Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-03T01:20:24.176Z Has data issue: false hasContentIssue false
  • English
  • Français

Social Support and Treatment Outcome of Obsessive Compulsive Disorder at 9-Month Follow-up

Published online by Cambridge University Press:  16 June 2009

Gail Steketee
Gail Steketee
Affiliation:
Boston University, USA
Get access Rights & Permissions [Opens in a new window]

Extract

The present study investigated whether social support and family members' reactions to clients with obsessive compulsive disorder played a significant role in the follow-up outcome of an intensive behavioral treatment program. The roles OCD symptoms, moodstate, social functioning and life events were also assessed. General social support did not predict relapse, but significant others' empathy and positive interactions were associated with maintenance of gains. Negative family interactions (especially criticism and anger) and belief that clients could control their symptoms predicted relapse. Higher levels of post-treatment anxiety and depression and poorer functioning were related to negative outcome, as was distress from life events during follow-up. Results are discussed with respect to possible mechanisms of action and future research needs.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 21 , Issue 2 , April 1993 , pp. 81 - 95
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Basoglu, M., Lax, T., Kasvidis, Y. and Marks, I.M. (1988). Predictors of improvement in obsessive-compulsive disorder. Journal of Anxiety Disorders 2, 299–317.CrossRefGoogle Scholar
Beck, A.T., Ward, C.M., Mendelson, M., Moch, J. and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561–571.CrossRefGoogle ScholarPubMed
Christensen, H., Hadzi-Pavlovic, D., Andrews, G. and Mattick, R. (1987) Behavior therapy and tricyclic medication in the treatment of obsessive-compulsive disorder: a quantitative review. Journal of Consulting and Clinical Psychology 55, 701–711.Google Scholar
Cohen, S., Mermelstein, R., Kamarck, T. and Hoberman, H. (1985). Measuring the functional components of social support. In Sarason, I.G. and Sarason, B.R. (Eds). Social Support: Theory, Research and Applications. Dordrecht, Holland: Martines Ujhoff.Google Scholar
Colletti, G. and Brownell, K.D. (1982). The physical and emotional benefits of social support: application to obesity, smoking and alcoholism. In Hersen, M., Eisler, R.M. and Miller, P.M. (Eds). Progress in Behavior Modification. New York: Academic Press.Google Scholar
Emmelkamp, P.M.G., De Haan, E. and Hoogduin, C.A.L. (1990). Marital adjustment and obsessive-compulsive disorder. British Journal of Psychiatry 156, 55–60.Google Scholar
Emmelkamp, P.M.G. and De Lange, I. (1983). Spouse involvement in the treatment of obsessive-compulsive patients. Behaviour Research and Therapy 21, 341–346.CrossRefGoogle ScholarPubMed
Emmelkamp, P.M.G. and Foa, E.B. (1983). Failures are a challenge. In Foa, E.B. and Emmelkamp, P.M.G. (Eds). Failures in Behavior Therapy. New York: Wiley.Google Scholar
Emmelkamp, P.M.G., Hoekstra, R.J. and Visser, S. (1985). The behavioral treatment of obsessive-compulsive disorder: prediction of outcome at 3.5 years follow-up. In Pichot, P., Berner, P., Wolf, R. and Thau, R. (Eds). Psychiatry: The State of the Art. New York: Plenum.Google Scholar
Foa, E.B., Steketee, G.S., Grayson, J.B. and Doppelt, H.G. (1983). Treatment of obsessive-compulsives: when do we fail? In Foa, E.B. and Emmelkamp, P.M.G. (Eds). Failures in Behavior Therapy. New York: Wiley.Google Scholar
Foa, E.B., Kozak, M.J., Steketee, G. and McCarthy, P.R. (1992). Treatment of depressive and obsessive-compulsive symptoms in OCD by imipramine and behavior therapy. British Journal of Clinical Psychology 31, 279–292.Google Scholar
Foa, E.B., Steketee, G. and Milby, J.B. (1980). Differential effects of exposure and response prevention in obsessive compulsive checkers. Behaviour Research and Therapy 18, 449–455.CrossRefGoogle Scholar
