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| Name | Class |
|---|---|
| Sorlandet Hospital HF | OTHER_GOV |
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Obsessive Compulsive Disorder (OCD) often becomes chronic if not treated. Exposure and response prevention (ERP) is recommended psychological treatment. The OCD-team at Haukeland University hospital has developed a concentrated 4-day treatment format which has been evaluated as part of standard care. Next step in the methodological development is to conduct a randomized controlled trial where the 4-day format is compared to self-help and waiting list. The study will be conducted at Solvang DPS, Sørlandet Hospital. Participants (16 in each group) are ordinary patients (>18 yrs) entitled to care in the specialist health care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Concentrated Exposure Treatment (cET) | Experimental | Please refer to:Havnen, A., Hansen, B., Öst, L.-G. & Kvale, G. Concentrated ERP delivered in a group setting: An effectiveness study. Journal of Obsessive Compulsive and Related Disorders 3, 319-324 (2014) |
|
| Self-help | Active Comparator | The self-help condition (SH): Foa, E.B. & Kozak, M.J. Mastery of obsessive-compulsive disorder: Client workbook, (Graywind Publications, New York, 1997). |
|
| Wait list | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Concentrated exposure treatment (cET) | Behavioral | Psychological cognitive behavioral treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Y-BOCS from pre cET-treatment to post treatment/ waiting list/ self-help | Y-BOCS changes will for all conditions be calculated by two approaches which will be compared. | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
| Changes i OCD diagnostic status (DSM-5) as measured by SCID | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Well-being | The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) will be administered to assess mental well-being. This scale has 14 items covering different aspects of mental health related to mental well-being. | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
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Inclusion Criteria:
OCD-patients referred to the OCD-team at Sørlandet Sykehus, Solvang DPS will be included.
Inclusion criteria
Exclusion Criteria:
OCD symptoms primarily associated with hoarding
Ongoing substance abuse/dependence
Bipolar disorder or psychosis
Ongoing suicidal ideation
Mental Retardation, based on previous medical history
If using antidepressants:
Unwilling to refrain from anxiety reducing substances, such as anxiolytics (e.g. benzodiazepines) and alcohol during the two days of exposure.
Patients living > 1.5 hour drive by car/ train from the treatment location.
Patients with a BMI-index considered too low for participation in psychological treatment
Patients with a full course of prior CBT for OCD.
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| Name | Affiliation | Role |
|---|---|---|
| Gerd Kvale, PhD | Haukeland UH | Principal Investigator |
| Gunvor Launes, MD | Sorlandet Hospital HF | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31803089 | Derived | Launes G, Hagen K, Sunde T, Ost LG, Klovning I, Laukvik IL, Himle JA, Solem S, Hystad SW, Hansen B, Kvale G. A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment. Front Psychol. 2019 Nov 15;10:2500. doi: 10.3389/fpsyg.2019.02500. eCollection 2019. |
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| ID | Term |
|---|---|
| D009771 | Obsessive-Compulsive Disorder |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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| Self-help | Behavioral |
|
| Work and social adjustment |
The Work and Social Adjustment Scale (W & SAS) is a short questionnaire measuring work and social adjustment. |
| Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
| Generalized anxiety | Generalized Anxiety Disorder Assessment 7 (GAD-7) is a brief 7-item self-report measure for generalized anxiety symptoms. Although developed for measuring severity of generalized anxiety disorder, the GAD-7 measures severity of general anxiety symptoms common to several anxiety disorders | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
| Depression | Patient Health Questionnaire, (PHQ-9) is a 9-item self-report questionnaire measuring level of depressive symptoms. Items are scored on a scale from 0 (not at all) to 3 (nearly every day). | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, minimum six months follow up |
| Insomnia | The Bergen Insomnia Scale (BIS) will be used to screen for sleep disturbances. The scale has six items covering different aspects of sleep disturbances the past 4 weeks | Pre-treatment, 1 week post, minimum nine weeks after pre-treatment, six months follow up |
| Client satisfaction | Client Satisfaction Questionnaire (CSQ-8) is an eight-item self-report form where patients report their level of satisfaction with the treatment they have undergone. | 1 week post Concentrated Exposure Treatment |