title: Metacognitive therapy for obsessive-compulsive disorder: a case series.
abstract: Cognitive-behavior therapy and exposure and response prevention are the most effective psychological treatments for obsessive-compulsive disorder (OCD). However, these approaches often produce variable results with the majority of treated individuals remaining symptomatic. This study evaluated a new form of cognitive therapy based on Wells' metacognitive model of OCD. Treatment efficacy was assessed using single case methodology in 4 consecutively referred individuals. At post-treatment, all participants made clinically significant change on a range of standardized outcome measures and these gains were largely maintained through to 6-month follow-up. Metacognitive therapy could be an effective and time efficient treatment for OCD.
authors.affiliation: Department of Clinical Psychology, University of Liverpool, Brownlow Hill, Liverpool L69 3GB, UK. Peter.Fisher@liverpool.ac.uk
authors.forename: Peter L
authors.initials: PL
authors.lastname: Fisher
authors.forename: Adrian
authors.initials: A
authors.lastname: Wells
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002562:Ceremonial Behavior; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003469:Culture; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D016896:Treatment Outcome