Abstract:
BACKGROUND:Obsessive-compulsive disorder (OCD) is a severe condition with varied symptom presentations. Currently, the cognitive-behavioral treatment with the most empirical support is exposure and ritual prevention (EX/RP); however, clinical impression and some empirical data suggest that certain OCD symptoms are more responsive to treatment than others. METHODS:Prior work identifying symptom dimensions within OCD is discussed, including epidemiological findings, factor analytic studies, and biological findings. Symptom dimensions most reliably identified include contamination/cleaning, doubt about harm/checking, symmetry/ordering, and unacceptable thoughts/mental rituals. The phenomenology of each of these subtypes is described and research literature is summarized, emphasizing the differential effects of EX/RP and its variants on each of these primary symptom dimensions. RESULTS:To date it appears that EX/RP is an effective treatment for the various OCD dimensions, although not all dimensions have been adequately studied (i.e. symmetry and ordering). CONCLUSIONS:Modifications to treatment may be warranted for some types of symptoms. Clinical implications and directions for future research are discussed.
journal_name
Psychopathologyjournal_title
Psychopathologyauthors
Williams MT,Mugno B,Franklin M,Faber Sdoi
10.1159/000348582subject
Has Abstractpub_date
2013-01-01 00:00:00pages
365-76issue
6eissn
0254-4962issn
1423-033Xpii
000348582journal_volume
46pub_type
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