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A Decision Model in the Treatment of Obsessive–Compulsive Neuroses

Published online by Cambridge University Press:  02 January 2018

C. A. L. Hoogduin*
Affiliation:
K. U. Nijmegen and Head of Psychiatric Department, Reinier de Graaf Hospital
H. J. Duivenvoorden
Affiliation:
Erasmus University, Rotterdam
*
Reinier de Graaf Gasthuis, Reinier de Graafweg II, 26 25 HD Delft, The Netherlands

Abstract

The treatment of obsessive–compulsive disorders with a behavioural therapeutic program consisting of response prevention has proved to be rather successful. A prospective study of the potentialities of predicting the outcome of such a treatment program is described. The results of this research could possibly lead to the development of a decision model for use in the treatment of obsessive–compulsive neurosis.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

American Psychological Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Boersma, K., den Hengst, S., Dekker, J. & Emmelkamp, P. M. G. (1976) Exposure and response prevention in the natural environment: a comparison with obsessive–compulsive patients. Behaviour, Research and Therapy, 14, 1924.CrossRefGoogle ScholarPubMed
Boulougouris, J. C. (1977) Variables affecting the behaviour modification of obsessive-compulsive patients treated by flooding. In The Treatment of Phobic and Obsessive–Compulsive Disorders (eds Boulougouris, J. C. & Rabavilas, A. D.). New York: Pergamon Press.Google Scholar
Cooper, J. (1970) The Leyton Obsessional Inventory. Psychological Medicine, 1, 4864.Google Scholar
Cooper, J. & Kelleher, M. (1973) The Leyton Obsessional Inventory: a principle analysis on normal subjects. Psychological Medicine, 3, 204208.Google Scholar
Duivenvoorden, H. J. (1982) Motivatie voor Psychotherapie. Lisse: Swets & Zeitlinger.Google Scholar
Dijkstra, P. (1974) De zelfbeoordelingsschaal voor depressie van Zung. In Stemming en Ontstemming (eds van Praag, H. M. & Rooymans, H. G. M.). Amsterdam: Bohn.Google Scholar
Emmelkamp, P. M. G. (1982) Phobic and Obsessive–Compulsive Disorders. New York: Plenum Press.CrossRefGoogle Scholar
Emmelkamp, P. M. G., Hoekstra, R. J. & Visser, S. (1983) The behavioral treatment of obsessive–compulsive disorder, prediction of outcome at 3.5 years follow-up. In Psychiatry, Current States (ed. Brenner, H.). New York: Plenum Press.Google Scholar
Emmelkamp, P. M. G., Rabbie, D. M. (1981) Psychological treatment of obsessive–compulsive disorder: a follow-up four years after treatment. In Biological Psychiatry (eds Perris, E., Struwe, G. & Jansson, B.). Amsterdam: Elsevier.Google Scholar
Foa, E. B. (1979) Failure in treating obsessive–compulsives. Behaviour Research and Therapy, 7, 169176.Google Scholar
Foa, E. B., Grayson, J. B. & Steketee, G. S. (1982) Depression, habituation and treatment outcome in obsessive–compulsives. In Learning Theory Approaches to Psychiatry (ed. Boulougouris, J.). New York: Wiley.Google Scholar
Foa, E. B., Grayson, J. B., Steketee, G. S., Doppelt, H. G., Turner, R. M. & Latimer, P. R. (1983a) Success and failure in the behavioral treatment of obsessive–compulsives. Journal of Consulting and Clinical psychology, 51, 287297.Google Scholar
Foa, E. B. & Steketee, G. S. (1979) Obsessive–compulsives: conceptual issues and treatment interventions. In Progress in Behaviour Modification (eds Hersen, M., Eisler, R. M. and Miller, P. M.). vol. 8, pp. 153. London: Academic Press.Google Scholar
Foa, E. B., Steketee, G. S., Grayson, J. B. & Doppelt, H. G. (1983b) Treatment of obsessive–compulsives: when do we fail? In Failures in Behavior Therapy (eds Foa, E. B. & Emmelkamp, P. M. G.). New York: Wiley.Google Scholar
Habbema, J. D. F., Hermans, J. & van der Broek, K. (1974) A stepwise discriminant analysis program using density function. In Proceedings in Computational Statistics (ed. Bruckman, G.). Wien: Physica Verlag.Google Scholar
Habbema, J. D. F., Hilden, J. & Bjerregaard, B. (1978) The measurement of performance in probabilistic diagnosis I. The problem, descriptive tools and measures based on classification matrices. Methods of Information in Medicine, 17, 217226.Google Scholar
Hermans, J., van Zomeren, B. Raatgever, J. W., Sterk, P. J., Habbema, J. D. F. (1981) Use of posterior probabilities to evaluate methods of discriminant analysis. Methods of Information in Medicine, 20, 207212.Google Scholar
Hoogduin, C. A. L. & Hoogduin, W. A. (1984) The out-patient treatment of patients with an obsessive–compulsive disorder. Behaviour Research and Therapy, 22, 455460.Google Scholar
Kraaimaat, F. W. & van Dam-Baggen, C. M. J. (1976) Ontwikkeling van een zelfbeoordelingslijst voor obsessief-compulsief gedrag. Nederlands Tijdschrift voor Psychologie, 31, 201211.Google Scholar
Lange, A. (1984) Interactionele Probleemopolossings Vragenlijst, IPOV. Deventer: Van Loghum Slaterus.Google Scholar
Luteyn, F. & van der Ploeg, F. A. E. (1983) G. I. T., Groninger Intelligence Test. Lisse: Swets & Zeitlinger.Google Scholar
Marks, I. M., Hodgson, R. & Rachman, S. (1975) Treatment of chronic obsessive–compulsive neurosis by in-vivo exposure. A two-year follow-up and issues in treatment. British Journal of Psychiatry, 127, 349364.Google Scholar
Meyer, V., Levy, R. & Schnurer, A. (1974) The behavioural treatment of obsessive–compulsive disorders. In Obsessional States (Beech, H. R.). London: Methuen.Google Scholar
Miller, B. C. (1976) A multivariate development model of marital satisfaction. Journal of Marriage and the Family, 38, 643657.CrossRefGoogle Scholar
Rabavilas, A. W., Boulougouris, J. C. & Perissaki, C. (1979) Therapist qualities related to outcome with exposure in-vivo in neurotic patients. Journal of Behaviour Therapy and Experimental Psychiatry, 10, 293294.CrossRefGoogle Scholar
Spanier, G. B. (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 1528.CrossRefGoogle Scholar
Spielberger, C. W., Gorsuch, R. L. & Lushene, R. E. (1970) STAI, Manual for the State-Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 6370.Google Scholar
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