Sessions Of Cognitive Therapy Research Articles

Comparing the effectiveness of group mindfulness-based cognitive therapy with emotion-focused therapy on anxiety sensitivity in patients with peptic ulcer

Introduction: Peptic ulcer is known as a psychosomatic disease that is closely related to anxiety and stress. This research aimed to compare the effectiveness of mindfulness-based cognitive therapy and emotion-oriented therapy on anxiety sensitivity in patients with peptic ulcers. Method: This semi-experimental study was conducted based on a pre-test-post-test-follow-up design and a control group. In total, 45 peptic ulcer patients who had referred to specialized and sub-specialized gastroenterology clinics in Mashhad, Iran in 2023 were enrolled in the study. The participants were selected by available sampling method and randomly replaced in two experimental groups and one control group (n=15). The experimental groups received intervention in the form of eight 90-minute sessions of emotion-focused therapy and mindfulness-based cognitive therapy. The control group did not receive training during the research. Participants completed the Taylor and Cox (1998) Anxiety Sensitivity Questionnaire before, immediately after, and three months after the interventions. The obtained data were analyzed by repeated measure ANOVA in SPSS software. Results: The findings showed that emotion-focused therapy and mindfulness-based cognitive therapy were effective on the anxiety sensitivity of patients with peptic ulcer (P<0.001). However, no significant difference was observed between the effectiveness of the two treatment approaches (P=0.78). Conclusion: The results showed that emotion-focused therapy and mindfulness-based cognitive therapy can be used to improve anxiety-related factors among patients with peptic ulcers.

The potential value of brief waitlist interventions in enhancing treatment retention and outcomes: a randomised controlled trial

ABSTRACT People with eating disorders are often placed on lengthy waitlists for treatment. This is problematic, as increased time spent on waitlists has been shown to predict dropout. We examined whether providing brief interventions to people on a waitlist improved retention or outcomes in treatment. Participants (N = 85) were referred to a university training clinic for 10-session cognitive behavioural therapy for non-underweight patients with eating disorders (CBT-T). While waitlisted for CBT-T, participants were randomised to one of two waitlist interventions or a control condition. In one waitlist intervention (CRT-Brief), participants received a cognitive remediation therapy session at the start of the waitlist period. In the other waitlist intervention (brief contact), participants were sent a short supportive email and psychoeducation halfway through the waitlist period. The control condition was waitlist as usual. There was no evidence to suggest that the waitlist interventions improved symptoms during the waitlist period or CBT-T. However, participants who received a waitlist intervention were three times more likely to complete treatment. The present study suggests that providing even brief contact while people are waitlisted for eating disorder treatment significantly improves retention. However, replication in a more adequately powered study is required.

The Effectiveness of Spirituality-Centered Cognitive Therapy on Body Image, Sexual Function, Illness Perception and Intrusive Thoughts in Iranian Women after Mastectomy

Spirituality-centered cognitive therapy refers to the way in which people search for and express the meaning and purpose of their lives, as well as experience connection with themselves, others, nature, and spirituality. This study aimed to determine the effectiveness of spirituality-centered cognitive therapy on body image, sexual function, disease perception, and disturbing thoughts in women after mastectomy. This was semi-experimental research, which was conducted via a pre-test–post-test method and had a control group. The samples included 85 women with breast cancer who had undergone mastectomy, and, based on the inclusion criteria, 78 individuals were randomly selected and were then divided into two groups (39 individuals in the intervention group and 39 individuals in the control group). The intervention group received eight 120 min sessions of spirituality-centered cognitive therapy, and the control group did not receive any training. Data were collected using questionnaires on illness perception, body image, sexual function, and rumination and were then analyzed by multivariate analysis of variance with repeated measurements using SPSS-24. Before the training, there was no significant difference between the intervention and control groups in the scores obtained by the scales. After the intervention, the mean scores in all scales except sexual function were significantly different from the control group. Therefore, spirituality-centered cognitive therapy may be useful for improving negative psychological symptoms among women in Iran with breast cancer after mastectomy surgery.

Can session-by-session changes in self-reported alliance scores serve as a measure of ruptures in the therapeutic alliance?

