Article Text

Download PDFPDF

Cognitive behavioural therapy reduced symptoms in patients with obsessive-compulsive disorders with no overt compulsive rituals

Statistics from

OpenUrlCrossRefPubMedWeb of Science


To determine the effectiveness of cognitive behavioural therapy for patients with obsessive-compulsive disorder (OCD) without overt compulsive rituals.


Randomised controlled trial.


Quebec, Canada.


29 referred or self referred patients (mean age 36 y, 55% men) who were diagnosed with OCD based on the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised; used cognitive neutralising activities; had no overt compulsions or compulsions functionally related to the target obsession; and did not meet diagnostic criteria for substance abuse disorder, psychotic disorders, organic mental disorder, paraphilia, or impulse control disorders and completed a pretreatment assessment. Patients with mood or anxiety disorders secondary to OCD, and those receiving medication at a stable dosage for ≥12 weeks, were eligible.


Patients allocated to treatment (n=15) met with trained therapists twice weekly for 1.5 hour sessions and received a standardised programme (a cognitive account of obsessions, training in exposure and response prevention, cognitive restructuring, and instruction in relapse prevention). Therapy termination was based on clinical improvement or a maximum of 40 sessions. Follow up sessions were held at 1, 2, and 3 months, and a booster session occurred at 6 months. Patients allocated …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.