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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Adding motivational interviewing and thought mapping to cognitive-behavioral group therapy: results from a randomized clinical trial

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Author(s):
Meyer, Elisabeth [1] ; Shavitt, Roseli G. [2] ; Leukefeld, Carl [3] ; Heldt, Elizeth [1] ; Souza, Fernanda P. [1] ; Knapp, Paulo [1] ; Cordioli, Aristides V. [1]
Total Authors: 7
Affiliation:
[1] Univ Fed Rio Grande do Sul, Dept Psychiat, Anxiety Disorders Program, BR-90035903 Porto Alegre, RS - Brazil
[2] Univ Sao Paulo, Sch Med, Hosp Clin, Obsess Compuls Spectrum Disorders Progr, Dept & Inst Psychiat, Sao Paulo - Brazil
[3] Univ Kentucky, Ctr Drug & Alcohol Res, Lexington, KY - USA
Total Affiliations: 3
Document type: Journal article
Source: Revista Brasileira de Psiquiatria; v. 32, n. 1, p. 20-29, MAR 2010.
Web of Science Citations: 15
Abstract

OBJECTIVE: Recent factor-analytic studies of obsessive-compulsive disorder identified consistent symptom dimensions. This study was designed in order to observe which obsessive compulsive symptom dimensions could be changed by adding two individual sessions of motivational interviewing and thought mapping of cognitive-behavioral group therapy using a randomized clinical trial. METHOD: Forty outpatients with a primary diagnosis of obsessive-compulsive disorder were randomly assigned to receive cognitive-behavioral group therapy (control group) or motivational interviewing+thought mapping plus cognitive-behavioral group therapy. To evaluate changes in symptomdimensions, the Dimensional Yale-Brown Obsessive-Compulsive Scale was administered at baseline and after treatment. RESULTS: At post-treatment, there were statistically significant differences between cognitive-behavioral group therapy and motivational interviewing+thought mapping+cognitivebehavioral group therapy groups in the mean total Dimensional Yale-Brown Obsessive-Compulsive Scale score, and in the contamination and aggression dimension score. Hoarding showed a statistical trend towards improvement. CONCLUSION: These findings suggest that adding motivational interviewing+thought mapping to cognitive-behavioral group therapy can facilitate changes and bring about a decrease in the scores in different obsessive-compulsive disorder symptom dimensions, as measured by the Dimensional Yale-Brown Obsessive-Compulsive Scale. Nonetheless, additional trials are needed to confirm these results. (AU)