• Quote of the Day
    "People are crying up the rich and variegated plumage of the peacock, and he is himself blushing at the sight of his ugly feet."
    Sa'Di, posted by David Baxter

David Baxter

Administrator
Joined
Mar 26, 2004
Messages
38,085
Points
113
Abstract: CBT and medication in the treatment of OCD
Thursday, April 13, 2006

Cognitive behaviour therapy and medication in the treatment of obsessive-compulsive disorder.
O'Connor KP, Aardema F, Robillard S, Guay S, Pelissier MC, Todorov C, Borgeat F, Leblanc V, Grenier S, Doucet P.

Fernand-Seguin Research Centre, Louis-H. Lafontaine Hospital, Montreal, QC, Canada.

Objective: To compare cognitive behaviour therapy (CBT) with CBT plus medication; medication alone; and placebo in the treatment of adult obsessive-compulsive disorder (OCD).

Method: Forty-eight participants (43 completers) were recruited into two protocols. In the first protocol, 21 people with OCD were randomly allocated to either a standard medication (fluvoxamine) or standard placebo condition for a 5-month period. Both these groups subsequently received CBT for a further 5 months. In the second protocol, 22 people with OCD received CBT, one group was already stabilized on an antidepressant of choice; the second group was drug naive.

Results: All active treatments, but not the placebo, showed clinical improvement. There was no difference in treatment response to CBT regardless of whether participants had previously received medication or placebo.

Conclusion: CBT has a more specific antiobsessional effect than medication but CBT plus medication shows greatest overall clinical improvement in mood.

Acta Psychiatr Scand. 2006 May;113(5):408-19
 

Top Bottom