Cognitive Behavioral Therapy and Obsessive Complusive Disorder
Obsessive Complusive Disorder, defined as anxiety disorders until recently but finally accepted as a separate category of disorder, is a constant repetitive impulse, experiencing thoughts or images in a compelling and disturbing manner, and often a repetitive.
When left untreated, it usually has a chronic course with occasionally increasing and decreasing symptoms.
The most common treatment approaches for the treatment of OCD are cognitive behavioral therapy (CBT). As well as harmacological therapies (selective serotonin reuptake inhibitors-SSRIs) or a combination of both.
Both forms of treatment are effective in reducing OCD Symptoms in at least two-thirds of patients.
Also a Psychology Professor Salkovskis described cognitive explanation of OCD . He got his inspiration from Beck’s cognitive theory of mood disorders. Salkovskis reported that undesirable cognitions were normal experiences for about 90% of the general population. But people with OCD interpreted these experiences differently. While normal people are simply ignore these difficulties, people with OCD give them a special meaning.
According to Salkovskis, a number of underlying beliefs determine the response of people with OCD to negative compulsive experiences. These underlying beliefs are an exaggerated feeling that a person is responsible for harming himself or others and must take action to prevent it. The goal is to reduce unwanted thinking through some neutralization efforts of the individual (eg, compulsion, suppression or abduction).
The nature of OCD’s manifestation is two-component, obsessions and compulsions. These two components can be evaluated roughly and superficially as cognitive and behavioral elements. In this sense, CBT is expected to carry out an effective intervention by including these components. Indeed, there are many studies proving this.
Obsessive Complusive Disorder and Group Therapy
Although CBT is an effective intervention in the treatment of Obsessive Complusive Disorder, there are practical problems in applications. OCD is a common disorder seen in 2.5% of the population and there is a time-therapist trained by this formation to treat CBT. Therefore, the effectiveness of the group form of CBT in OCD is another focus of interest. Treating patients in groups eliminates the need for long waiting lists and allows the therapist to use his time more effectively.
Anderson and Rees concretize this achievement by exemplifying it through their own studies. Researchers ,reported that the therapist spent a total of 88 hours to treat the patient with cognitive behavioral group therapy (CBGT), but that the same number of patients would need 275 hours for individual treatment. Individual therapy requires 3 times the time required by group therapy, and CBGT provides more than 75% reduction in the therapist’s time for each patient.
CBGT also saves an estimated $ 600 per patient. There are two review studies in English that have previously examined the effectiveness of CBGT in OCD. In one of them, they reviewed 16 groups of treatment for adolescents and adults in the treatment of Obsessive Complusive Disorder. More recently, they reviewed 13 CBGT studies in the treatment of OCD and conducted a meta-analysis study.
However, when we search the literature there is a need for a new review study. The aim of this study is to provide an overview of the effectiveness of cognitive behavioral group therapy in the treatment of OCD. Also provides access to more patients and a limited number of therapists. For this purpose, in this study, empirical studies on the effectiveness of CBGT in Obsessive Complusive Disorder in the last 15 years have been systematically reviewed.