Intensification of treatment in people with an obsessive compulsive disorder who do not recover sufficiently from regular ERP treatment: a stepped care approach

Conditions: 10002861
Obsessive compulsive disorder

Registration Number: NL-OMON56782

Lead Sponsor: HSK Groep

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 35

Inclusion Criteria

Participants have a current primary classification of obsessive compulsive
disorderd according to the DSM-5, assessed with the DSI.
Participants have a Y-BOCS score of 16 or higher
Participants have a SQ-48 score higher than 37
Participants have an age between 18-64 years
Participants are able to speak the Dutch language on a sufficient level

Exclusion Criteria

- Presence of severe developmental disorders
- Severe suicidality
- Presence of a acute psychotic disorder
- Presence of a disorder that interferes with OCD
- Personalitytraits or disorders that need treatment first

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary objective of this study is to investigate the effects of condensed,<br /><br>intensive ambulatory exposure treatment in patients with OCD, as step 2 in the<br /><br>treatment process, who have not improved sufficiently with standard,<br /><br>protocolled CBT (ERP) as step 1. It is hypothesized that patients with<br /><br>insufficient response after standard treatment will benefit from<br /><br>intensification of treatment (Y-BOCS-SR < 12 and/or improvement percentage<br /><br>Y-BOCS-SR > 35%).</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>A second objective of this study is to map early indicators of treatment<br /><br>outcome. The hypothesis is that early indicators of insufficient response<br /><br>during standard CBT treatment can be identified. Early indicators to consider<br /><br>are: difficulty performing the exposure tasks, sleep problems, depressed mood,<br /><br>and excessive worrying</p><br>