Abstract
Obsessive-compulsive disorder (OCD) is a chronic anxiety disorder, marked by recurrent, intrusive, and distressing thoughts (obsessions) and/or repetitive behaviors (compulsions) (American Psychiatric Association, 2004). Epidemiological data suggest a 6-month prevalence of 1–2% (Myers et al., 1984) and a lifetime prevalence of 2–3% (Robins et al., 1984). OCD symptoms often severely disrupt social and vocational functioning (Leon, Portera, & Weissman, 1995), and OCD is associated with a 40% unemployment rate (Steketee, Grayson,& Foa, 1987).Asurvey of individuals with OCD indicated that 20% spent 5–8 hr per day engaged in rituals, with 13% spending more than 17 hr per day during the most severe period of the disorder (Gallup Organization Inc., 1990).
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References
Abramowitz, J. S. (1997). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: a quantitative review. Journal of Consulting and Clinical Psychology, 65, 44–52.
Abramowitz, J. S., Franklin, M., & Cahill, S. P. (2003). Approaches to common obstacles in the exposure-based treatment of obsessive-compulsive disorder. Cognitive and Behavioral Practice, 10, 14–22.
Abramowitz, J. S., Franklin, M. E., & Foa, E. B. (2002). Empirical status of cognitive-behavioral therapy for obsessive-compulsive disorder: A meta-analytic review. Romanian Journal of Cognitive and Behavioral Psychotherapies, 2, 89–104.
Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001). Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clinical Psychology Review, 21, 683–703.
Abramowitz, J. S., Whiteside, S., Kalsy, S. A., & Tolin, D. F. (2003). Thought control strategies in obsessive-compulsive disorder: A replication and extension. Behaviour Research and Therapy, 41, 529–540.
American Psychiatric Association. (2004). Diagnostic and Statistical Manual of Mental Disorders (4th ed. Text Rev.). Washington, DC: Author.
Amir, N., Cashman, L. A., & Foa, E. (1997). Strategies of thought control in obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 775–777.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science & Practice, 10, 125–143.
Bain, J. A. (1928). Thought control in everyday life. New York: Funk & Wagnalls.
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
Borkovec, T. D., & Costello, E. (1993). Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 61, 611–619.
Brantley, J. (2003). Calming your anxious mind: How mindfulness and compassion can free you from anxiety, fear, and panic. Oakland, CA: New Harbinger.
Bystritsky, A., Liberman, R. P., Hwang, S., Wallace, C. J., Vapnik, T., Maindment, K., et al. (2001). Social functioning and quality of life comparisons between obsessive-compulsive and schizophrenic disorders. Depression and Anxiety, 14, 214–218.
Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P., & Gelder, M. (1994). A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. British Journal of Psychiatry, 164, 759–769.
Cottraux, J., Mollard, E., Bouvard, M., & Marks, I. (1993). Exposure therapy, fluvoxamine, or combination treatment in obsessive-compulsive disorder: One-year followup. Psychiatry Research, 49, 63–75.
Cottraux, J., Note, I., Yao, S. N., Lafont, S., Note, B., Mollard, E., et al. (2001). A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder. Psychotherapy and Psychosomatics, 70, 288–297.
Emmelkamp, P. M., & Beens, H. (1991). Cognitive therapy with obsessive-compulsive disorder: A comparative evaluation. Behaviour Research and Therapy, 29, 293–300.
Emmelkamp, P. M., & Kwee, K. G. (1977). Obsessional ruminations: A comparison between thought-stopping and prolonged exposure in imagination. Behaviour Research and Therapy, 15, 441–444.
Emmelkamp, P. M., Visser, S., & Hoekstra, R. J. (1988). Cognitive therapy vs exposure in vivo in the treatment of obsessive-compulsives. Cognitive Therapy and Research, 12, 103–144.
Fals-Stewart, W., Marks, A.P., & Schafer, J. (1993). A comparison of behavioral group therapy and individual behavior therapy in treating obsessive-compulsive disorder. Journal of Nervous and Mental Disease, 181, 189–193.
Foa, E. B., Liebowitz, M. R. Kozak, M. J., Davies, S., Campeas, R., Franklin, M. E., Huppert, J. D., Kjemisted, K., Rowan, V., Schmidt, A. B., Simpson, H. B., & Tux, X. (2005). Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 162, 151–161.
Foa, E. B., Steketee, G., & Milby, J. B. (1980). Differential effects of exposure and response prevention in obsessive-compulsive washers. Journal of Consulting and Clinical Psychology, 48, 71–79.
Franklin, M. E., Abramowitz, J. S., Kozak, M. J., Levitt, J. T., & Foa, E. B. (2000). Effectiveness of exposure and ritual prevention for obsessive-compulsive disorder: Randomized-compared with nonrandomized samples. Journal of Consulting and Clinical Psychology, 68, 594–602.
