Symptom presentation and outcome of cognitive-behavioral therapy for obsessive-compulsive disorder.

Full Abstract

Previous researchers have classified obsessive-compulsive disorder (OCD) patients by the themes of their obsessions and compulsions (e.g., washing, checking); however, mental compulsions have not been adequately assessed in these studies. The authors conducted 2 studies using a large sample of OCD patients (N=132). In the 1st study, they categorized patients on the basis of symptom presentation, giving adequate consideration to mental compulsions. Five patient clusters were identified: harming, contamination, hoarding, unacceptable thoughts, and symmetry. Mental compulsions were most prevalent among patients with intrusive, upsetting religious, violent, or sexual thoughts. In the 2nd study, they compared response to cognitive-behavioral therapy across symptom categories, finding poorer outcomes among patients with hoarding symptoms compared with those with other symptom themes. (c) 2003 APA

Author information

Author/s: Abramowitz, Jonathan S (JS); Franklin, Martin E (ME); Schwartz, Stefanie A (SA); Furr, Jami M (JM);

Affiliation: Department of Psychiatry & Psychology, Mayo Clinic, Rochester, Minnesota 55905, USA. abramowitz.jonathan(-atsign-)mayo.edu

Journal and publication information

Publication Type: Clinical Trial; Comparative Study; Journal Article; Multicenter Study

Journal: Journal of consulting and clinical psychology (J Consult Clin Psychol), published in United States. (Language: eng)

Reference: 2003-Dec; vol 71 (issue 6) : pp 1049-57

Dates: Created 2003/11/19; Completed 2004/02/03; Revised 2009/11/11;

PMID: 14622080, status: MEDLINE (last retrieval date: 11/11/2009, IMS Date: )

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