Cognitive-behavior therapy and exposure and response prevention are the most effective psychological treatments for obsessive-compulsive disorder (OCD). However, these approaches often produce variable results with the majority of treated individuals remaining symptomatic. This study evaluated a new form of cognitive therapy based on Wells' metacognitive model of OCD. Treatment efficacy was assessed using single case methodology in 4 consecutively referred individuals. At post-treatment, all participants made clinically significant change on a range of standardized outcome measures and these gains were largely maintained through to 6-month follow-up. Metacognitive therapy could be an effective and time efficient treatment for OCD.

J Behav Ther Exp Psychiatry. 2008 Jun;39(2):117-32. Fisher PL, Wells A. Department of Clinical Psychology, University of Liverpool, Brownlow Hill, Liverpool L69 3GB, UK.

Posted: 05/11/2008



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