title: Office-based vs home-based behavioral treatment for obsessive-compulsive disorder: a preliminary study.
abstract: The current study investigated whether exposure with response prevention (ERP) for obsessive compulsive disorder (OCD) is more effective when administered in a participant's home or other natural environments where symptoms tend to occur, than in a therapist's office. Twenty-eight outpatients with a principal diagnosis of OCD were randomly assigned to receive ERP in their therapist's office vs. wherever their symptoms usually occur (e.g., at home, at work, in public places, in the car, etc.). Participants received 14, 90-min sessions of ERP with an individual therapist. Participants were assessed at pretreatment, post-treatment, and at 3- and 6-month follow-up. Assessments included both self-report as well as clinician-rated indicators of OCD symptom severity, depression, and functional impairment. Results suggested that participants improved significantly, regardless of where treatment occurred. There were no differences in efficacy between the home-based and office-based treatment for OCD. Implications of these findings are discussed.
authors: Anxiety Treatment and Research Centre, St Joseph's Healthcare, Hamilton, ONT, Canada. krowa@stjosham.on.ca
authors: Karen
authors: K
authors: Rowa
authors: Martin M
authors: MM
authors: Antony
authors: Laura J
authors: LJ
authors: Summerfeldt
authors: Christine
authors: C
authors: Purdon
authors: Lisa
authors: L
authors: Young
authors: Richard P
authors: RP
authors: Swinson
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D009864:Ontario; D010044:Outpatient Clinics, Hospital; D010352:Patient Dropouts; D016896:Treatment Outcome