Patient Rating of Therapeutic Factors and Response to Cognitive-Behavioral Group Therapy in Patients with Obsessive-Compulsive Disorder.
Group therapy involves complex mechanisms that rely on certain therapeutic factors to promote improvement. The objective of this study was to assess patient rating of therapeutic factors during cognitive-behavioral group therapy (CBGT) and to investigate the correlation between patient rating and outcome of CBGT for the treatment of obsessive-compulsive disorder (OCD). In the present clinical trial, 15 patients participated in a 12-session CBGT protocol. Severity of symptoms was assessed before and after CBGT with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Clinical Global Impression (CGI), Hamilton Anxiety Scale (HAM-A), and Beck Depression Inventory (BDI). Yalom's Curative Factors Questionnaire was administered at the end of each session for patient rating of the usefulness of 12 therapeutic factors to treat OCD. There was a significant interaction between improvement in obsessive-compulsive symptoms and patient rating of altruism, universality, interpersonal learning input and output, family re-enactment, self-understanding, and existential factors over time. The results show that group therapeutic factors positively influence the response to CBGT in OCD patients.
a Federal University of Rio Grande do Sul (UFRGS) , School of Nursing, Porto Alegre , Rio Grande do Sul, Brazil.
Andressa S
AS
Behenck
b Federal University of Rio Grande do Sul (UFRGS) , Graduate Program in Psychiatry , Porto Alegre, Rio Grande do Sul, Brazil.
Juliana Braga
JB
Gomes
a Federal University of Rio Grande do Sul (UFRGS) , School of Nursing, Porto Alegre , Rio Grande do Sul, Brazil.
Elizeth
E
Heldt
D000328:Adult; D015928:Cognitive Behavioral Therapy; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000523:psychology / Q000628:therapy*; D017060:Patient Satisfaction; D011615:Psychotherapy, Group; D011795:Surveys and Questionnaires; D016896:Treatment Outcome