title: Correction of inflated responsibility in the treatment of obsessive-compulsive disorder.
abstract: This study evaluates the efficacy of a cognitive treatment for obsessive-compulsive disorder (OCD). Four patients with OCD whose major complaints were checking rituals were treated in a multiple baseline across subjects design. Cognitive correction targeted inflated responsibility, without any exposure or response prevention. All subjects reported a clinically significant decrease in interference caused by rituals, a 52-100% reduction in Y-BOCS scores, and a decrease in perceived responsibility. Therapeutic gains were maintained at follow-up (6 and 12 months) for three patients. Results suggest that cognitive therapy targeting inflated responsibility is a promising alternative to exposure-based treatment.
authors.affiliation: Ecole de Psychologie, Université Laval, Québec, Canada.
authors.forename: R
authors.initials: R
authors.lastname: Ladouceur
authors.forename: E
authors.initials: E
authors.lastname: Léger
authors.forename: J
authors.initials: J
authors.lastname: Rhéaume
authors.forename: D
authors.initials: D
authors.lastname: Dubé
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D016896:Treatment Outcome