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The treatment of obsessive-compulsive checking: A randomised trial comparing danger ideation reduction therapy with exposure and response prevention

Citation

Vaccaro, LD and Jones, MK and Menzies, RG and Wootton, BM, The treatment of obsessive-compulsive checking: A randomised trial comparing danger ideation reduction therapy with exposure and response prevention, Clinical Psychologist, 18, (2) pp. 74-95. ISSN 1742-9552 (2014) [Refereed Article]

Copyright Statement

Copyright 2013 The Australian Psychological Society

DOI: doi:10.1111/cp.12019

Abstract

Standard psychological treatment of obsessive-compulsive disorder (OCD) typically involves the behavioural-based therapy exposure and response prevention (ERP). This study compared the effectiveness of ERP with the recently developed cognitive therapy-based treatment package, Danger Ideation Reduction Therapy for obsessive-compulsive checkers (DIRT-C) (Vaccaro, Jones, Menzies, and St Clare). Both treatments were delivered in 14 1-hr individual weekly sessions. Post-treatment intention-to-treat analysis revealed large statistically significant improvements for participants in both ERP (n = 22) and DIRT-C (n = 28) conditions. However, treatment effect sizes for change in OCD symptom severity at post-treatment were greater for DIRT-C than for ERP (3.74 versus 2.89). In addition, at post-treatment assessment, significantly more participants who received DIRT-C were recovered compared with those who received ERP (43% versus 14%). Similarly, at 6-month follow-up, treatment effect sizes for change in OCD symptom severity were greater for DIRT-C than for ERP (3.9 versus 2.76). This study provides further evidence of the usefulness of the DIRT-C package for people with OCD checking subtype. Future research investigating DIRT-C is warranted.

Item Details

Item Type:Refereed Article
Keywords:treatment, obsessive compulsive disorder, anxiety, exposure and response prevention, danger ideation reduction therapy
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Psychiatry (incl. Psychotherapy)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Mental Health Services
Author:Wootton, BM (Dr Bethany Wootton)
ID Code:90822
Year Published:2014
Web of Science® Times Cited:2
Deposited By:Psychology
Deposited On:2014-04-25
Last Modified:2014-08-08
Downloads:0

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