Can you delve into the minds of your obsessive-compulsive disordered (OCD) clients to treat them more effectively: New developments inference based cognitive therapy (IBCT).
Submission type
Symposium
Scheduled
Parallel Session V: Ontvangkamer, 09-06-2018, 09:00 - 10:30
Kernwoorden
Inference Based Approach, OCD, cognition
Onderzoeksgebied
Anxiety and depression
Beknopte samenvatting van de totale bijdrage
New investigations are refining components most relevant to the success of IBCT, a non-frightening treatment for OCD that resolves obsessions through understanding why far-fetched possibilities seem so real. Topics cover: role of self-themes; recent clinical trials; validation of experimental protocols with implications for clinical practice; and advances in Tx delivery.
Auteurs
How Self themes can trigger Obsessions.
Sauvageau, Rose (Julie)
Abstract ID
1192
Submission type
Oral only
Introductie
Typing OCD by symptom subtype is problematic since individual’s rarely present only one subtype. Conversely, the often diverse content of obsessions might reflect an underlying self-theme and in particular a ‘feared self’ (e.g. I could be a murderer) which goes against the person’s authentic non violent self and values. These faulty evaluations about the self, reflect a fear of what their self might be (feared-self). Even though there is a growing interest in feared self in OCD, no study has experimentally investigated the relationship between feared-self and OCD. This presentation aims to describe preliminary results concerning the effect of an experimental priming of the feared-self on OCD symptoms. Hypotheses were an expected increase in symptoms reporting following the priming of the self-theme compared to control.
Materiaal en methodes
Hypothesis were tested with contrast analysis on repeated measure. The sample consisted of adults with a primary diagnosis of OCD. Symptoms were assessed before and after each task using 3 scales: obsession intensity, need to perform compulsions, state anxiety level.
Resultaten
Preliminary results indicated a linear trend toward more OCD symptoms in the group exposed to the feared-self theme.
Conclusie
Implications on OCD treatment and its theoretical understanding are discussed.
Auteurs
OCD. How to treat this most intriguing disorder differently? Clinicians come and see!
Visser, HV (Henny)
Abstract ID
1193
Submission type
Oral only
Introductie
The Inference Based Approach (IBA) to treating Obsessive Compulsive Disorder (OCD) has proven to be effective, achieving
Materiaal en methodes
In this presentation clinical cases will be used to present IBA.
Resultaten
After attending this presentation you will be able to explain to your colleagues what IBA is about and why it might be a fruitful approach for some of their patients.
Conclusie
Further a short overview will be given of a recently started multicenter trial in the Netherlands, in which the effectiveness of IBA compared to that of CBT for patients with OCD (with particular clinical characteristics) will be examined and the working mechanisms of both treatments will be studied using imaging techniques.
Auteurs
Initial results from a recent randomized controlled trial comparing cognitive therapy based on an inference based Cognitive Therapy (IBCT) with conventional CBT across OCD subtypes and severity.
Aardema, FA Dr. (Frederick)
Abstract ID
1169
Submission type
Oral only
Introductie
Obsessions are intense preoccupations about bad, harmful, dangerous, shocking or unlucky events which 'may' occur and which drive sufferers to perform time consuming and distressing compulsive rituals to prevent the possible event occurring. The current psychological treatment of choice is cognitive behavior therapy (CBT) which focuses on treating OCD by reducing obsessional anxiety about the likelihood and the consequences of the preoccupying event. An alternative cognitive treatment based on an inference-based approach (IBA) considers that OCD begins with the initial doubting inference 'maybe something is wrong' and focuses on changing the reasoning behind this doubting inference which often trumps the common-sense conviction that there is no reason to doubt.
Materiaal en methodes
The current talk presents the initial results from a randomized controlled clinical trial that allocated participants to either IBCT or CBT treatment condition or to a third generic mindfulness condition. The latter condition is a non-specific meditational-based training which has shown evidence of reducing stress and anxiety across a number of psychiatric problems including OCD.
Resultaten
Preliminary results (n=32)show the IBT to be superior (Y-BOCS pre-post: IBT d= 1.64; CBT d=1.28) and more generalizable in terms of number of participants responding to treatment.
Conclusie
IBCT may offer another alternative to CBT.
Auteurs
The role of reasoning processes in obsessive-compulsive disorder.
Wong, Shiu Fung Dr (Kelvin)
Abstract ID
1191
Submission type
Oral only
Introductie
The IBA conceptualises obsessions as pervasive doubts about reality that are inferred to be true due to faulty reasoning processes, such as inverse reasoning and a distrust of one’s senses. Evidence for the existence of these reasoning processes has mainly come from self-report measures and no study to date has examined the causal role of these reasoning processes in OCD. The current experimental study aimed to establish the causal role of inverse reasoning in the development of OCD symptoms.
Materiaal en methodes
An unselected sample of undergraduate students were randomly allocated to three training conditions: inverse reasoning training, normal reasoning training, and control. Reasoning training was accomplished through a modified version of Cognitive Bias Modification and OCD symptoms were measured using a series of behavioral tasks and self-report questionnaires.
Resultaten
Results provide evidence that the participants who received inverse reasoning training, compared to the control group, reported more OCD symptoms and were less likely to interact with objects commonly associated with contamination concerns.
Conclusie
We conclude that the current paradigm is appropriate for establishing the causal relationship between OCD symptoms and the reasoning processes outlined by the IBA.
Auteurs
