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When it's at: An examination of when cognitive change occurs during cognitive therapy for compulsive checking in obsessive-compulsive disorder

Title:

When it's at: An examination of when cognitive change occurs during cognitive therapy for compulsive checking in obsessive-compulsive disorder

Radomsky, Adam S., Wong, Shiu F., Giraldo-O’Meara, Martha, Dugas, Michel J., Gelfand, Laurie A., Myhr, Gail, Schell, Sarah E., Senn, Jessica M., Shafran, Roz and Whittal, Maureen L. (2018) When it's at: An examination of when cognitive change occurs during cognitive therapy for compulsive checking in obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry . ISSN 00057916 (In Press)

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Official URL: http://dx.doi.org/10.1016/j.jbtep.2018.12.003

Abstract

Abstract
Background and objectives
The cognitive theory of compulsive checking in OCD proposes that checking behaviour is maintained by maladaptive beliefs, including those related to inflated responsibility and those related to reduced memory confidence. This study examined whether and when specific interventions (as part of a new cognitive therapy for compulsive checking) addressing these cognitive targets changed feelings of responsibility and memory confidence.

Methods
Participants were nine adults with a primary or secondary diagnosis of OCD who reported significant checking symptoms (at least one hour per day) on the Yale-Brown Obsessive-Compulsive Scale. A single-case multiple baseline design was used, after which participants received 12 sessions of cognitive therapy. From the start of the baseline period through to the 1 month post-treatment follow-up assessment session, participants completed daily monitoring of feelings of responsibility, memory confidence, and their time spent engaging in compulsive checking.

Results
Results revealed that feelings of responsibility significantly reduced and memory confidence significantly increased from baseline to immediately post-treatment, with very high effect sizes. Multilevel modelling revealed significant linear changes in feelings of responsibility (i.e., reductions over time) and memory confidence (i.e., increases over time) occurred following the sessions when these were addressed. Finally, we found that improvements in these over the course of the treatment significantly predicted reduced time spent checking.

Limitations
The small sample size limits our ability to generalize our results.

Conclusions
Results are discussed in terms of a focus on the timing of change in cognitive therapy.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Article
Refereed:Yes
Authors:Radomsky, Adam S. and Wong, Shiu F. and Giraldo-O’Meara, Martha and Dugas, Michel J. and Gelfand, Laurie A. and Myhr, Gail and Schell, Sarah E. and Senn, Jessica M. and Shafran, Roz and Whittal, Maureen L.
Journal or Publication:Journal of Behavior Therapy and Experimental Psychiatry
Date:7 December 2018
Digital Object Identifier (DOI):10.1016/j.jbtep.2018.12.003
Keywords:Compulsive checking; Obsessive-compulsive disorder; Cognitive therapy; Responsibility; Memory confidence
ID Code:984788
Deposited By: MONIQUE LANE
Deposited On:21 Dec 2018 18:12
Last Modified:21 Dec 2018 18:12

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