Verhaltenstherapeutische Gruppentherapie für Zwangsstörungen

Abstract

Behavioural Group Therapy for Obsessive-Compulsive Disorder Introduction: The effectiveness of a behavioural group therapy programme over 10 double sessions for patients with obsessive-compulsive disorder (OCD) is evaluated. This out-patient group treatment programme provides education about OCD, instruction in a cognitive behavioural approach to self-treatment, guided behavioural treatment and additional multiple family groups. The group therapy (GRU) is compared with a pure medical treatment (MED) and a combined treatment (GRU/MED). Patients and Methods: For evaluation 155 patients (GRU: 45; MED: 55; GRU/MED: 5) were investigated pre (t1) and post (t2) treatment. The groups did not differ significantly pre-treatment regarding Y-BOCS scores and the duration of disorder. The groups differed according to age, depressive symptoms (Beck Depression Inventory) and psychosocial disability regarding work. Results: All groups showed a significant improvement of clinical pathology (Y-BOCS t1: 25.8 ± 4.9; t2 19,3 ± 7,8; p < 0.001), especially patients who received the group therapy or the combined treatment improved well (GRU t1: 25 ± 5.4; t2: 16.7 ± 8.9; GRU/MED t1: 25.6 ± 5.3, t2: 16.7 ± 7.09) compared to the purely medically treated group (MED t1: 26.4 ± 4; t2: 23.5 ± 5.9). Discussion: Results show that behavioural group therapy with multiple family groups is an effective therapy option for patients with OCD.