An effectiveness study of intensive outpatient treatment for OCD

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-01-01 DOI:10.1016/j.jocrd.2024.100931

Emily K. Juel , Kate Rogers , Sandra Hadlock , Nicholas S. Myers , Joseph B. Friedman , Maya E. Tadross , Jonathan S. Abramowitz

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引用次数: 0

Abstract

While obsessive-compulsive disorder (OCD) is often responsive to treatments like serotonin reuptake inhibitors (SRIs) and cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP), many patients remain unresponsive or relapse after discontinuation. Intensive outpatient programs (IOPs) offer a solution for those needing more support than standard outpatient care, but not requiring the extensive supervision of residential treatment. The present effectiveness study evaluated the outcome of an IOP delivered to a large sample of adults and children with OCD in-person and via telehealth. Results indicated substantial symptom reduction (over 50%) in both formats. Greater baseline severity predicted greater improvement, but no other variables moderated the effects of treatment. These findings demonstrate the effectiveness of IOPs in providing substantial symptom relief for individuals with OCD in both in-person and telehealth formats. Implications for bridging the science-practice gap are discussed.

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强迫症强化门诊治疗的有效性研究

虽然强迫症（OCD）通常对5 -羟色胺再摄取抑制剂（SRIs）和带有暴露和反应预防（ERP）的认知行为疗法（CBT）等治疗有反应，但许多患者在停药后仍无反应或复发。强化门诊项目（IOPs）为那些需要比标准门诊护理更多支持的患者提供了解决方案，但不需要对住院治疗进行广泛的监督。目前的有效性研究评估了对大量强迫症成人和儿童患者当面和通过远程医疗进行IOP治疗的结果。结果显示两种治疗方式均显著减轻症状（超过50%）。更大的基线严重程度预示着更大的改善，但没有其他变量缓和治疗的效果。这些发现证明了IOPs在面对面和远程医疗形式中为强迫症患者提供实质性症状缓解的有效性。讨论了弥合科学与实践差距的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Obsessive-Compulsive and Related Disorders PSYCHIATRY-

CiteScore

4.00

自引率

5.60%

发文量

审稿时长

47 days

期刊介绍： Journal of Obsessive-Compulsive and Related Disorders (JOCRD) is an international journal that publishes high quality research and clinically-oriented articles dealing with all aspects of obsessive-compulsive disorder (OCD) and related conditions (OC spectrum disorders; e.g., trichotillomania, hoarding, body dysmorphic disorder). The journal invites studies of clinical and non-clinical (i.e., student) samples of all age groups from the fields of psychiatry, psychology, neuroscience, and other medical and health sciences. The journal''s broad focus encompasses classification, assessment, psychological and psychiatric treatment, prevention, psychopathology, neurobiology and genetics. Clinical reports (descriptions of innovative treatment methods) and book reviews on all aspects of OCD-related disorders will be considered, as will theoretical and review articles that make valuable contributions. Suitable topics for manuscripts include: -The boundaries of OCD and relationships with OC spectrum disorders -Validation of assessments of obsessive-compulsive and related phenomena -OCD symptoms in diverse social and cultural contexts -Studies of neurobiological and genetic factors in OCD and related conditions -Experimental and descriptive psychopathology and epidemiological studies -Studies on relationships among cognitive and behavioral variables in OCD and related disorders -Interpersonal aspects of OCD and related disorders -Evaluation of psychological and psychiatric treatment and prevention programs, and predictors of outcome.