Franklin, M. E., & Foa, E. B. (1998). Cognitive-behavioral treatments for obsessive-compulsive disorder. In P. E. Nathan & J.M. Gorman (Eds.), Aguide to treatments that work (2nd ed., pp. 367–386). New York: Oxford University Press.
Freeston, M. H., & Ladouceur, R. (1997). What do people do with their obsessive thoughts? Behaviour Research and Therapy, 35, 335–348.
Freeston, M. H., Ladouceur, R., Gagnon, F., Thibodeau, N., Rheaume, J., Letarte, H., et al. (1997). Cognitive-behavioral treatment of obsessive thoughts: A controlled study. Journal of Consulting and Clinical Psychology, 65, 405–413.
Freiheit, S. R., Vye, C., Swan, R., & Cady, M. (2004). Cognitive-behavioral therapy for anxiety: Is dissemination working? The Behavior Therapist, 27, 25–32.
Frost, R. O., & Steketee, G. (Eds.). (2002). Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment. New York: Pergamon Press.
Gallup Organization Inc. (1990). A Gallup study of obsessive-compulsive sufferers. Princeton, NJ: Author.
Goisman, R. M., Rogers, M. P., Steketee, G. S., Warshaw, M. G., Cuneo, P., & Keller, M. B. (1993). Utilization of behavioral methods in a multicenter anxiety disorders study. Journal of Clinical Psychiatry, 54, 213–218.
Greist, J. H., Marks, I. M., Baer, L., Kobak, K. A., Wenzel, K. W., Hirsch, M. J., et al. (2002). Behavior therapy for obsessive-compulsive disorder guided by a computer or by a clinician compared with relaxation as a control. Journal of Clinical Psychiatry, 63, 138–145.
Haugen, G. B., Dixon, H. H., & Dickel, H. A. (1963). A therapy for anxiety tension reactions. New York: Macmillan.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. G. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Jacobson, E. (1929). Progressive relaxation. Chicago: University of Chicago Press.
Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.
Koran, L. M., Thienemann, M. L., & Davenport, R. (1996). Quality of life for patients with obsessive-compulsive disorder. American Journal of Psychiatry, 153, 783–788.
Kozak, M. J., & Foa, E. B. (1997). Mastery of obsessive-compulsive disorder: A cognitive-behavioral approach. San Antonio, TX: The Psychological Corporation.
Krochmalik, A., Jones, M. K., & Menzies, R. G. (2001). Danger ideation reduction therapy (DIRT) for treatment-resistant compulsive washing. Behaviour Research and Therapy, 39, 897–912.
Leon, A. C., Portera, L., & Weissman, M. M. (1995). The social costs of anxiety disorders. British Journal of Psychiatry, 166(Suppl. 27), 19–22.
Lindsay, M., Crino, R., & Andrews, G. (1997). Controlled trial of exposure and response prevention in obsessive-compulsive disorder. British Journal of Psychiatry, 171, 135–139.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1993). Dialectical behavior therapy for borderline personality disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed., pp. 470–522). New York: Guilford.
March, J. S., & Mulle, K. (1998). OCD in children and adolescents: A cognitive-behavioral treatment manual. New York: Guilford Press.
Marks, I. (1987). Fears, phobias, and rituals. New York: Oxford University Press.
McLean, P. D., Whittal, M. L., Thordarson, D. S., Taylor, S., Sochting, I., Koch, W. J., et al. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 69, 205–214.
Michelson, L., Mavissakalian, M., & Marchione, K. (1985). Cognitive and behavioral treatments of agoraphobia: Clinical, behavioral, and psychophysiological outcomes. Journal of Consulting and Clinical Psychology, 53, 913–925.
Murphy, M. T., Michelson, L. K., Marchione, K., Marchione, N., & Testa, S. (1998). The role of self-directed in vivo exposure in combination with cognitive therapy, relaxation training, or therapist-assisted exposure in the treatment of panic disorder with agoraphobia. Journal of Anxiety Disorders, 12, 117–138.
Myers, J. K., Weissman, M. M., Tischler, G. L., Holzer, C. E., III, Leaf, P. J., Orvaschel, H., et al. (1984). Six-month prevalence of psychiatric disorders in three communities 1980 to 1982. Archives of General Psychiatry, 41, 959–967.
Obsessive Compulsive Cognitions Working Group. (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667–681.
Obsessive Compulsive Cognitions Working Group. (2001). Development and initial validation of the Obsessive Beliefs Questionnaire and the Interpretation of Intrusions Inventory. Behaviour Research and Therapy, 39, 987–1006.
Rachman, S. (1997). The evolution of cognitive behaviour therapy. In C. G. Fairburn (Ed.), Science and practice of cognitive behaviour therapy (pp. 3–26). Oxford: Oxford University Press.
Reed, G. F. (1985). Obsessional experience and compulsive behavior: A cognitive-structural approach. London: Academic Press.
Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, E., Burke, J. D., Jr., et al. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.
Roemer, L., & Orsillo, S. M. (2003). Mindfulness: A promising intervention strategy in need of further study. Clinical Psychology: Science and Practice, 10, 172–178.
