Helping Adults With Obsessive-Compulsive Disorder Succeed at Work
- Conditions
- Obsessive-Compulsive Disorder (OCD)
- Registration Number
- NCT07124780
- Lead Sponsor
- New York State Psychiatric Institute
- Brief Summary
The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. All 40 participants will receive up to 12 sessions of the first-line treatment for OCD called exposure and response prevention, a form of Cognitive Behavioral Therapy (CBT). Assigned by chance, half of the people will also receive Individual Placement and Support (IPS); the other half will receive standard vocational services (SVS). This study will compare these two approaches for helping adults with OCD find and maintain work.
- Detailed Description
The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. In a randomized controlled trial (RCT), we will compare the work and clinical outcomes of individuals with OCD (n=20) who receive CBT plus standard vocational services (SVS) to those who receive this same course of CBT but who also receive Individual Placement and Support (IPS) (n=20). Work and clinical outcomes will be measured before starting CBT, at the end of CBT treatment, and at 6, 9, and 12-month time points.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Primary diagnosis of OCD
- Currently unemployed and interested in finding competitive employment
- For those currently on medication: On a stable dose of psychiatric medication and willing to remain on this dose for the duration of CBT
- Currently receiving supported employment services
- Active suicidality or recent suicide attempt
- Active substance use problem (other than nicotine) that warrants treatment
- Comorbid psychiatric conditions that significantly elevate the risk of study participation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Competitive employment From enrollment to the end of 12 months Employed at least one work shift in an integrated work setting in the open job market at prevailing wages with supervision provided by personnel employed by the business.
Hours worked From enrollment to the end of 12 months Total hours of competitive employment
- Secondary Outcome Measures
Name Time Method Yale-Brown Obsessive Compulsive Scale (scores range from 0-40 with higher scores indicating greater OCD severity) From enrollment to the end of 12 months Change in severity of OCD symptoms
Quality of Life Enjoyment and Satisfaction Scale (scores range from 14-70 with higher scores indicating greater life satisfaction and enjoyment) From enrollment to the end of 12 months Change in degree of enjoyment and satisfaction experienced by subjects in various areas of daily functioning