Negative Reinforcement, Obsessive-Compulsive Disorder (OCD), and Exposure and Response Prevention (ERP) Strategies: A Narrative Review of Literature
DOI:
https://doi.org/10.14738/assrj.92.11766Keywords:
Negative reinforcement, Obsessive-compulsive disorder (OCD), Exposure and response prevention (ERP), Cognitive-behavioural model of learning, Narrative review of literatureAbstract
Clinical evidence has increasingly shown that Obsessive-Compulsive Disorder (OCD) can be effectively treated through psychotherapeutic interventions. Considering that there currently is a high diversity of psychotherapeutic interventions, how can health professionals decide on which strategies to use? What are the characteristics of the strategies effectively applied to treat OCD? The aim of the present review of clinical reports was to provide an overview of strategies employed in the psychotherapeutic treatment of OCD. The bibliographic research carried out through the Online Library of Knowledge (B-on) allowed for the identification of 23 publications that met the inclusion criteria for the present narrative review of the literature. Results revealed that amongst several strategies derived from the cognitive-behavioural model of learning, Exposure and Response Prevention (ERP) strategies applied in order to extinguish behaviours shaped by negative reinforcement directed many health professionals' attention.
References
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53-63 doi:101038/mp200894
Martin, G., & Pear, J. (1996). Behavior Modification: What it is and how to do it. (5th ed.). Prentice-Hall, Inc.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (5th ed.). Washington, DC: American Psychiatric Publishing.
World Health Organization. (2018). International Classification of Diseases-ICD-11. Geneva: World Health Organization.
Anholt, G. E., Aderka, I. M., Van Balkom, A. J. L. M., Smit, J. H., Schruers, K., Van Der Wee, N. J. A., & Van Oppen, P. (2014). Age of onset in obsessive-compulsive disorder: Admixture analysis with a large sample. Psychological Medicine, 44(1), 185-194. doi: 101017/ s0033291713000470
Stewart, S. E., Geller, D. A., Jenike, M., Pauls, D., Shaw, D., Mullin, B., & Faraone, S. V. (2004). Long‐term outcome of pediatric obsessive-compulsive disorder: A meta‐analysis and qualitative review of the literature. Acta Psychiatrica Scandinavica, 110(1), 4-13. doi: 101111/j1600-0447200400302x
Kagan, E. R., Frank, H. E., & Kendall, P. C. (2017). Accommodation in youth with OCD and anxiety. Clinical Psychology: Science and Practice, 24(1), 78. doi: 101111/cpsp12186
Flessner, C. A., Sapyta, J., Garcia, A., Freeman, J. B., Franklin, M. E., Foa, E., & March, J. (2011). Examining the psychometric properties of the Family Accommodation Scale-Parent-Report (FAS-PR). Journal of Psychopathology and Behavioral Assessment, 33(1), 38-46. doi:101007/s10862-010-9196-3
Thompson-Hollands, J., Kerns, C. E., Pincus, D. B., & Comer, J. S. (2014). Parental accommodation of child anxiety and related symptoms: Range, impact, and correlates. Journal of Anxiety Disorders, 28(8), 765-773. doi:101016/jjanxdis201409007
Wu, M. S., McGuire, J. F., Martino, C., Phares, V., Selles, R. R., & Storch, E. A. (2016). A meta-analysis of family accommodation and OCD symptom severity. Clinical Psychology Review, 45, 34-44. doi: 101016/jcpr201603003
Albert, U., Bogetto, F., Maina, G., Saracco, P., Brunatto, C., & Mataix-Cols, D. (2010). Family accommodation in obsessive-compulsive disorder: Relation to symptom dimensions, clinical and family characteristics. Psychiatry Research, 179(2), 204-211. doi: 101016/jpsychres200906008