During treatment, the therapeutic alliance is characterized by rupture and repair episodes, which in turn are associated with psychotherapy outcome. It would be important to have a parsimonious tool to identify ruptures in psychotherapy sessions to provide therapists with meaningful feedback about when they occur. The present study thus aims to establish whether measuring self-reported alliance dynamics can function as a measure of alliance ruptures. The sample consisted of 58 depressed patients, who received 22 sessions of cognitive therapy for depression in an outpatient setting. The observer-rated Rupture Resolution Rating System (3RS) was applied to 58 sessions where the self-reported Working Alliance Inventory (WAI) completed by patients after each therapy session indicated that alliance ratings declined more than 2 SDs from that patient's individual mean. For comparison purposes, the 3RS was also applied to 58 randomly chosen sessions from the same treatment phase (early, middle, late). Results showed significant differences between sessions where the WAI indicated a drop in the alliance and randomly chosen sessions of the same treatment phase with regard to the frequency and impact of ruptures. This speaks for the construct validity of the 3RS. Session-by-session alliance ruptures may reliably be measured using a case-sensitive approach to identify meaningful drops in alliance self-report (WAI). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Effectiveness of Mindfulness-Based Cognitive Therapy on Psychological Distress Syndromes, Rumination, and Self-Compassion in Students with Psychological Distress

Objective: The current research was conducted with the aim of evaluating the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on psychological distress syndromes, rumination, and self-compassion in students experiencing psychological distress. Methods and Materials: This study was applied in nature and employed a quasi-experimental design, specifically a pretest-posttest control group design with a three-month follow-up period. The statistical population consisted of all female medical science students in Tehran during the academic year 2020-2021, from which 30 individuals were selected through purposive sampling and randomly assigned into two groups of 15 (15 in the experimental group and 15 in the control group). Data were collected using the Lovibond and Lovibond (1995) Depression, Anxiety, and Stress Scales, the Nolen-Hoeksema and Morrow (1993) Rumination Scale, and the Neff (2003) Self-Compassion Scale. Mindfulness-Based Cognitive Therapy sessions were conducted in 8 weekly 90-minute group sessions. Data were analyzed through analysis of variance. Findings: The results of the data analysis indicated that Mindfulness-Based Cognitive Therapy was effective in reducing rumination, psychological distress syndromes, and in increasing self-compassion among students in the experimental group experiencing psychological distress, compared to the control group students who also experienced psychological distress. Conclusion: Based on the results of this study, health professionals can use Mindfulness-Based Cognitive Therapy to improve rumination, psychological distress syndromes, and self-compassion among students experiencing psychological distress.

Predictors of dropout in cognitive processing therapy for PTSD: An examination of in-session treatment processes

Dropout rates for treatments for adult posttraumatic stress disorder (PTSD) are high. Process research can reveal client factors during treatment that predict dropout. An observational coding system was used to code client processes in audio-recorded early sessions of cognitive processing therapy (CPT), a gold-standard treatment for PTSD. Data are from a randomized controlled noninferiority trial of CPT and written exposure therapy (WET), with higher rates of dropout in CPT than WET (39.7% vs. 6.4%). Participants in this study were 53 treatment-seeking adults with PTSD who were in the CPT arm of the trial and completed the CAPS-5 at pretreatment and at least one session. Of these, 15 (28.3%) dropped out of CPT early (completing ≤9 sessions) and 38 (71.7%) completed treatment. Sessions were coded with an observational coding system on a four-point scale (0 = absent to 3 = high) for maladaptive trauma-related responses (overgeneralized beliefs, ruminative processing, avoidance), affective engagement (negative emotions, physiological distress), and adaptive processing (cognitive emotional processing). Binary logistic regressions showed that more physiological distress and cognitive emotional processing predicted lower dropout, whereas more avoidance predicted higher dropout. Negative emotion, ruminative processing, and overgeneralization were not significant predictors. These findings highlight potential early indicators of treatment engagement that could be targeted to reduce dropout and perhaps facilitate further therapeutic change.

Who Benefits the Most From Different Psychological Chronic Pain Treatments? An Exploratory Analysis of Treatment Moderators

