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Addition of cognitive‐behaviour therapy for obsessive‐compulsive disorder patients non‐responding to fluoxetine

Mirjam Kampman · Ger P. J. Keijsers · Cees A. L. Hoogduin · Marc J. P. M. Verbraak

93 citations0/0 files storedActa Psychiatrica Scandinavica

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Obsessive-Compulsive Spectrum Disorders Psychoanalysis and Psychopathology Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

Kampman M, Keijsers GPJ, Hoogduin CAL, Verbraak MJPM. Addition of cognitive‐behaviour therapy for obsessive‐compulsive disorder patients non‐responding to fluoxetine. Acta Psychiatr Scand 2002: 106: 314–319. © Blackwell Munksgaard 2002. Objective: Selective serotonin re‐uptake inhibitors (SSRIs) and cognitive behaviour therapy (CBT) have both proven to be effective in the treatment of obsessive compulsive disorder (OCD). It is generally recommended that adequate but unsuccessful SSRI treatment is supplemented with CBT, although only one empirical study was conducted to verify this recommendation. The present study examined the effects of supplemental CBT to continued fluoxetine treatment in OCD patients non‐responding to fluoxetine alone. Method: After 12 weeks of fluoxetine, 14 of 56 out‐patients had a reduction rate less than 25% on the Yale‐Brown Obsessive Compulsive Scale (Y‐BOCS) and were classified as non‐responders. They subsequently received 12 sessions CBT additional to the continued fluoxetine treatment. Results: The mean symptom reduction as rated by the Y‐BOCS, for the patients who completed both treatment phases, was 8.5% in the first phase and 41% in the second phase. Conclusion: Supplemental CBT for OCD patients, after initial, unsuccessful fluoxetine treatment is shown to be effective.

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References

1989The Yale-Brown Obsessive Compulsive Scale 1996Variants of exposure and response prevention in the treatment of obsessive-compulsive disorder: A meta-analysis 2000Anxiety disorders: a review of tricyclic antidepressants and selective serotonin reuptake inhibitors 1997Prediction of outcome and early vs. late improvement in OCD patients treated with cognitive behaviour therapy and pharmacotherapy 1999Current treatments of the anxiety disorders in adults 1999Cognitive-Behavioral Therapy as an Adjunct to Serotonin Reuptake Inhibitors in Obsessive-Compulsive Disorder 1994Cognitive behavior therapy for treatment-refractory panic disorder.2002A Randomized, Double-Blind, Placebo-Controlled Study of the Effects of Adjunctive Paroxetine in Panic Disorder Patients Unsuccessfully Treated With Cognitive-Behavioral Therapy Alone

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