Individual versus group cognitive behavioral treatment for obsessive–compulsive disorder: Follow up

Authors

  • Nuria Jaurrieta phd,

    Corresponding author
    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
    2. Adult Mental Health Center of St. Feliu de Llobregat, Sacred Heart Mental Services, in Barcelona, Barcelona, Spain,
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  • Susana Jiménez-Murcia phd,

    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
    2. CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto Carlos III,
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  • Pino Alonso md, phd,

    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
    2. CIBER Salut Mental (CIBERSAM), Instituto Carlos III and
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  • Roser Granero phd,

    1. Department of Psychobiology and Methodology in Health Sciences, Faculty of Psychology, Autonomous University of Barcelona, Barcelona, Spain
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  • Cinto Segalàs mph ,

    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
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  • Javier Labad mph ,

    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
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  • José M. Menchón md, phd

    1. Obsessive–Compulsive Disorder Clinical and Research Unit, Department of Psychiatry, Bellvitge University Hospital,
    2. CIBER Salut Mental (CIBERSAM), Instituto Carlos III and
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*Nuria Jaurrieta, MPH, Unidad de Trastorno Obsesivo-Compulsivo, Servicio de Psiquiatría, Hospital Universitario de Bellvitge, c/– Feixa Llarga, s/n, L'Hospitalet de Llobregat, Barcelona 08907, Spain. Email: njaurrieta@bellvitgehospital.cat

Abstract

Aim:  To compare the effectiveness of two forms of cognitive behavioral treatment (CBT; group and individual) in a sample of patients with obsessive–compulsive disorder (OCD) at 6-month and 12-month follow up.

Method:  Thirty-eight subjects meeting DSM-IV-TR OCD criteria completed 20 sessions of individual and group CBT. They were assessed using the Yale–Brown Obsessive–Compulsive Scale and the Hamilton Anxiety and Depression Scales at baseline, after treatment and at 6-month and 12-month follow up.

Results:  The clinical improvement obtained at the end of the treatment was maintained at 6-month and 12-month follow up. The clinical outcome of the individual treatment (IT) and the group treatment (GT) was the same. The dropout rates were significantly higher in women than in men, but were similar for IT and GT.

Conclusions:  CBT was effective in a sample of OCD patients. Individual and group CBT had similar results at 6-month and 12-month follow up. The clinical implications of these findings are discussed.

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