Treatment of monozygotic twins with obsessive compulsive disorder using cognitive therapy and exposure with ritual prevention.

Abstract:

BACKGROUND:Assessment and treatment of cohabiting monozygotic (MZ) twins with obsessive compulsive disorder (OCD) is a possible challenge for clinical psychologists. AIMS:This study aims to present a detailed history of two sets of cohabiting MZ twins with OCD, and describe the adaption of cognitive behavior therapy in their treatments. METHOD:Two sets of cohabiting MZ twins completed a structured intake and the Yale Brown Obsessive Compulsive Scale as well as measures of depression, anxiety, a measure of obsessive beliefs, and thought action fusion. One set received cognitive behavior therapy and exposure with ritual prevention (ERP) simultaneously and the other received ERP separately. Pre-, post-treatment and follow-up assessments occurred for both sets of twins. RESULTS:All four individuals showed notable decreases in OCD, and results were maintained for three of the four participants at follow-up points. CONCLUSIONS:This study highlights the developmental course of OCD that can occur in cohabiting twins, and the clinical adaption that may be necessary.

journal_name

Behav Cogn Psychother

authors

Twohig MP,Whittal ML,Peterson KA

doi

10.1017/S1352465809990117

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

475-80

issue

4

eissn

1352-4658

issn

1469-1833

pii

S1352465809990117

journal_volume

37

pub_type

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