Behavioural and Cognitive Psychotherapy



Clinical Section

CHANGES IN SYMPTOMS OF OCD AND APPRAISAL OF RESPONSIBILITY DURING COGNITIVE BEHAVIOURAL TREATMENT: A PILOT STUDY


Tim I. Williams  a1 c1, Paul M. Salkovskis  a2, Elizabeth A. Forrester  a2 and Mark A. Allsopp  a1
a1 Berkshire Adolescent Unit, Wokingham, UK
a2 Institute of Psychiatry, London, UK

Abstract

A consecutive series of six adolescents referred for obsessive compulsive disorder were treated using a cognitive behavioural approach that included procedures intended to: (1) reach a shared understanding of the psychological nature of the problem; (ii) normalize intrusive thoughts; (iii) help the patient to reappraise notions of responsibility; and (iv) help the patient re-evaluate the basis of their fears. The effects of treatment were measured using standardized questionnaires designed to elicit beliefs about responsibility, and symptoms of anxiety, depression, and obsessive compulsive disorder. During the course of treatment, appraisals of responsibility changed at the same time as changes in symptom levels. The results suggest a more cognitive approach to treatment can be helpful for this age group, and that cognitive change is associated with clinical improvement.


Key Words: Cognitive behaviour therapy; responsibility; outcome study; children.

Correspondence:
c1 Reprint requests to Tim Williams, Consultant Clinical Psychologist, Berkshire Adolescent Unit, Wokingham Hospital, Barkham Road, Wokingham RG41 2RE, UK.


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