Futh, A., Simonds, L. M., & Micali, N. (2012). Obsessive-compulsive disorder in children and adolescents: Parental understanding, accommodation, coping and distress. Journal of Anxiety Disorders, 26(5), 624-632. doi: 101016/jjanxdis201202012
Fineberg, N. A., Reghunandanan, S., Simpson, H. B., Phillips, K. A., Richter, M. A., Matthews, K., & Sookman, D. (2015). Obsessive–compulsive disorder (OCD): Practical strategies for pharmacological and somatic treatment in adults. Psychiatry research, 227(1), 114-125. doi: 101016/jpsychres201412003
Swan, A. J., & Kendall, P. C. (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice, 23(4), 417-435. doi:101111/ cpsp12169
Subramaniam, M., Abdin, E., Vaingankar, J. A., Chong, S. A. (2012). Obsessive-compulsive disorder: Prevalence, correlates, help-seeking and quality of life in a multiracial Asian population. Social Psychiatry and Psychiatric Epidemiology, 47(12), 2035-2043. doi: 101007/s00127-012-0507-8
Moritz, S. (2008). A review on quality of life and depression in obsessive-compulsive disorder. CNS Spectrums 13(S14), 16-22. doi: 101017/S1092852900026894
Ramos-Cerqueira, A. T. A., Torres, A. R., Torresan, R. C., Negreiros, A. P. M., & Vitorino, C. N. (2008). Emotional burden in caregivers of patients with obsessive-compulsive disorder. Depression and Anxiety, 25(12), 1020-1027. doi: 101002/da20431
Abramowitz, J. S., Blakey, S. M., Reuman, L., & Buchholz, J. L. (2018). New directions in the cognitive-behavioral treatment of OCD: Theory, research, and practice. Behavior Therapy, 49(3), 311-322. doi: 101016/jbeth201709002
Eddy, K. T., Dutra, L., Bradley, R., & Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24(8), 1011-1030. doi: 101016/jcpr200408004
National Institute for Health and Clinical Excellence. (2006). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder. British Psychological Society
Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A., & Marín-Martínez, F. (2008). Psychological treatment of obsessive-compulsive disorder: A meta-analysis. Clinical Psychology Review, 28(8), 1310-1325. doi: 101016/jcpr200807001
Atmaca, M., Yildirim, H., Yilmaz, S., Caglar, N., Mermi, O., Gurok, M. G.,…Turkcapar, H. (2015). HMRS results of hippocampus in the patients with obsessive-compulsive disorder before and after cognitive behavioral therapy. International Journal of Psychiatry in Clinical Practice, 19(4), 286-290. doi: 103109/1365150120151072220
Atmaca, M., Yildirim, H., Yilmaz, S., Caglar, N., Baykara, S., Kekilli, Y., … Turkcapar, H. (2018). Pituitary gland volumes in patients with obsessive-compulsive disorder before and after cognitive-behavioral therapy. Brazilian Journal of Psychiatry, 40(4), 420-423. doi: 101590/1516-4446-2017-2449
Braga, D. T., Abramovitch, A., Fontenelle, L. F., Ferrão, Y. A., Gomes, J. B., Vivan, A. S.,…Cordioli, A. V. (2016). Neuropsychological predictors of treatment response to cognitive behavioral group therapy in obsessive-compulsive disorder. Depression and Anxiety, 33(9), 848-861. doi: 101002/da22509
Li, P., Yang, X., Greenshaw, A. J., Li, S., Luo, J., Han, H.,…Li, Z. (2018). The effects of cognitive behavioral therapy on restingstate functional brain network in drug-naive patients with obsessive-compulsive disorder. Brain and Behavior, 8(5), 1-13. doi: 101002/brb3963
Pozza, A., Mazzoni, G. P., Coradeschi, D., & Dèttore, D. (2016). Immediate outcomes after inpatient intensive CBT for severe, resistant OCD. BPA-Applied Psychology Bulletin (Bollettino di Psicologia Applicata), 64(275), 15-24.
