Response Prevention

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Eric A. Storch - One of the best experts on this subject based on the ideXlab platform.

  • Preliminary Predictors of Within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive–Compulsive Disorder
    Child & Youth Care Forum, 2013
    Co-Authors: Jessica Morgan, Tanya K. Murphy, Nicole E. Caporino, Alessandro S. De Nadai, Tatyana V. Truax, Adam B. Lewin, Leah Jung, Jennifer M. Park, Yasmeen Ali Khan, Eric A. Storch
    Abstract:

    Background Cognitive-behavioral therapy with exposure and Response Prevention (ERP) is an effective treatment for pediatric OCD; however, up to 30 % of children are treatment non-responders and as many as 40 % are partial responders. Although poor treatment adherence has been linked to attenuated Response in adults with OCD, little research has examined treatment adherence in pediatric OCD. Objective This study aimed to identify predictors of within-session treatment adherence in pediatric OCD. Method Independent raters coded 20 audiotaped psychotherapy sessions to assess for in-session adherence to ERP across three separate constructs: willingness to engage in exposure, Response Prevention, and within-session habituation. A number of baseline predictors were examined in relation to overall in-session adherence, including obsessive–compulsive symptom severity, family accommodation, and externalizing behavior. Results Higher levels of family accommodation and obsessive–compulsive symptom severity, but not externalizing behavior, were directly linked to poor in-session adherence, and the child’s willingness to participate in exposure drove these relationships. Mediational analyses suggested that obsessive–compulsive symptom severity mediated the relationship between family accommodation and in-session adherence to ERP. Conclusions Findings are preliminary but suggest that targeting family accommodation could increase compliance with exposure tasks, thus improving treatment outcome.

  • Preliminary Predictors of within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive-Compulsive Disorder.
    Child & Youth Care Forum, 2013
    Co-Authors: Jessica R. Morgan, Tanya K. Murphy, Nicole E. Caporino, Alessandro S. De Nadai, Tatyana V. Truax, Adam B. Lewin, Leah Jung, Jennifer M. Park, Yasmeen Ali Khan, Eric A. Storch
    Abstract:

    Background Cognitive-behavioral therapy with exposure and Response Prevention (ERP) is an effective treatment for pediatric OCD; however, up to 30 % of children are treatment non-responders and as many as 40 % are partial responders. Although poor treatment adherence has been linked to attenuated Response in adults with OCD, little research has examined treatment adherence in pediatric OCD.

  • D-cycloserine does not enhance exposure-Response Prevention therapy in obsessive-compulsive disorder.
    International clinical psychopharmacology, 2007
    Co-Authors: Eric A. Storch, Lisa J. Merlo, Michael A. Bengtson, Tanya K. Murphy, Mark H. Lewis, Mark C. K. Yang, Marni L. Jacob, Michael J. Larson, Adam T. Hirsh, Melanie Fernandez
    Abstract:

    Obsessive–compulsive disorder is a common, chronic, and oftentimes disabling disorder. The only established first-line treatments for obsessive–compulsive disorder are exposure and Response Prevention therapy and the serotonin reuptake inhibitors. Many patients do not experience complete symptom res

Tanya K. Murphy - One of the best experts on this subject based on the ideXlab platform.

  • Preliminary Predictors of Within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive–Compulsive Disorder
    Child & Youth Care Forum, 2013
    Co-Authors: Jessica Morgan, Tanya K. Murphy, Nicole E. Caporino, Alessandro S. De Nadai, Tatyana V. Truax, Adam B. Lewin, Leah Jung, Jennifer M. Park, Yasmeen Ali Khan, Eric A. Storch
    Abstract:

