Assessing Models of Exposure Therapy

Not Applicable

Completed

• Conditions: Obsessive-compulsive Disorders and Symptoms
• Interventions: Behavioral: TAU-ERP; Behavioral: ACT-Focused ERP

• Registration Number: NCT01679457
• Lead Sponsor: Mclean Hospital

Brief Summary

The objective of this study is to learn how to improve treatment for clients who are working hard in treatment at the McLean Hospital Obsessive Compulsive Disorder Institute (OCDI), but who are not making the progress that would typically be expected. Therefore, the investigators will be comparing the performance of such clients in a treatment as usual (TAU)-Exposure and Response Prevention (ERP) session with their performance in an Acceptance and Commitment Therapy (ACT)-focused ERP session that follows an ACT booster session. The investigators hypothesize that clients will perform significantly better in the ACT-focused ERP session than they will in the TAU-ERP session. More specifically, the investigators hypothesize that clients and an independent rater will report that in the ACT-focused ERP session, clients performed significantly fewer rituals and/or avoidance behaviors, experienced comparable levels of distress, exerted significantly more effort, had significantly less difficulty getting started with the ERP, were significantly less influenced by their uncomfortable thoughts/feelings, were significantly more willing to experience discomfort, were significantly more focused on working towards what is important to the client. The investigators also hypothesize that an independent rater will rate clients as significantly more compliant with the ACT-focused ERP session than with the TAU-ERP session. The investigators also hypothesize that clients will rate the ACT-focused ERP session as significantly more preferable and acceptable than the TAU-ERP session, and that they will report being significantly more willing to do the ACT-focused ERP session again.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-08-22
• Study Start: 2012-09
• Study First Submitted QC: 2012-09-05
• Study First Posted: 2012-09-06
• Primary Completion: 2019-08
• Study Completion: 2019-08
• Status Verified: 2022-08
• Last Update Submitted: 2022-08-22
• Last Update Posted: 2022-08-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• Participants will be adults at least 18 years of age currently enrolled in the residential or day treatment program at the OCDI.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
ACT-Focused ERP	TAU-ERP	One Session.
TAU-ERP	ACT-Focused ERP	One Session.

Primary Outcome Measures

Name	Time	Method
Client Post-ERP Session Questions (Day 1).	Client Post-ERP Session Questions (Day 1) will be administered immediately after the "Day 1" TAU-ERP session.
Client Post-ERP Session Questions (Day 2).	Client Post-ERP Session Questions (Day 2) will be administered immediately after the "Day 2" ACT-focused ERP session.

Trial Locations

Locations (1)

Obsessive Compulsive Disorder Institute at McLean Hospital; 🇺🇸 Belmont, Massachusetts, United States