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Cognitive Behavioural Therapy for Obsessive-Compulsive Disorder with Comorbid Schizophrenia: A Case Report with Repetitive Measurements

Published online by Cambridge University Press:  30 July 2013

Kristen Hagen*
Affiliation:
St. Olav's University Hospital, and Norwegian University of Science and Technology, Trondheim, Norway
Stian Solem
Affiliation:
Norwegian University of Science and Technology, and St Olav's University Hospital, Trondheim, Norway
Bjarne Hansen
Affiliation:
University Hospital, Bergen, and Norwegian University of Science and Technology, Trondheim, Norway
*
Reprint requests to Kristen Hagen, 6453 Kleieve, Norway. E-mail: [email protected]

Abstract

Background: Obsessive-compulsive disorder (OCD) has been observed in a substantial proportion of patients with schizophrenia. Although cognitive-behavioural therapy (CBT) is well documented for OCD, few case studies are available regarding CBT for comorbid OCD in schizophrenia. Aims: The study aims to present a case study to augment the limited knowledge concerning CBT treatment for OCD in patients with schizophrenia. Method: The research adopted a case study approach, with a baseline condition and repeated assessments during the 3-week treatment and 6-month follow-up period. Results: The treatment was successful and the patient achieved clinical significant change in OCD symptoms. The patient had a reduction on the Y-BOCS from 24 to 5 (79%) and from 38 to 10 (73%) on the OCI-R from before treatment to 6 months follow-up. He did not fulfil the criteria for an OCD diagnosis at the end of the 3-week treatment period, or the follow-up at 3- and 6 months. Conclusions: The results strengthen the impressions given by previous case studies suggesting that CBT may be a promising treatment for OCD in patients with schizophrenia.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Ekers, D., Carman, S. and Schlich, T. (2004). Successful outcome of exposure and response prevention in the treatment of obsessive compulsive disorder in a patient with schizophrenia. Behavioural and Cognitive Psychotherapy, 32, 375378.CrossRefGoogle Scholar
Kobori, O., Sato, H., Katsukura, R. and Harada, S. (2008). Cognitive behavioural therapy for obsessive compulsive symptoms affected by past psychotic experience of schizophrenia: a case report. Behavioural and Cognitive Psychotherapy, 36, 365369.Google Scholar
Kozak, M. J. and Foa, E. B. (1997). Mastery of Obsessive-Compulsive Disorder: a cognitive-behavioral approach. San Antonio, TX: The Psychological Corporation.Google Scholar
Pallanti, S., Hollander, E., Bienstock, C., Koran, L., Leckman, J. F., Marazziti, D., et al. (2002). Treatment non-response in OCD: methodological issues and operational definitions. International Journal of Neuropsychopharmacology, 5, 181191.Google Scholar
Poyurovsky, M., Weizman, A. and Weizman, R. (2004). Obsessive-compulsive disorder in schizophrenia: clinical characteristics and treatment. CNS Drugs, 18, 9891010.Google Scholar
Rodriguez, C. I., Corcoran, C. and Simpson, H. B. (2010). Diagnosis and treatment of a patient with both psychotic and obsessive-compulsive symptoms. American Journal of Psychiatry, 167, 754761.CrossRefGoogle ScholarPubMed
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