The objective of this article is to provide an update on current psychological treatment for obsessive compulsive disorder (OCD).
Conclusions:
Cognitive behaviour therapy (CBT), incorporating exposure and response prevention, remains the non-pharmacological treatment of choice for OCD. Recent developments highlight the importance of family involvement in adult OCD treatment, and the use of alternative ‘third-wave’ interventions. Internet-delivered CBT may provide an opportunity to overcome barriers to effective treatment, such as distance and lack of trained clinicians.
OlatunjiBODavisMLPowersMB. Cognitive-behavioural therapy for obsessive compulsive disorder: A meta-analysis of treatment outcome and moderators. J Psychiatr Res2013; 47: 33–41.
2.
Rosa-AlcázarAISánchez-MecaJGómez-ConesaA. Psychological treatment of obsessive-compulsive disorder: A meta-analysis. Clin Psychol Rev2008; 28: 1310–1325.
3.
AbramowitzJSTaylorSMcKayD. Potential and limitations of cognitive treatment for obsessive compulsive disorder. Cogn Behav Ther2005; 34: 140–147.
4.
OlatunjiBORosenfeldDTartCD. Behavioral versus cognitive treatment of obsessive compulsive disorder: An examination of outcome and mediators of change. J Consult Clin Psychol2013; 81: 415–428.
5.
WittalMLRobichaudMThoradsonDS. 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 Psychol2008; 76: 1003–1014.
6.
CastleDJRossellSBosanacP. Treating OCD: What to do when first line therapies fail. Australas Psychiatry2015; in press.
7.
FisherPLWellsA. How effective are cognitive and behavioural treatments for obsessive compulsive disorder? Clinical significance analysis. Behav Res Ther2005; 43: 1543–1558.
8.
JacobsonNSTruaxP. Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol1991; 59: 12–19.
9.
KnoppJKnowlesSBeeP. A systematic review of predictors and moderators of response to psychological therapies in OCD. Do we have enough empirical evidence to target treatment?Clin Psychol Rev2013: 33: 1067–1081.
10.
MarchJMulleK. OCD in children and adolescents: A cognitive behavioural treatment manual. New York: Guilford, 1998.
11.
BarrettPHealy-FarrellLMarchJS. Cognitive-behavioural family treatment of childhood obsessive compulsive disorder: A controlled trial. J Am Acad Child Adolesc Psychiatry2004; 43: 46–62.
12.
AlbertUBogettaFMainaG. Family accommodation in obsessive compulsive disorder: Relation to symptom dimensions and family characteristics. Psychiatry Res2010; 179: 204–211.
13.
CherianAVPandianDMathSB. Family accommodation of obsessional symptoms and naturalistic outcome of obsessive compulsive disorder. Psychiatry Res2014; 215: 372–378.
14.
BoedingSEPaprockiCMBaucomDH. Let me check that for you: Symptom accommodation in romantic partners of adults with obsessive compulsive disorder. Behav Res Ther2013; 51: 316–322.
15.
Van NoppenBSteketeeGMcCorkleBH. Group and multifamily behavioural treatment for obsessive compulsive disorder: A pilot study. J Anxiety Disord1997; 4: 431–446.
16.
MehtaM. A comparative study of family-based and patient-based behavioural management of obsessive-compulsive disorder. Br J Psychiatry1990; 157: 133–135.
17.
GrunesMSNezirogluFMcKayD. Family involvement in the behavioural treatment of obsessive-compulsive disorder: A preliminary investigation. Behavior Therapy2001; 32: 803–820.
18.
AbramowitzJSBauconDHBoedingS. Treating obsessive compulsive disorder in intimate relationships: A pilot study of couples based cognitive behaviour therapy. Behavior Therapy2013; 44: 395–407.
19.
FoaEBLiebowitzMRKozakMJ. Treatment of obsessive compulsive disorder by exposure and ritual prevention, clomipramine, and their combination. Am J Psychiatry2005; 162: 151–161.
20.
TwohigMPHayesSCPlumbJC. A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive compulsive disorder. J Consult Clin Psychol2010; 28: 705–716.
21.
TolinDF. Alphabet soup: ERP, CT and ACT for OCD. Cogn Behav Pract2009; 16: 40–48.
22.
PozzaAAnderssonGAnonelliP. Computer delivered cognitive behavioural therapy for obsessive compulsive disorder: Preliminary meta-analysis of randomised and non-randomised treatment effects. The Cognitive Behaviour Therapist2014; 7: 1–27.