    Background Cognitive-behavioral therapy with exposure and Response Prevention (ERP) is an effective treatment for pediatric OCD; however, up to 30 % of children are treatment non-responders and as many as 40 % are partial responders. Although poor treatment adherence has been linked to attenuated Response in adults with OCD, little research has examined treatment adherence in pediatric OCD. Objective This study aimed to identify predictors of within-session treatment adherence in pediatric OCD. Method Independent raters coded 20 audiotaped psychotherapy sessions to assess for in-session adherence to ERP across three separate constructs: willingness to engage in exposure, Response Prevention, and within-session habituation. A number of baseline predictors were examined in relation to overall in-session adherence, including obsessive–compulsive symptom severity, family accommodation, and externalizing behavior. Results Higher levels of family accommodation and obsessive–compulsive symptom severity, but not externalizing behavior, were directly linked to poor in-session adherence, and the child’s willingness to participate in exposure drove these relationships. Mediational analyses suggested that obsessive–compulsive symptom severity mediated the relationship between family accommodation and in-session adherence to ERP. Conclusions Findings are preliminary but suggest that targeting family accommodation could increase compliance with exposure tasks, thus improving treatment outcome.

  • Preliminary Predictors of within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive-Compulsive Disorder.
    Child & Youth Care Forum, 2013
    Co-Authors: Jessica R. Morgan, Tanya K. Murphy, Nicole E. Caporino, Alessandro S. De Nadai, Tatyana V. Truax, Adam B. Lewin, Leah Jung, Jennifer M. Park, Yasmeen Ali Khan, Eric A. Storch
    Abstract:

    Background Cognitive-behavioral therapy with exposure and Response Prevention (ERP) is an effective treatment for pediatric OCD; however, up to 30 % of children are treatment non-responders and as many as 40 % are partial responders. Although poor treatment adherence has been linked to attenuated Response in adults with OCD, little research has examined treatment adherence in pediatric OCD.

  • D-cycloserine does not enhance exposure-Response Prevention therapy in obsessive-compulsive disorder.
    International clinical psychopharmacology, 2007
    Co-Authors: Eric A. Storch, Lisa J. Merlo, Michael A. Bengtson, Tanya K. Murphy, Mark H. Lewis, Mark C. K. Yang, Marni L. Jacob, Michael J. Larson, Adam T. Hirsh, Melanie Fernandez
    Abstract:

    Obsessive–compulsive disorder is a common, chronic, and oftentimes disabling disorder. The only established first-line treatments for obsessive–compulsive disorder are exposure and Response Prevention therapy and the serotonin reuptake inhibitors. Many patients do not experience complete symptom res

Douglas W. Woods - One of the best experts on this subject based on the ideXlab platform.

Erica De Koning - One of the best experts on this subject based on the ideXlab platform.

  • The Immediate Effects of Exposure Versus Response Prevention in the Treatment of Obsessive-Compulsive Disorder
    Behavioural and Cognitive Psychotherapy, 1995
    Co-Authors: Ger P. J. Keijsers, Cees A. L. Hoogduin, Cas Schaap, Trix De Jong, Erica De Koning
    Abstract:

    Several empirical studies suggest that exposure in vivo and Response Prevention have a differential treatment effect on the complaints presented by patients with Obsessive-Compulsive Disorder (OCD). In the present study it was hypothesized that exposure in vivo would result in a greater decrease of obsessional fear, whereas Response Prevention would result in a greater decrease of rituals. Forty patients, diagnosed with OCD, participated in the study. Half of the patients received exposure in vivo alone, followed by Response Prevention alone, and half received Response Prevention alone, followed by exposure in vivo alone. No differential treatment effects between exposure in vivo alone and Response Prevention alone could be found, although ritualistic behaviour was less strongly affected by exposure in vivo following Response Prevention.

Patrick C. Friman - One of the best experts on this subject based on the ideXlab platform.

  • Case Study: Exposure and Response Prevention for an Adolescent With Tourette's Syndrome and OCD
    Journal of the American Academy of Child and Adolescent Psychiatry, 2000
    Co-Authors: Douglas W. Woods, Shane S. Hook, Douglas F. Spellman, Patrick C. Friman
    Abstract:

    Using recently refined diagnostic criteria, the authors hypothesized that the frequent touching of others by a 16-year-old male adolescent with Tourette's syndrome was a compulsion and not a tic. Consistent with the study's hypothesis, the authors applied exposure and Response Prevention, a procedure empirically supported for treatment of compulsions but not for tics, to the touching. Results showed a significant decrease in touching attempts, overt anxiety, and subjective anxiety across time.