Different psychological chronic pain treatments benefit some individuals more than others. Understanding the factors that are associated with treatment response—especially when those factors differ between treatments—may inform more effective patient-treatment matching. This study aimed to identify variables that moderate treatment response to 4 psychological pain interventions in a sample of adults with low back pain or chronic pain associated with multiple sclerosis, spinal cord injury, acquired amputation, or muscular dystrophy (N = 173). The current study presents the results from secondary exploratory analyses using data from a randomized controlled clinical trial which compared the effects of 4 sessions of cognitive therapy (CT), hypnosis focused on pain reduction (HYP), hypnosis focused on changing pain-related cognitions and beliefs (HYP-CT), and a pain education control condition (ED). The analyses tested the effects of 7 potential treatment moderators. Measures of primary (pain intensity) and secondary (pain interference, depression severity) outcome domains were administered before and after the pain treatments, and potential moderators (catastrophizing, hypnotizability, and electroencephalogram (EEG)-assessed oscillation power across five bandwidths) were assessed at pre-treatment. Moderator effects were tested fitting regression analyses to pre- to post-treatment changes in the three outcome variables. The study findings, while preliminary, support the premise that pre-treatment measures of hypnotizability and EEG brain activity predict who is more (or less) likely to respond to different psychological pain treatments. If additional research replicates the findings, it may be possible to better match patients to their more individually suitable treatment, ultimately improving pain treatment outcomes. PerspectivePre-treatment measures of hypnotizability and EEG-assessed brain activity predicted who was more (or less) likely to respond to different psychological pain treatments. If these findings are replicated in future studies, they could inform the development of patient-treatment matching algorithms.

Problem mastery and motivational clarification as mechanisms of change in cognitive-behavioral therapy for depression: Secondary analysis of a randomized controlled trial

ObjectiveIn process-outcome research, there is a growing body of literature investigating the therapeutic mechanisms underlying the promotion of positive change. This study investigated the between- and within-patient effects of problem mastery and motivational clarification on outcome in patients receiving two variations of cognitive therapies for depression. MethodsThis study drew on data of a randomized controlled trial conducted at an outpatient clinic and included 140 patients randomly assigned to 22 sessions of either cognitive-behavioral therapy or exposure-based cognitive therapy. To address the nested structure of the data and analyze mechanism effects, we used multilevel dynamic structural equations models. ResultsWe found significant within-patient effects of both problem mastery and motivational clarification on subsequent outcome. ConclusionThe results suggest that changes in problem mastery and motivational clarification precede symptom improvement during cognitive therapy for depressed patients and thus there may be benefit in fostering these putative mechanisms during psychotherapy.

Feasibility, Acceptability, and Preliminary Effectiveness of Cognitive-Reminiscence Therapy among Jordanian People with Major Depressive Disorders: A Mixed Methods Study

Depression is a major public health problem around the world. Negative automatic thoughts are cognitive errors that build in the mind, leading to depression. Cognitive-reminiscence therapy is one of the most effective psychosocial methods for managing cognitive errors. This study aimed to evaluate cognitive reminiscence therapy’s feasibility, acceptability, and preliminary effectiveness among Jordanian patients with major depressive disorder. A convergent-parallel design was employed. A convenience sampling method was used to recruit 36 participants (Site 1: n = 16, Site 2: n = 20). A total of 31 participants were included in the analysis, divided into six groups, with 5–6 participants in each group. Cognitive-reminiscence therapy included eight supported sessions of up to 2 h each, delivered over 4 wk. Recruitment, adherence, retention, and attrition rates of 80%, 86.1%, and 13.9%, respectively, indicated the feasibility of the therapy. The acceptability of therapy was reflected in the following four themes: Positive Cognitive Reminiscence Therapy Perspectives and Outcomes; Cognitive Reminiscence Therapy Sessions Challenge; Suggestions for Improving Cognitive Reminiscence Therapy Sessions; and Motivational Home Activities. A significant reduction in the mean of depressive symptoms and negative automatic thoughts and a significant increase in the self-transcendence mean demonstrated the effectiveness of the intervention. The study’s results suggest that cognitive reminiscence therapy is feasible and acceptable among patients with major depressive disorder. This therapy is a promising nursing intervention to reduce depressive symptoms and negative automatic thoughts and increase self-transcendence for those patients.

My recovery journey

This poem was written by a service user as an ending letter, reflecting on the 16 sessions of Cognitive Analytic Therapy they completed with a clinical psychologist. The service user consented to sharing their poetry anonymously, to be able to provide hope for others with similar struggles and experiences. It is a pleasure to share these words with the FPOP readership.

Individually delivered mindfulness-based cognitive therapy in concomitant problematic substance use and emotional symptoms: A process-based case study.

