학술논문

Evaluation of an adapted cognitive behavioural therapy (CBT) group programme for people with obsessive compulsive disorder: a case study.
Document Type
Case Study
Source
Cognitive Behaviour Therapist. Dec2012, Vol. 5 Issue 4, p112-123. 12p.
Subject
*COGNITIVE therapy
*COMPULSIVE behavior
*GROUP psychotherapy
*BEHAVIOR therapy methodology
*MEDICAL protocols
*QUANTITATIVE research
*THERAPEUTICS
Language
ISSN
1754-470X
Abstract
Despite a strong evidence base for cognitive behavioural therapy (CBT) for obsessive compulsive disorder (OCD), there is limited evidence regarding the effectiveness of group therapy compared to individual therapy. As services struggle to manage high demands, CBT for OCD is often offered in group format. This paper examines the current evidence base for group CBT for OCD considering both clinical outcomes and cost, and describes a group CBT intervention for people with OCD. A CBT group was set up, consistent with NICE guidelines, but slightly adapted from standard group protocols, in line with recommendations from experts in the field. It was evaluated as part of an audit of the service. Statistical analyses demonstrated significant improvements in both measures of depression and the impact of difficulties, and on specific measures of OCD, in clients who attended group CBT (n = 17). The analyses also demonstrated improved effectiveness of therapist hours for group therapy compared to individual therapy. It is concluded that group therapy for OCD should be considered as an alternative to individual therapy when there are significant demands on the service. Recommendations regarding specific adaptations to the standard group CBT format are made. [ABSTRACT FROM PUBLISHER]