der Nervenarzt · doi:10.1007/s00115-010-2960-5 · Cited by 20 · see citing works
Self-citationHand, I. (2011) · Springer eBooks · doi:10.1007/978-3-642-16197-1_26 · Cited by 9 · see citing works
Hillebrand, T., & Niedermeier, N. (2014) · Verhaltenstherapie · doi:10.1159/000366529 · Cited by 7 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 3
- [2]2. Böhm K, Förstner U, Külz A, Voderholzer U: Versorgungs- realität der Zwangsstörungen: Werden Expositionsver- fahren eingesetzt? Verhaltenstherapie 2008; 18: 18-24.
- [15]15. Hand I: Expositionstraining (Konfrontationstraining): Techniken der Psychotherapie; in Senf W, Broda M, Wilms B (eds): Techniken der Psychotherapie. Stutt- gart, Thieme, 2013, pp 164-171.
- [36]36. Wittchen HU, Jacobi F: Was sind die häufigsten psychi- schen Störungen in Deutschland? Ergebnisse der DEGS -Studie zur Gesundheit Erwachsener in Deutschland. Robert Koch-Institut, DEGS Symposium 2012. www.psychotherapie-roland-hartmann.de/hono- rar_2012/degs_psychische_stoerungen.pdf (Zugriff 17.07.15).
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Self-citation
- Authors
- Voderholzer, U., Schlegl, S., Diedrich, A., Külz, A. K., Thiel, N., Hertenstein, E., Schwartz, C., Rufer, M., Herbst, N., Nissen, C., Hillebrand, T., Osen, B., Stengler, K., Jelinek, L., & Moritz, S.
- Affiliations
- University of Freiburg (DE)
- LMU Klinikum (DE)
- University Hospital Zurich (CH)
- University Hospital Leipzig (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- ORCID
- Venue
- Verhaltenstherapie
- Publisher
- S. Karger AG
- Published
- 2015
- Volume
- 25
- Issue
- 3
- Pages
- 183-190
- ISSN
- 1016-6262 (ISSN-L)
- 1423-0402
- OpenAlex
- W2272050568
- Cited by
- 23
- References
- 33
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 2
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Verhaltenstherapie (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- 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 › Psychological Treatments and Assessments
- Keywords
- obsessive-compulsive disorder, cognitive behavioral therapy, exposure and response prevention, treatment utilization, first-line therapy, treatment history, treatment delay, barriers to treatment
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