The process-based approach assumes that transdiagnostic psychological processes are involved in the onset and maintenance of mental disorders. Case conceptualization is used to identify such psychological processes and to individualize the intervention accordingly. This approach is fundamentally different from syndrome-based approaches in which standardized treatments are administered for psychiatric diagnoses or symptoms. In the current case, we proposed a process-based conceptualization and treatment for a woman with concomitant problematic substance use and emotional symptoms. Our idiosyncratic process-based conceptualization showed that for this person, substance abuse consisted in a maladaptive coping strategy to deal with repetitive negative thinking and poor emotion regulation skills, for which we decided to use a mindfulness-based intervention. Treatment comprised 8 weeks of individually delivered mindfulness-based cognitive therapy sessions. A comprehensive assessment of psychiatric symptoms and psychological processes was conducted at baseline, post-intervention and 3-month follow-up. The post-treatment assessment revealed that psychological processes targeted by the intervention were improved, together with the mindfulness trait. At the symptom-based level, we observed a significant reduction in substance abuse and emotional symptoms. Treatment gains were maintained at follow-up. From a process-based perspective, this result implies that the intervention successfully targeted the psychological processes underlying the presenting symptoms. Adopting a process-based approach rather than symptom- or syndrome-based approaches is a valuable alternative in the conceptualization and treatment of complex cases presenting with multiple comorbidities.

The effectiveness of mindfulness based cognitive therapy on rumination, perfectionism and thought-action fusion of women suffering from obsessive-compulsive disorder

Background and Aim: The purpose of the present study was to determine the effectiveness of cognitive therapy based on mindfulness on rumination, perfectionism, and thought-action fusion of women suffering from obsessive-compulsive disorder who are clients of counseling centers in Neka city. Methods: The present research method is practical in terms of purpose and in terms of field situation and in terms of quasi-experimental method with pre-test and post-test design and follow-up with reference group and random assignment. The statistical population of this research included all women who referred to counseling centers in Neka city in the first three months of 2019. Purposive sampling and 30 women who obtained the highest score in the obsessive-practical research tool of Foa et al. (2002) were selected as a sample and then randomly assigned 15 to the cognitive therapy group based on mindfulness and 15 People were assigned to the control group. The experimental group underwent eight sessions of cognitive therapy based on mindfulness based on the protocol of McKenzie et al. (2018), while the control group did not receive any intervention. Also, the rumination questionnaire of Nalen-Hoeksma and Maro (1991), the identity perfectionism questionnaire of Hewitt and Felt (1991), and the thought-action fusion questionnaire of Shafran et al. (1996) were used in the pre-test, post-test and follow-up stages. Finally, the data were analyzed using ANOVA with repeated measures and Bonferroni's post hoc test. Results: The results showed that cognitive therapy based on mindfulness on rumination (F=20.17, P<0.001), perfectionism (F=17.94, P<0.001) and thought-action fusion (F=13.95, P<0.001) women with obsessive-compulsive disorder has an effect. Conclusion: It can be concluded that cognitive therapy based on mindfulness is effective on rumination, perfectionism, and thought-action fusion of women suffering from obsessive-compulsive disorder, and this therapy can be used to improve women's psychological problems.

Emergency Management of Traumatic Brain Injuries Current Guideline and New Developments

Annually, traumatic brain injury keeps afflicting millions of individuals around the world. Traumatic brain injury may manifest in various forms from minor changes in consciousness to persistent comatoseness and death. The entirety of the brain is impacted by a diffused type of injury and edema in the most severe form of traumatic brain injury. Depending on the degree of the injury, there are many different treatment options, ranging from regular cognitive therapy sessions to invasive surgical procedures like bilateral decompressive craniectomies. Clinical practice guidelines have been developed to standardize assessment, discharge education, and referral of traumatic brain injury patients in order to achieve best practice management. Guidelines are described as propositions derived from research and used to direct clinicians and patients in making decisions about the highest degree of care and best practices in clinical practice. In order to minimise the risk of secondary brain injury and maximise the prognosis, early detection and therapy of severe traumatic brain injury are essential. The methodical evaluation and management of life-threatening situations that result from this is followed by invasive steps to control the airway, respiratory physiology, and hemodynamics, all with the main objective of maintaining a sufficient level of cerebral perfusion. Preventing secondary injury is the fundamental goal of early therapy of severe traumatic brain injury, specifically by preventing hypotension and hypoxia. The purpose of this research is to review the available information about the emergency management of traumatic brain injury current guideline and new developments

Does Cognitive Therapy Change the Early Maladaptive Schemas in Individuals with Alcohol Dependence? Evidence from a Randomized Controlled Trial.

