Effectiveness of Exposure and Ritual Prevention for Obsessive-Compulsive Disorder: Randomized Compared With Nonrandomized Samples

The efficacy of exposure and ritual prevention (EX/RP) for reducing symptoms of obsessive-compulsive disorder (OCD) has been demonstrated in several randomized controlled trials (RCTs). However, procedures used in these studies to maximize experimental control may have limited their generalizability...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2000-08, Vol.68 (4), p.594-602
Main Authors: Franklin, Martin E, Abramowitz, Jonathan S, Kozak, Michael J, Levitt, Jill T, Foa, Edna B
Format: Article
Language:English
Subjects:
Adult
Behavior Therapy
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Benchmarking - methods
Biological and medical sciences
Clinical outcomes
Clinical practice
Combined Modality Therapy
Exposure
Exposure Therapy
Female
Human
Humans
Male
Medical sciences
Neuroses
Obsessive Compulsive Disorder
Obsessive-Compulsive Disorder - drug therapy
Obsessive-Compulsive Disorder - therapy
Obsessive-Compulsive neuroses
Outpatient
Outpatient Treatment
Outpatients
Prevention
Psychiatric Status Rating Scales
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotropic Drugs - therapeutic use
Randomized Controlled Trials as Topic - standards
Rituals
Severity of Illness Index
Symptoms
Therapy
Treatment Effectiveness Evaluation
Treatment methods
Treatment Outcome
Treatment Outcomes
Treatments
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Description
Summary:The efficacy of exposure and ritual prevention (EX/RP) for reducing symptoms of obsessive-compulsive disorder (OCD) has been demonstrated in several randomized controlled trials (RCTs). However, procedures used in these studies to maximize experimental control may have limited their generalizability to typical clinical practice. Treatment outcome data from 110 clinical patients receiving EX/RP on an outpatient fee-for-service basis were compared with findings from 4 RCTs of EX/RP. Adult patients in the clinical sample were not excluded because of treatment history, concomitant pharmacotherapy, psychiatric comorbidity, age, or OCD severity. Clinical patients achieved substantial and clinically meaningful reductions in their OCD and depressive symptoms following EX/RP, which were comparable with those reported in the RCTs. Findings indicate that EX/RP is a potent treatment for OCD, and its benefits are not limited to select patient samples.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.68.4.594