Predictors of response to exposure and response prevention-based cognitive behavioral therapy for obsessive-compulsive disorder.

Adult Autism Spectrum Disorder / therapy Cognition Cognitive Behavioral Therapy Humans Obsessive-Compulsive Disorder / therapy Retrospective Studies Treatment Outcome
Cognitive behavioral therapy Exposure and response prevention Obsessive-compulsive disorder Therapeutic response

Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
04 09 2020
Historique:
received: 29 03 2020
accepted: 27 08 2020
entrez: 5 9 2020
pubmed: 6 9 2020
medline: 30 12 2020
Statut: epublish

Résumé

Cognitive behavioral therapy (CBT), which includes exposure and response prevention (ERP), is effective in improving symptoms of obsessive-compulsive disorder (OCD). However, whether poor cognitive functions and autism spectrum disorder (ASD) traits affect the therapeutic response of patients with OCD to ERP-based CBT remains unclear. This study aimed to identify factors predictive of the therapeutic response of Japanese patients with OCD to ERP-based CBT. Forty-two Japanese outpatients with OCD were assessed using the Wechsler Adult Intelligence Scale-III (WAIS-III), Yale-Brown Obsessive-Compulsive Scale, Patient Health Questionnaire 9-item scale, and Autism Spectrum Quotient (AQ) at pre- and post-treatment. We used multiple regression analyses to estimate the effect on therapeutic response change. The treatment response change was set as a dependent variable in multiple regression analyses. Multiple regression analyses showed that among independent variables, communication as an AQ sub-scale and Letter Number Sequencing as a WAIS-III sub-test predict the therapeutic response to ERP-based CBT . Our results suggest that diminished working memory (Letter Number Sequencing), poor communication skill (AQ sub-scale) may undermine responsiveness to ERP-based CBT among patients with OCD. UMIN, UMIN00024087 . Registered 20 September 2016 - Retrospectively registered (including retrospective data).

Sections du résumé

BACKGROUND
Cognitive behavioral therapy (CBT), which includes exposure and response prevention (ERP), is effective in improving symptoms of obsessive-compulsive disorder (OCD). However, whether poor cognitive functions and autism spectrum disorder (ASD) traits affect the therapeutic response of patients with OCD to ERP-based CBT remains unclear. This study aimed to identify factors predictive of the therapeutic response of Japanese patients with OCD to ERP-based CBT.
METHODS
Forty-two Japanese outpatients with OCD were assessed using the Wechsler Adult Intelligence Scale-III (WAIS-III), Yale-Brown Obsessive-Compulsive Scale, Patient Health Questionnaire 9-item scale, and Autism Spectrum Quotient (AQ) at pre- and post-treatment. We used multiple regression analyses to estimate the effect on therapeutic response change. The treatment response change was set as a dependent variable in multiple regression analyses.
RESULTS
Multiple regression analyses showed that among independent variables, communication as an AQ sub-scale and Letter Number Sequencing as a WAIS-III sub-test predict the therapeutic response to ERP-based CBT .
CONCLUSIONS
Our results suggest that diminished working memory (Letter Number Sequencing), poor communication skill (AQ sub-scale) may undermine responsiveness to ERP-based CBT among patients with OCD.
TRIAL REGISTRATION
UMIN, UMIN00024087 . Registered 20 September 2016 - Retrospectively registered (including retrospective data).

Identifiants

DOI: 10.1186/s12888-020-02841-4 PMID: 32887553 PMC: PMC7473813
pubmed: 32887553
doi: 10.1186/s12888-020-02841-4
pii: 10.1186/s12888-020-02841-4
pmc: PMC7473813
doi:

Banques de données

UMIN-CTR
['UMIN000024087']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

433

Subventions

Organisme : Japan Agency for Medical Research and Development
ID : JP20dm0307002
Pays : International
Organisme : Japan Society for the Promotion of Science
ID : 16K04344
Pays : International
Organisme : Japan Society for the Promotion of Science
ID : 16K04342
Pays : International
Organisme : Japan Society for the Promotion of Science
ID : 19K03309
Pays : International
Organisme : Japan Society for the Promotion of Science
ID : 19J00227
Pays : International

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Auteurs

Sayo Hamatani (S)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.
Japan Society for the Promotion of Science, Tokyo, Japan.

Aki Tsuchiyagaito (A)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.
Laureate Institute for Brain Research, Tulsa, OK, USA.

Masato Nihei (M)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Yuta Hayashi (Y)

Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.

Tokiko Yoshida (T)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Jumpei Takahashi (J)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Sho Okawa (S)

Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.
United Graduate School of Child Development, Osaka University Research Center of Child Mental Development, Chiba University, Chiba, Japan.

Honami Arai (H)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Maki Nagaoka (M)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Kazuki Matsumoto (K)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.

Eiji Shimizu (E)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan.
Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Cognitive Behavioral Therapy Center, Chiba University Hospital, Chiba, Japan.

Yoshiyuki Hirano (Y)

Research Center for Child Mental Development, Chiba University, Inohana, Chuo-ku, Chiba, 2608670, Japan. hirano@chiba-u.jp.
ORCID: 0000-0003-3844-3061

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Predictors of response to exposure and...
questionsmedicales.fr › Troubles mentaux › Troubles du développement neurologique › Troubles généralisés du développement de l'enfant › Trouble du spectre autistique › Predictors of response to exposure and...
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