Salkovskis, P. M., & Westbrook, D. (1989). Behaviour therapy and obsessional ruminations: Can failure be turned into success? Behaviour Research and Therapy, 27, 149–160.
Schmidt, N. B., Woolaway-Bickel, K., Trakowski, J., Santiago, H., Storey, J., Koselka, M., et al. (2000). Dismantling cognitive-behavioral treatment for panic disorder: Questioning the utility of breathing retraining. Journal of Consulting and Clinical Psychology, 68, 417–424.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.
Shafran, R., & Rachman, S. (2004). Thought-action fusion: A review. Journal of Behavior Therapy and Experimental Psychiatry, 35, 87–107.
Shafran, R., Thordarson, D. S., & Rachman, S. (1996). Thought-action fusion in obsessive compulsive disorder. Journal of Anxiety Disorders, 10, 379–391.
Steketee, G., Grayson, J. B., & Foa, E. B. (1987). A comparison of characteristics of obsessive-compulsive disorder and other anxiety disorders. Journal of Anxiety Disorders, 1, 325–335.
Tolin, D. F., Abramowitz, J. S., Hamlin, C., Foa, E. B., & Synodi, D. S. (2002). Attributions for thought suppression failure in obsessive-compulsive disorder. Cognitive Therapy and Research, 26, 505–517.
Tolin, D. F., Abramowitz, J. S., Przeworski, A., & Foa, E. B. (2002). Thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 40, 1255–1274.
Tolin, D. F., & Hannan, S. E. (in press). The role of the therapist in behavior therapy. In J. S. Abramowitz & A. C. Houts (Eds.), Handbook of obsessive-compulsive spectrum disorders. New York: Kluwer Academic Publishers.
Tolin, D. F., Maltby, N., Diefenbach, G. J., Hannan, S. E., & Worhunsky, P. (2004). Cognitive-behavioral therapy for medication nonresponders with obsessive-compulsive disorder: A wait-list-controlled open trial. Journal of Clinical Psychiatry, 65, 922–931.
Tolin, D. F., Maltby, N., Diefenbach, G. J., & Worhunsky, P. (2004, November). Motivating treatment-refusing obsessive-compulsive disorder patients. In D. J. Dozois (Chair), Motivational interviewing and related strategies for the treatment of anxiety and depression. Symposium presented to the Annual Meeting of the Association for Advancement of Behavior Therapy, New Orleans, LA.
Tolin, D. F., Woods, C. M., & Abramowitz, J. S. (2003). Relationship between obsessive beliefs and obsessive-compulsive symptoms. Cognitive Therapy and Research, 27, 657–669.
Tolin, D. F., Worhunsky, P., & Maltby, N. (2003, November). The relationship between obsessive beliefs and thought control strategies in a clinical sample. Paper presented at the Annual Meeting of the Association for Advancement of Behavior Therapy, Boston.
Tolin, D. F., Worhunsky, P., & Maltby, N. (2004, March). Are “obsessive” beliefs specific to OCD? Paper presented at the Annual Meeting of the Anxiety Disorders Association of America, Miami.
van Balkom, A. J., de Haan, E., van Oppen, P., Spinhoven, P., Hoogduin, K. A., & van Dyck, R. (1998). Cognitive and behavioral therapies alone versus in combination with fluvoxamine in the treatment of obsessive compulsive disorder. Journal of Nervous and Mental Disease, 186, 492–499.
van Oppen, P., de Haan, E., van Balkom, A. J., Spinhoven, P., Hoogduin, K., & van Dyck, R. (1995). Cognitive therapy and exposure in vivo in the treatment of obsessive compulsive disorder. Behaviour Research and Therapy, 33, 379–390.
Vogel, P. A., Stiles, T. C., & Götestam, K. G. ((2004). Adding cognitive therapy elements to exposure therapy for obsessive compulsive disorder: A controlled study. Behavioural and Cognitive Psychotherapy, 32, 275–290.
Warren, R., & Thomas, J. C. (2001). Cognitive-behavior therapy of obsessive-compulsive disorder in private practice: an effectiveness study. J Anxiety Disord, 15, 277–285.
Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53, 5–13.
Wells, A. (1999). A cognitive model of generalized anxiety disorder. Behavior Modification, 23, 526–555.
Wells, A., & Papageorgiou, C. (1998). Relationships between worry, obsessive-compulsive symptoms and meta-cognitive beliefs. Behaviour Research and Therapy, 36, 899–913.
Wolpe, J. (1990). The practice of behavior therapy (4th ed.). New York: Pergamon Press.
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Hannan, S.E., Tolin, D.F. (2005). Mindfulness- and Acceptance-Based Behavior Therapy for Obsessive-Compulsive Disorder. In: Orsillo, S.M., Roemer, L. (eds) Acceptance and Mindfulness-Based Approaches to Anxiety. Series in Anxiety and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/0-387-25989-9_11
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