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Evaluation of an adapted cognitive behavioural therapy (CBT) group programme for people with obsessive compulsive disorder: a case study

Published online by Cambridge University Press:  23 April 2013

Abigail L. Wroe  and
Caroline Wise
Abigail L. Wroe*
Affiliation:
Royal Holloway University of London, Clinical Psychology, Holloway Hill, Egham, Surrey, UK
Caroline Wise
Affiliation:
University of Plymouth, Clinical Psychology, Plymouth, UK
*
*Author for correspondence: Dr A. L. Wroe, Royal HollowayUniversity of London, Clinical Psychology, Holloway Hill, Egham, Surrey TW20 0EX, UK (email: abigail.wroe@rhul.ac.uk).
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Abstract

Despite a strong evidence base for cognitive behavioural therapy (CBT) for obsessive compulsive disorder (OCD), there is limited evidence regarding the effectiveness of group therapy compared to individual therapy. As services struggle to manage high demands, CBT for OCD is often offered in group format. This paper examines the current evidence base for group CBT for OCD considering both clinical outcomes and cost, and describes a group CBT intervention for people with OCD. A CBT group was set up, consistent with NICE guidelines, but slightly adapted from standard group protocols, in line with recommendations from experts in the field. It was evaluated as part of an audit of the service. Statistical analyses demonstrated significant improvements in both measures of depression and the impact of difficulties, and on specific measures of OCD, in clients who attended group CBT (n = 17). The analyses also demonstrated improved effectiveness of therapist hours for group therapy compared to individual therapy. It is concluded that group therapy for OCD should be considered as an alternative to individual therapy when there are significant demands on the service. Recommendations regarding specific adaptations to the standard group CBT format are made.

Keywords

AnxietyCBTgroup psychotherapyOCD
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 5 , Issue 4 , December 2012 , pp. 112 - 123
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Jónsson, H, Hougaard, E (2009). Group cognitive behavioural therapy for obsessive-compulsive disorder: a systematic review and meta-analysis. Acta Psychiatrica Scandinavica 119, 98–106.Google Scholar
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Veale, D, Willson, R (2005). Overcoming Obsessive Compulsive Disorder. London: Robinson Publishing.Google Scholar

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