Although early maladaptive schemas (EMSs) have been suggested as potential vulnerability markers for alcohol dependence (AD), there is less emphasis on addressing these schemas in substance abuse treatment programs. We thus aimed to examine the change in schemas in response to cognitive therapy in individuals with AD. In this an open-label randomized controlled study, individuals with alcohol dependence syndrome (ADS, n = 84) were randomized to the intervention group (n = 45), which received six cognitive therapy sessions combined with treatment as usual (TAU), or the control group (n = 39), which was on TAU only. Participants were assessed on the measures of EMSs, alcohol use severity, and perceived stress at baseline and posttreatment. The intervention group showed significant improvement in 5 out of 18 EMSs, that is, emotional deprivation, defectiveness, self-sacrifice, unrelenting standard, and negativity, compared to the control group, at the end of the treatment. There was a significant between-group effect for perceived stress but not for alcohol use severity. EMSs can be changed with cognitive therapy in individuals with AD and could be a crucial area to address in treatment programs. Further studies with long-term follow-up are warranted. The trial was registered with the Clinical Trials Registry-India (CTRI/2015/12/006441) on December 17, 2015.

Reduced psychological distress three months after intensive group-based cognitive therapy in cardiac patients

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): TrygFondenHelseFonden Background/Introduction Patients with coronary artery disease (CAD) and valvular heart disease (VHD) often suffer from psychological distress, which in turn leads to impaired quality of life, delayed return to work and increased morbidity and mortality. Manageable interventions addressing psychological distress in cardiac patients are needed. Purpose To develop an efficient and cost-effective model for cardiac patients to reduce psychological distress. Methods A multi-centre, prospective, randomized clinical trial in patients with newly diagnosed CAD and/or surgically treated VHD and concomitant psychological distress defined as Hospital Anxiety and Depression (HADS A(Anxiety) or D(Depression) ≥8) and part of the work force. The patients were randomized to either usual out-patient cardiac rehabilitation (CR) comprising an 8-week multidisciplinary program or usual care supplemented by five group-based cognitive therapy sessions performed by trained CR nurses. The primary outcome was total HADS score at three months. Results We included 147 patients with HADS score >=8; mean age was 55, 74% were male and 92% had CAD (Table 1). At three months, total HADS score improved by 8 (CI: 8.0-10.7) in the intervention versus 3,9 (CI: 11.8-15.4) in the usual care group (p for difference <0.001). Both subscales, anxiety and depression improved significantly more in the intervention group (Figure 1). Conclusion Brief cognitive behavioral therapy provided by cardiac nurses to patients with a high HADS score significantly reduced psychological destress after 3 months when compared to usual care. Baseline demographic and clinical characteristics Table 1 SD: Standard deviation, IQR: Interquartile range, CAD: Coronary artery disease, PCI Percutaneous Coronary intervention, CABG: coronary artery bypass graft, LVEF: Left ventricular ejection fraction

IAPT CBT treatment for PTSD following COVID-19-related intensive care admission – a case study

Abstract The current case study was conducted as part of the National Health Services and Health Education England implemented IAPT top-up training in trauma-focused cognitive therapy for post-traumatic stress disorder (PTSD). There has been an increase in the number of clients presenting to IAPT with COVID-19 intensive care unit PTSD since the pandemic. However, there are no current unitary guidelines for psychological therapy for this population. Treatment of PTSD using individual trauma-focused cognitive therapy has been shown to be effective for ICU-PTSD. The National Institute for Health and Care Excellence treatment guidelines recommend adapting existing protocols. This study describes how these recommendations were used in the treatment of COVID-19 ICU-PTSD in a 46-year-old male. It illustrates the use of trauma-focused cognitive therapy for PTSD and how ICU trauma memories including hallucinations were conceptualised. It also illustrates how the challenges of co-morbid panic attacks, long COVID and remote working were managed. The client attended 16 individual, 60- to 90-minute video sessions of trauma-focused cognitive therapy, conducted weekly via Microsoft Teams over a period of five months. The treatment plan was conducted in collaboration with the client’s general practitioner, physiotherapists, cardiopulmonary specialists, and his family. Treatment included a timeline, written narrative and imaginal reliving. It also applied stimulus discrimination, behavioural experiments and site visit. At the end of treatment, the client no longer showed clinically important symptoms of PTSD as assessed on the PCL-5 and interview. This was sustained at 3-month follow-up. Key learning aims. It is hoped that the reader will increase their understanding of the following: (1) Delivery of trauma-focused cognitive therapy for ICU-PTSD. (2) Cognitive conceptualisation of the trauma memory including hallucinations. (3) Management of co-morbid symptoms.

