Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study
Background: Specialized inpatient or residential treatment might be an alternative treatment approach for patients with obsessive-compulsive disorder (OCD) that do not respond satisfactorily to the standard outpatient treatment formats.Method: The aim of this open trial was to investigate the 6-mont...
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doaj-78e0f68fcb9c43a5ae9caf778811964d2020-11-24T22:23:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782018-04-01910.3389/fpsyg.2018.00620341286Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up StudyTorun Grøtte0Torun Grøtte1Bjarne Hansen2Bjarne Hansen3Svein Haseth4Patrick A. Vogel5Ismail C. Guzey6Ismail C. Guzey7Stian Solem8Stian Solem9Department of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayNidaros DPS, St. Olav’s University Hospital, Trondheim, NorwayDepartment of Psychiatry, Haukeland University Hospital, Bergen, NorwayFaculty of Psychology, University of Bergen, Bergen, NorwayNidaros DPS, St. Olav’s University Hospital, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayDivision of Psychiatry, Department of Research and Development, St. Olav’s University Hospital, Trondheim, NorwayDepartment of Neuroscience, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayDivision of Psychiatry, Department of Research and Development, St. Olav’s University Hospital, Trondheim, NorwayBackground: Specialized inpatient or residential treatment might be an alternative treatment approach for patients with obsessive-compulsive disorder (OCD) that do not respond satisfactorily to the standard outpatient treatment formats.Method: The aim of this open trial was to investigate the 6-month effectiveness of a 3-week inpatient treatment of OCD, where exposure with response prevention (ERP) was the main treatment intervention. The sample consisted of 187 adult patients with OCD, all with previous treatment attempts for OCD.Results: The sample showed significant reductions in symptoms of OCD and depression. The effect sizes were large for obsessive-compulsive symptoms and moderate to large for depressive symptoms. At discharge, 79.7% of the intent-to-treat (ITT) group were classified as treatment responders (≥35% reduction in Y-BOCS scores). However, some participants experienced relapse, as 61.5% of the ITT group were classified as treatment responders at 6-month follow-up. Antidepressant use appeared not to influence the outcome. Only pre-treatment levels of obsessive-compulsive symptoms emerged as a significant predictor of relapse.Conclusion: The 3-week inpatient programme produced similar treatment effects as previous inpatient and residential studies of longer duration (2 – 3 months). The results suggest that patients with severe OCD can be treated efficiently using this brief inpatient format. However, better relapse prevention interventions are needed.http://journal.frontiersin.org/article/10.3389/fpsyg.2018.00620/fullobsessive-compulsive disorder (OCD)inpatient treatmentfollow-upeffectivenessexposure with response prevention (ERP)cognitive-behavioral therapy (CBT) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Torun Grøtte Torun Grøtte Bjarne Hansen Bjarne Hansen Svein Haseth Patrick A. Vogel Ismail C. Guzey Ismail C. Guzey Stian Solem Stian Solem |
spellingShingle |
Torun Grøtte Torun Grøtte Bjarne Hansen Bjarne Hansen Svein Haseth Patrick A. Vogel Ismail C. Guzey Ismail C. Guzey Stian Solem Stian Solem Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study Frontiers in Psychology obsessive-compulsive disorder (OCD) inpatient treatment follow-up effectiveness exposure with response prevention (ERP) cognitive-behavioral therapy (CBT) |
author_facet |
Torun Grøtte Torun Grøtte Bjarne Hansen Bjarne Hansen Svein Haseth Patrick A. Vogel Ismail C. Guzey Ismail C. Guzey Stian Solem Stian Solem |
author_sort |
Torun Grøtte |
title |
Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study |
title_short |
Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study |
title_full |
Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study |
title_fullStr |
Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study |
title_full_unstemmed |
Three-Week Inpatient Treatment of Obsessive-Compulsive Disorder: A 6-Month Follow-Up Study |
title_sort |
three-week inpatient treatment of obsessive-compulsive disorder: a 6-month follow-up study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2018-04-01 |
description |
Background: Specialized inpatient or residential treatment might be an alternative treatment approach for patients with obsessive-compulsive disorder (OCD) that do not respond satisfactorily to the standard outpatient treatment formats.Method: The aim of this open trial was to investigate the 6-month effectiveness of a 3-week inpatient treatment of OCD, where exposure with response prevention (ERP) was the main treatment intervention. The sample consisted of 187 adult patients with OCD, all with previous treatment attempts for OCD.Results: The sample showed significant reductions in symptoms of OCD and depression. The effect sizes were large for obsessive-compulsive symptoms and moderate to large for depressive symptoms. At discharge, 79.7% of the intent-to-treat (ITT) group were classified as treatment responders (≥35% reduction in Y-BOCS scores). However, some participants experienced relapse, as 61.5% of the ITT group were classified as treatment responders at 6-month follow-up. Antidepressant use appeared not to influence the outcome. Only pre-treatment levels of obsessive-compulsive symptoms emerged as a significant predictor of relapse.Conclusion: The 3-week inpatient programme produced similar treatment effects as previous inpatient and residential studies of longer duration (2 – 3 months). The results suggest that patients with severe OCD can be treated efficiently using this brief inpatient format. However, better relapse prevention interventions are needed. |
topic |
obsessive-compulsive disorder (OCD) inpatient treatment follow-up effectiveness exposure with response prevention (ERP) cognitive-behavioral therapy (CBT) |
url |
http://journal.frontiersin.org/article/10.3389/fpsyg.2018.00620/full |
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