What Are You Looking for? Psychometric and Experimental Analyses of Reassurance Seeking in Obsessive-compulsive Disorder
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Self-reported anxiety
研究概览
简要总结
This study evaluates the efficacy and acceptability of two cognitive-behavioural interventions for reassurance seeking behaviour in obsessive-compulsive disorder (OCD), a family accommodation reduction protocol vs. a novel support-seeking protocol. Half of participants will be randomly assigned to participate in the support-seeking intervention, whereas the other half will participate in the family accommodation reduction intervention.
详细描述
An existing family accommodation reduction intervention to reduce reassurance seeking behaviour in OCD (which represents treatment as usual, or TAU) is being compared to a novel support-seeking intervention to determine which is more efficacious and acceptable to participants.
The TAU protocol asks participants to make an agreement with their significant others to withhold reassurance when it is sought. It is believed that this behaviourally-based intervention encourages extinction of reassurance seeking over time by eliminating reinforcement of the behaviour by significant others.
The support-seeking intervention asks participants to move towards adaptively seeking support from a significant other to manage anxiety or distress rather than seeking reassurance. Significant others are taught to provide support rather than reassurance. It is believed that support-seeking may reduce reassurance seeking behaviour because it helps participants manage the anxiety or distress that underlies the requests for reassurance without interfering with disconfirmatory learning.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of OCD
- •Engaging in reassurance seeking more than once a day about the same thing
- •Willingness to allow the experimenter to contact a significant other from whom the participant seeks reassurance regularly
- •Ability to read, write, and communicate in English
排除标准
- •Current suicidal ideation/intent
- •Current substance abuse
- •Psychosis
- •Diagnosis of bipolar disorder (I or II)
- •If participants are on medication they must be on a stable dose (i.e., have maintained a consistent dose for at least three months) and agree not to change their medication regimen for the duration of the study
研究组 & 干预措施
Support-seeking intervention
Cognitive-behavioural therapy intervention that guides participants to seek support rather than reassurance; participants' significant others are asked to provide support rather than reassurance.
干预措施: Cognitive-behavioural therapy (Other)
Family accommodation reduction intervention
Cognitive-behavioural therapy intervention that guides participants' significant others to withhold reassurance when it is requested; participants are asked to refrain from seeking reassurance.
干预措施: Cognitive-behavioural therapy (Other)
结局指标
主要结局
Self-reported anxiety
时间窗: 5 weeks (baseline monitoring through 3 week follow-up)
Level of anxiety on average per day, self-rated from 0-100
Self-reported reassurance seeking behaviour
时间窗: 5 weeks (baseline through 3 week follow-up)
Number of times participants self-report seeking reassurance per day
Self-reported support-seeking behaviour
时间窗: 4 weeks (condition assignment through 3 week follow-up)
Number of times participants in the support-seeking condition self-report seeking reassurance per day
One-week follow-up: Treatment Acceptability and Adherence Scale (TAAS; Milosevic, Levy, Alcolado, & Radomsky, 2015)
时间窗: One-week follow-up
Validated questionnaire assessing how acceptable participants find an intervention as well as ease of adherence.
One-week follow-up: Endorsement and Discomfort Scales (EDS; Tarrier, Liversidge, & Gregg, 2006)
时间窗: One-week follow-up
Validated questionnaire assessing acceptability of and discomfort caused by an intervention.
Three-week follow-up: Treatment Acceptability and Adherence Scale (TAAS; Milosevic, Levy, Alcolado, & Radomsky, 2015)
时间窗: Three-week follow-up
Validated questionnaire assessing how acceptable participants find an intervention as well as ease of adherence.
Three-week follow-up: Endorsement and Discomfort Scales (EDS; Tarrier, Liversidge, & Gregg, 2006)
时间窗: Three-week follow-up
Validated questionnaire assessing acceptability of and discomfort caused by an intervention.
次要结局
- Change in self-reported reassurance-seeking(Baseline to one-week follow-up and baseline to three-week follow-up)
- Change in anxiety(Baseline (monitoring week 1) to end of reassurance provision week (monitoring week 2))
研究者
Rachael Neal
Doctoral student
Concordia University, Montreal