Treating Obsessive Compulsive Disorder with Cognitive Behavior Therapy (CBT): A Case Study

The present case study is about a 23 year’s old married man from a middle socioeconomic status Muslim family residing in Islamabad. He came with the signs of obsessive compulsive disorder such as obsessions, compulsions, superstitious thinking with comorbid depression, low mood, somatic complaints, anxiety, nervousness, tension, isolation and hostility. He was having these symptoms since 2006 to 2021. The present case study was conducted to assess the efficacy of cognitive behavior therapy (CBT) for individuals suffering with obsessive compulsive disorder. Case study continued for 12 sessions of cognitive behaviors therapy. 3 (1-3) sessions were conducted in initial phase, 5 sessions (4-9) were conducted in middle phase and 3 (10-12) sessions were conducted in termination phase and 2 follow up sessions after termination phase. Patient’s improvement was started in middle phase of the treatment; he seemed hopeful and motivated in getting better. After the end of the middle phase, he was almost symptom free. Further at the termination phase, patient’s symptoms were distinctly reduced and relapse prevention tactics were taught to him for dealing with his obsessive compulsive disorder symptoms in future. It was confirmed that CBT is an efficient therapy to treat obsessive compulsive disorder symptoms and improve well-being.

Negative mood regulation as a mechanism of change in cognitive therapy for depression.

The present study investigates the effects of negative mood regulation expectancies (NMRE) on symptom severity of depression in 2 cognitive therapies for depression. The sample included the first 146 consecutively recruited patients from a randomized controlled trial. Patients received 22 sessions of either cognitive-behavioral therapy or exposure-based cognitive therapy. They completed the Beck Depression Inventory and Negative Mood Regulation Scale at baseline and treatment termination, as well as after Sessions 7 and 14. Multilevel modeling was applied. We found a significant between-patient effect of NMRE on symptom severity of depression, when NMRE within-patient effects were set to random. There was no significant interactive effect of the between-patient NMRE with type of treatment. However, a significant moderation effect of the within-patient NMRE effect by treatment condition on depression severity was detected, with patients receiving cognitive-behavioral therapy benefiting more from improvements in NMRE. Together, these results empirically support NMRE as a relevant mechanism of change in cognitive therapy for depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

IMPACT OF MINDFULNESS BASED COGNITIVE THERAPY ON RESPONSE INHIBITION IN ADULTS WITH OBSESSIVE COMPULSIVE DISORDER

Background: 1. Aim: The present study attempts to see the impact of Mindfulness Based Cognitive Therapy on response inhibition ability in adults with Obsessive Compulsive Disorder (OCD) Methods and Materials: MBCT was applied on Pre- and post-assessments as intervention with a control group design were used to conduct this study including 34 patients with OCD. Clients were equally distributed in two groups where one group was given intervention Mindfulness based cognitive therapy (MBCT) sessions for 8 weeks. Pre- and post- intervention assessment was done using The Stroop Color and Word Test (SCWT) and the results were compared. Results: Obtained research data indicates that there was no signicant in the stroop effect between the group which had been undergone MBCT as compared to the other group. Conclusion: Findings revealed that MBCT did not had signicant effect on overall enhancement of stroop effect in adults with OCD

MINDFULNESS BASED COGNITIVE THERAPY AND SYMPTOMS SEVERITY IN PATIENTS WITH OBSESSIVE COMPULSIVE DISORDER

BACKGROUND: Obsessive Compulsive Disorder (OCD) is a mental disorder characterized by the presence of obsessions and compulsions with lifetime prevalence of around 2%-3%. Increase in symptoms severity often signicantly seen impairment with work, relationships and other responsibilities. Therefore, timely and effective intervention is required. Literature favors cognitive Behavioral therapy (CBT) as intervention in the management of symptoms severity. AIM: The present study attempts to see the role of mindfulness based cognitive therapy in reducing symptoms severity in OCD. METHODS AND MATERIALS: Pre- and post- MBCT intervention with a control group design were used to conduct this study involving 34 patients with OCD. Patients were equally distributed in two groups where one group was given intervention Mindfulness based cognitive therapy (MBCT) sessions for 8 weeks. Pre- and post- intervention assessment was done using Yale-Brown Obsessive Compulsive Scale (YBOCS) symptoms severity. And the results were compared. RESULTS: Obtained research data indicates that there is a signicant declined in the composite score on YBOCS symptoms severity at post intervention assessment in the group which had been undergone MBCTas compare to the other group. CONCLUSION: Findings revealed that MBCThas a signicant effect on reducing symptoms severity in patients with OCD.