Şafak, Y., Karadere, M. E., Özdel, K., Özcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 1-8. doi: 105080/u7510
Torp, N. C., Dahl, K., Skarphedinsson, G., Thomsen, P. H., Valderhaug, R., Weidle, B.,… Ivarsson, T. (2015). Effectiveness of cognitive behavior treatment for pediatric obsessive-compulsive disorder: Acute outcomes from the nordic long-term OCD treatment study (NordLOTS). Behaviour Research and Therapy, 64, 15-23. doi: 101016/jbrat201411005
Yang, X. Y., Sun, J., Luo, J., Zhong, Z. X., Li, P., Yao, S. M.,…Li, Z. J. (2015). Regional homogeneity of spontaneous brain activity in adult patients with obsessive-compulsive disorder before and after cognitive behavioural therapy. Journal of Affective Disorders, 188, 243-251. doi: 101016/jjad201507048
Grøtte, T., Hansen, B., Haseth, S., Vogel, P. A., Guzey, I. C., & Solem, S. (2018). Three week inpatient treatment of obsessive-compulsive disorder: A 6-month follow-up study. Frontiers in Psychology, 9(620), 1-13. doi: 103389/fpsyg201800620
Leonard, R. C., Franklin, M. E., Wetterneck, C. T., Riemann, B. C., Simpson, H. B., Kinnear, K.,…Lake, P. M. (2016). Residential treatment outcomes for adolescents with obsessive-compulsive disorder. Psychotherapy Research, 26(6), 727-736. doi: 1080/1050330720151065022
Miegel, F., Cludius, B., Hottenrott, B., Demiralay, C., Sure, A., & Jelinek, L. (2019). Session-specific effects of the metacognitive training for obsessive-compulsive disorder (MCT-OCD). Psychotherapy Research, 30(4), 1-13. doi: 101080/1050330720191613582
Hansen, B., Hagen, K., Öst, L. G., Solem, S., & Kvale, G. (2018). The Bergen 4-day OCD treatment delivered in a group setting: 12-month follow-up. Frontiers in Psychology, 9(639), 1-10. doi: 103389/fpsyg201800639
Kvale, G., Hansen, B., Björgvinsson, T., Børtveit, T., Hagen, K., Haseth, S.,…Öst, L. G. (2018). Successfully treating 90 patients with obsessive compulsive disorder in eight days: The bergen 4-day treatment. BMC Psychiatry, 18(1), 1-9. doi: 101186/s12888- 018-1887-4
Barney, J. Y., Field, C. E., Morrison, K. L., & Twohig, M. P. (2016). Treatment of pediatric obsessive compulsive disorder utilizing parent-facilitated acceptance and commitment therapy. Psychology in the Schools, 54(1), 88-100. doi: 101002/pits21984
Maloney, G., Koh, G., Roberts, S., & Pittenger, C. (2019). Imagery rescripting as an adjunct clinical intervention for obsessive compulsive disorder. Journal of Anxiety Disorders, 66, 1-8. doi: 101016/jjanxdis2019102110
Grøtte, T., Solem, S., Vogel, P. A., Güzey, I. C., Hansen, B., & Myers, S. G. (2015). Metacognition, responsibility, and perfectionism in obsessive-compulsive disorder. Cognitive Therapy and Research, 39(1), 41-50. doi: 101007/s10608-014-9635-7
Key, B. L., Rowa, K., Bieling, P., McCabe, R., & Pawluk, E. J. (2017). Mindfulness‐based cognitive therapy as an augmentation treatment for obsessive-compulsive disorder. Clinical Psychology & Psychotherapy, 24(5), 1109-1120. doi: 101002/cpp2076
Kumar, A., Sharma, M. P., Narayanaswamy, J. C., Kandavel, T., & Reddy, Y. C. J. (2016). Efficacy of mindfulness-integrated cognitive behavior therapy in patients with predominant obsessions. Indian Journal of Psychiatry, 58(4), 366-371. Doi: 104103/0019-5545196723
Thiel, N., Jacob, G. A., Tuschen-Caffier, B., Herbst, N., Külz, A. K., Hertenstein, E.,… Voderholzer, U. (2016). Schema therapy augmented exposure and response prevention in patients with obsessive-compulsive disorder: Feasibility and efficacy of a pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 52, 59-67. doi: 101016/jjbtep201603006
Alcolado, G. M., & Radomsky, A. S. (2016). A novel cognitive intervention for compulsive checking: Targeting maladaptive beliefs about memory. Journal of Behavior Therapy and Experimental Psychiatry, 53, 75-83. doi: 101016/jjbtep201502009
Benito, K. G., & Walther, M. (2015). Therapeutic process during exposure: Habituation model. Journal of Obsessive-Compulsive and Related Disorders, 6, 147-157. doi: 101016/jjocrd201501006
Peterman, J. S., Read, K. L., Wei, C., & Kendall, P. C. (2015). The art of exposure: Putting science into practice. Cognitive and Behavioral Practice, 22(3), 379-392. doi: 101016/jcbpra201402003
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