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A Comparative Study of Family-Based and Patient-Based Behavioural Management in Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  02 January 2018

M. Mehta
M. Mehta*
Affiliation:
Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India
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Abstract

Thirty obsessive-compulsive patients were randomly allocated to two treatment conditions. In group A a significant family member was trained to act as cotherapist at home, whereas in group B, only the patient was seen and given home assignments. All 30 patients received a similar treatment regime of systematic desensitisation, exposure, and response prevention. The family-based approach resulted in greater improvement in anxiety, depression, obsessive symptoms, and in social adjustment in occupational and household responsibilities. The personality pattern of the family members also appeared to influence outcome.

Type
Brief Reports
Information
The British Journal of Psychiatry , Volume 157 , Issue 1 , July 1990 , pp. 133 - 135
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Akhtar, S., Wig, N.N., Verma, V. K., et al (1978) Socio-cultural and clinical determinants of symptomatology in obsessional neurosis. International Journal of Social Psychiatry, 24, 157–162.Google Scholar
American Psychiatric Association (1960) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Emmellkamp, P. M. & de Lange, I. (1983) Spouse involvement in the treatment of obsessive compulsive patients. Behavior Research and Therapy, 21, 341–346.Google Scholar
Foa, E. B. (1979) Failure in treating obsessive compulsives. Behavior Research and Therapy, 17, 169–176.Google Scholar
Foa, E. B., Grayson, J. B., Steketee, G. S., et al (1983) Success and failure in the treatment of obsessive compulsives. Journal of Consulting and Clinical Psychology, 51, 287–297.Google Scholar
Hoover, C. F. & Insel, T. R. (1984) Families of origin in obsessive compulsive disorder. Journal of Nervous and Mental Disease, 172, 207–215.Google Scholar
Jacobson, C. (1938) Progressive Relaxation. Chicago: Chicago University Press.Google Scholar
Kelly, D., Guirguis, W., Frommer, E., et al (1970) Treatment of phobic states with antidepressants: a retrospective study of 246 patients. British Journal of Psychiatry, 116, 387–398.Google Scholar
Khanna, S., Rajendra, P. N. & Channabasvanna, S. M. (1986) Sociodemographic variables in obsessive compulsive neurosis in India. International Journal of Social Psychiatry, 32, 47–54.Google Scholar
Rachman, S. & Hodgson, R. (1980) Obsessions and Compulsions. New Jersey: Prentice Hall.Google Scholar
Verma, S. K. (1978) Construction and Standardization of PGI Health Questionnaire No. 2. Agra: Agra Psychological Research Cell.Google Scholar
Zung, W. W. K. (1965) A self rating depression scale. Archives of General Psychiatry, 12, 63–70.Google Scholar
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