Predictors of response to cognitive behavioural therapy (CBT) for individuals with obsessive-compulsive disorder (OCD): a systematic review.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2023-07-01 DOI:10.1017/S1352465823000103

Sarah McDonald, Maral Melkonian, Eyal Karin, Blake F Dear, Nickolai Titov, Bethany M Wootton

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引用次数: 1

Abstract

Background: Cognitive behavioural therapy (CBT) is considered the first-line treatment for obsessive-compulsive disorder (OCD). However, some individuals with OCD remain symptomatic following CBT, and therefore understanding predictors of outcome is important for informing treatment recommendations.

Aims: The current study aimed to provide the first synthesis of predictors of outcome following CBT for OCD in adults with a primary diagnosis of OCD, as classified by DSM-5.

Method: Eight studies (n=359; mean age range=29.2-37.7 years; 55.4% female) were included in the systematic review.

Results: Congruent with past reviews, there was great heterogeneity of predictors measured across the included studies. Therefore, a narrative synthesis of findings was conducted. Findings from this systematic review indicated that some OCD-related pre-treatment variables (i.e. pre-treatment severity, past CBT treatment, and levels of avoidance) and during treatment variables (i.e. poor working alliance and low treatment adherence) may be important to consider when making treatment recommendations. However, the results also indicate that demographic variables and psychological co-morbidities may not be specific predictors of treatment response.

Conclusions: These findings add to the growing body of literature on predictors of CBT treatment outcomes for individuals with OCD.

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认知行为疗法(CBT)对强迫症(OCD)患者反应的预测因素:一项系统综述。

背景:认知行为疗法(CBT)被认为是强迫症(OCD)的一线治疗方法。然而，一些强迫症患者在CBT后仍有症状，因此了解结果的预测因素对提供治疗建议很重要。目的:本研究旨在首次综合诊断为强迫症的成人患者在接受CBT治疗后预后的预测因素，这些患者被DSM-5分类。方法:8项研究(n=359;平均年龄29.2 ~ 37.7岁;55.4%为女性)纳入系统评价。结果:与过去的综述一致，在纳入的研究中测量的预测因子存在很大的异质性。因此，对调查结果进行了叙述综合。本系统综述的结果表明，在提出治疗建议时，一些与强迫症相关的治疗前变量(即治疗前严重程度、过去的CBT治疗和回避水平)和治疗期间变量(即不良的工作联盟和较低的治疗依从性)可能是重要的考虑因素。然而，结果也表明，人口统计学变量和心理合并症可能不是治疗反应的具体预测因素。结论:这些发现增加了越来越多的关于强迫症患者CBT治疗结果预测因素的文献。

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

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.