Foa, E.B., Steketee, G. and Ozarow, B.J. (1985). Behavior therapy with obsessive-compulsives: from theory to treatment. In Mavissakalian, M., Turner, S.M. and Michelson, L. (Eds). Obsessive-compulsive Disorders: Psychological and Pharmacological Treatments. New York: Plenum.Google Scholar
Frank, J.D. (1979). The present status of outcome studies. Journal of Consulting and Clinical Psychology 47, 310–316.CrossRefGoogle ScholarPubMed
Freund, B., Steketee, G.S. and Foa, E.B. (1987). Compulsive activity checklist: psychometric analysis with obsessive-compulsive disorder. Behavioral Assessment 9, 67–79.Google Scholar
Goldstein, A.P., Lopez, M. and Greenleaf, D.O. (1979). Introduction. In Goldstein, A.P. and Kanfer, F.H. (Eds). Maximizing Treatment Gains: Transfer Enhancement in Psychotherapy. New York: Academic Press.Google Scholar
Harty, M., Cerney, M., Colson, D., Coyne, L., Frieswyk, S., Johnson, S.B. and Mortimer, R. (1981). Correlates of change and long-term outcome, an exploratory study of intensively treated hospital patients. Bulletin of the Menninger Clinic 45, 209–228.Google ScholarPubMed
Henderson, S., Duncan-Jones, P., Byrne, D.G. and Scott, R. (1980). Measuring social relationships: the interview schedule for social interaction. Psychological Medicine 10, 723–734.CrossRefGoogle ScholarPubMed
Himaldi, W.G., Cerny, J.A., Barlow, D.H., Cohen, S. and O'Brien, G.T. (1986). The relationship of marital adjustment to agoraphobia treatment outcome. Behaviour Research and Therapy 24, 104–115.Google Scholar
Hooley, J.M. (1985). Expressed emotion: a review of the critical literature. Clinical Psychology Review 5, 119–139.CrossRefGoogle Scholar
Kazdin, A.E. and Wilson, G.T. (1978). Evaluation of behavior therapy: issues, evidence and research strategies. Cambridge, MA: Ballinger Publishing Co.Google Scholar
Marks, I.M., Mawson, D., Stern, R.S., Cobb, J. and MacDonald, R. (1980). Clomipramine and exposure for obsessive-compulsive rituals. British Journal of Psychiatry 136, 1–25.CrossRefGoogle ScholarPubMed
Mash, E.J. and Terdal, L.G. (1980). Follow-up assessments in behavior therapy. In Karoly, P. and Steffen, J.J. (Eds). Improving the Long-term Effects of Psychotherapy. New York: Gardner Press.Google Scholar
Mavissakalian, M., Turner, S.M., Michelson, L. and Jacob, R. (1985). Tricyclic antidepressants in obsessive-compulsive disorder: anti-obsessional or antidepressant agents? American Journal of Psychiatry 142, 572–576.Google ScholarPubMed
Mehta, M. (1990). A comparative study of family-based and patient-based behavioural management in obsessive-compulsive disorder. British Journal of Psychiatry 157, 133–135.CrossRefGoogle ScholarPubMed
Mermelstein, R., Lichtenstein, E. and McIntyre, K. (1983). Partner support and relapse in smoking-cessation programs. Journal of Consulting and Clinical Psychology 51, 465–466.CrossRefGoogle ScholarPubMed
Nicholson, R.A. and Berman, J.S. (1983). Is follow-up necessary in evaluating psychotherapy? Psychological Bulletin 93, 261–278.CrossRefGoogle ScholarPubMed
Philpott, R. (1975). Recent advances in the behavioral measurement of obsessional illness. Scottish Medical Journal 20, 33–40.CrossRefGoogle ScholarPubMed
Spielberger, E.D., Gorsuch, R.L. and Lushene, R.G. (1970). The State-trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Steele, G.P., Henderson, S. and Duncan-Jones, P. (1980). The reliability of reporting adverse experiences. Psychological Medicine 1, 301–306.CrossRefGoogle Scholar
Steketee, G. and Cleere, L. (1990). Obsessive-compulsive disorders. In Bellack, A.S., Hersen, M. and Kazdin, A.E. (Eds). International Handbook of Behavior Modification and Therapy. New York: Plenum.Google Scholar
Steketee, G. and Foa, E.B. (1985). Obsessive-compulsive disorder. In Barlow, D. (Ed). Clinical Handbook of Psychological Disorders. New York: Guilford Press.Google Scholar
Steketee, G., Kozak, M.J. and Foa, E.B. (1985, 09). Predictors of outcome for obsessive-compulsives treated with exposure and response prevention.Paper presented at the annual meeting of the European Association for Behaviour Therapy,Munich, West Germany.Google Scholar
Weissman, M. and Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry 33, 1111–1115.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.