Success and failure in the behavioral treatment of obsessive-compulsives

Attempted to construct a model for predicting success and failure in the behavioral treatment (exposure and response prevention) of obsessive-compulsives ( N = 50, mean age 34 yrs). Three sets of variables--demographic, pretreatment level of neurotic symptomatology, and S's responses during ex...

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Bibliographic Details
Published in:	Journal of consulting and clinical psychology 1983-04, Vol.51 (2), p.287-297
Main Author:	Foa, Edna B
Format:	Article
Language:	eng
Subjects:	Adult Anxiety Behavior Therapy Behavior Therapy - methods Client Characteristics Demographic Characteristics Depression (Emotion) Female Human Humans Implosive Therapy Male Obsessive Compulsive Disorder Obsessive-Compulsive Disorder - psychology Obsessive-Compulsive Disorder - therapy Outcome and Process Assessment (Health Care) Psychotherapeutic Outcomes
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Summary:	Attempted to construct a model for predicting success and failure in the behavioral treatment (exposure and response prevention) of obsessive-compulsives ( N = 50, mean age 34 yrs). Three sets of variables--demographic, pretreatment level of neurotic symptomatology, and S's responses during exposure sessions--were examined. Seven variables were found to be related to outcome at posttreatment and/or at follow-up: Pretreatment level of depression and of anxiety, reactivity, and habituation of reported anxiety to feared stimuli within- and between-sessions were all found to affect outcome at posttreatment. Posttreatment outcome as well as age at symptom onset were significantly related to maintenance of gains. A model of the interrelationships of these variables was constructed and tested by a path analysis. (33 ref)
ISSN:	0022-006X 1939-2117