Patient Adherence to Cognitive-Behavioral Therapy Predicts Long-Term Outcome in Obsessive-Compulsive Disorder
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Article AbstractBecause this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.To the Editor: Our prior research demonstrated that patient adherence to homework during cognitive-behavioral therapy (CBT) strongly predicts acute outcome for patients with obsessive-compulsive disorder (OCD). To examine whether homework adherence also predicts outcome at 6-month follow-up, we capitalized on data from a clinical trial that provided CBT consisting of exposure and ritual prevention (EX/RP) to 30 adults with OCD, measured homework adherence during acute treatment using a reliable and validated scale, and reevaluated severity of OCD 6 months later.Method. In brief, 30 adults with DSM-IV-defined OCD were randomly assigned to EX/RP (n = 15) or EX/RP augmented by motivational interviewing strategies (n = 15). Recruitment for the trial occurred from May 2007-January 2009; the trial is further described elsewhere.
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Low adherence to completing exposures assigned between ERP sessions predicted higher symptom severity post-treatment.
“One study found that low adherence to completing exposures assigned between ERP sessions predicted higher symptom severity post-treatment.[28]”
From Exposure and response prevention for obsessive-compulsive disorder: A review and new directions (2019) · cites this paper as [28]
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Cites
Simpson, H. B., Maher, M. J., Wang, Y., Bao, Y., Foa, E. B., & Franklin, M. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0022659 · Cited by 217 · see citing works
Self-citationSimpson, H. B., Zuckoff, A. M., Maher, M. J., Page, J. R., Franklin, M. E., Foa, E. B., Schmidt, A. B., & Wang, Y. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.05.026 · Cited by 100 · see citing works
Self-citationTolin, D. F., Diefenbach, G. J., & Gilliam, C. M. (2011) · Depression and Anxiety · doi:10.1002/da.20804 · Cited by 98 · see citing works
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Research works printed but not linked: 4
- [4]Simpson HB Maher M Page JR Gibbons CJ Franklin ME Foa EB Development of a patient adherence scale for exposure and response prevention therapy Behavior Therapy 2010 3 41 1 30 37 20171325 PMC3949512
- [5]Goodman WK Price LH Rasmussen SA The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability Arch Gen Psychiatry 1989 11 46 11 1006 1011 2684084
- [6]Goodman WK Price LH Rasmussen SA The Yale-Brown Obsessive Compulsive Scale. II. Validity Arch Gen Psychiatry 1989 11 46 11 1012 1016 2510699
- [7]Whittal ML Robichaud M Thordarson DS McLean PD Group and individual treatment of obsessive-compulsive disorder using cognitive therapy and exposure plus response prevention: a 2-year follow-up of two randomized trials J Consult Clin Psychol 2008 12 76 6 1003 1014 19045968
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McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D. J., Kyrios, M., Matthews, K., & Veale, D. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.11.058 · Cited by 283 · see citing works
Simpson, H. B., Foa, E. B., Liebowitz, M. R., Huppert, J. D., Cahill, S., Maher, M. J., McLean, C. P., Bender, J., Marcus, S. M., Williams, M. T., et al. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.1932 · Cited by 248 · see citing works
Self-citationMusiat, P., Johnson, C., Atkinson, M., Wilksch, S., & Wade, T. (2022) · Psychological Medicine · doi:10.1017/s0033291721004621 · Cited by 166 · see citing works
Exposure and response prevention for obsessive-compulsive disorder: A review and new directions
Simpson, H., & Hezel, D. (2019) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_516_18 · Cited by 137 · see citing works
“One study found that low adherence to completing exposures assigned between ERP sessions predicted higher symptom severity post-treatment.[28] Similarly, clinicians are susceptible to making errors in how they deliver the treatment to patients, which likewise inhibits its effectiveness.”
BackgroundSelf-citationWheaton, M. G., & Chen, S. R. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-020-10125-0 · Cited by 47 · see citing works
Mindfulness-based Cognitive Therapy for Obsessive-Compulsive Disorder: A Pilot Study.
DIDONNA, F., LANFREDI, M., XODO, E., FERRARI, C., ROSSI, R., & PEDRINI, L. (2019) · Journal of Psychiatric Practice® · doi:10.1097/pra.0000000000000377 · Cited by 43 · see citing works
Innovations in the delivery of exposure and response prevention for obsessive-compulsive disorder
Patel, S. R., Comer, J., & Simpson, H. B. (2021) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2020_202 · Cited by 24 · see citing works
Self-citationKrompinger, J. W., Monaghan, S. C., Gironda, C. M., Garner, L. E., Crosby, J. M., Brennan, B. P., & Elias, J. A. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.10.001 · Cited by 17 · see citing works
Internet-delivered self-help for adults with ADHD (MyADHD): usability study
Kenter, R. M. F., Schønning, A., & Inal, Y. (2022) · JMIR Formative Research · doi:10.2196/37137 · Cited by 10 · see citing works
- Authors
- Simpson, H. B., Marcus, S. M., Zuckoff, A., Franklin, M., & Foa, E. B.
- Affiliations
- New York State Psychiatric Institute (US)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2012-09-15
- Volume
- 73
- Issue
- 09
- Pages
- 1265-1266
- ISSN
- 0160-6689 (ISSN-L)
- PMC
- PMC3951095
- OpenAlex
- W1970118315
- Cited by
- 50
- References
- 3
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 1 · 2017: 4 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 3
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- National Institute of Mental Health (R34MH071570)
- 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 behavioral therapy, homework adherence, exposure and response prevention, long-term outcomes, motivational interviewing, medication adherence, symptom severity
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Obsessive-Compulsive Disorder, Patient Compliance, Regression Analysis, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
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