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How willing are you? Willingness as a predictor of change during treatment of adults with obsessive-compulsive disorder.

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Title: How willing are you? Willingness as a predictor of change during treatment of adults with obsessive-compulsive disorder.
Authors: Reid, Adam M., Garner, Lauryn E., Kirk, Nathaniel, Gironda, Christina, Krompinger, Jason W., Brennan, Brian P., Mathes, Brittany M., Monaghan, Sadie Cole, Tifft, Eric D., André, Marie‐Christine, Cattie, Jordan, Crosby, Jesse M., Elias, Jason A.
Source: Depression & Anxiety (1091-4269). Nov2017, Vol. 34 Issue 11, p1057-1064. 8p.
Subjects: Obsessive-compulsive disorder, Anxiety, Cognitive therapy, Acceptance & commitment therapy, Emotions, Behavior therapy, Milieu therapy, Motivation (Psychology), Treatment effectiveness, Psychological factors, Therapeutics
Abstract: Objective: Exposure and response prevention (ERP) is an effective treatment for individuals with obsessive-compulsive disorder (OCD), yet a substantial number of individuals with OCD do not fully respond to this intervention. Based on emerging experimental and clinical research on acceptance, this study sought to explore whether willingness to experience unpleasant thoughts, emotions, and bodily sensations during ERP was associated with improved treatment response.Methods: Two hundred eighty-eight adults with OCD receiving residential ERP provided self-rated willingness and other exposure-related variables during each daily coached ERP session. Obsessive-compulsive and depressive symptom severity was assessed every week. Multilevel modeling was used to study the impact of willingness on treatment outcome during the first 6 weeks of residential care.Results: Data indicated that individuals with higher willingness during ERP reported faster symptom reduction during residential treatment, even when controlling for length of stay, psychopharmacological intervention, depression, adherence, and rituals performed during ERP. These results appear to have both statistical and clinical significance.Conclusions: Willingness to fully experience unpleasant and unwanted thoughts, emotions, and bodily sensations during exposures appears to be a marker of successful exposure therapy in adults with OCD. Future research should examine how willingness may enhance extinction learning during ERP. [ABSTRACT FROM AUTHOR]
Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: How willing are you? Willingness as a predictor of change during treatment of adults with obsessive-compulsive disorder.
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  Data: <searchLink fieldCode="AR" term="%22Reid%2C+Adam+M%2E%22">Reid, Adam M.</searchLink><br /><searchLink fieldCode="AR" term="%22Garner%2C+Lauryn+E%2E%22">Garner, Lauryn E.</searchLink><br /><searchLink fieldCode="AR" term="%22Kirk%2C+Nathaniel%22">Kirk, Nathaniel</searchLink><br /><searchLink fieldCode="AR" term="%22Gironda%2C+Christina%22">Gironda, Christina</searchLink><br /><searchLink fieldCode="AR" term="%22Krompinger%2C+Jason+W%2E%22">Krompinger, Jason W.</searchLink><br /><searchLink fieldCode="AR" term="%22Brennan%2C+Brian+P%2E%22">Brennan, Brian P.</searchLink><br /><searchLink fieldCode="AR" term="%22Mathes%2C+Brittany+M%2E%22">Mathes, Brittany M.</searchLink><br /><searchLink fieldCode="AR" term="%22Monaghan%2C+Sadie+Cole%22">Monaghan, Sadie Cole</searchLink><br /><searchLink fieldCode="AR" term="%22Tifft%2C+Eric+D%2E%22">Tifft, Eric D.</searchLink><br /><searchLink fieldCode="AR" term="%22André%2C+Marie‐Christine%22">André, Marie‐Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Cattie%2C+Jordan%22">Cattie, Jordan</searchLink><br /><searchLink fieldCode="AR" term="%22Crosby%2C+Jesse+M%2E%22">Crosby, Jesse M.</searchLink><br /><searchLink fieldCode="AR" term="%22Elias%2C+Jason+A%2E%22">Elias, Jason A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Depression+%26+Anxiety+%281091-4269%29%22">Depression & Anxiety (1091-4269)</searchLink>. Nov2017, Vol. 34 Issue 11, p1057-1064. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Acceptance+%26+commitment+therapy%22">Acceptance & commitment therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Milieu+therapy%22">Milieu therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+factors%22">Psychological factors</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
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  Data: <bold>Objective: </bold>Exposure and response prevention (ERP) is an effective treatment for individuals with obsessive-compulsive disorder (OCD), yet a substantial number of individuals with OCD do not fully respond to this intervention. Based on emerging experimental and clinical research on acceptance, this study sought to explore whether willingness to experience unpleasant thoughts, emotions, and bodily sensations during ERP was associated with improved treatment response.<bold>Methods: </bold>Two hundred eighty-eight adults with OCD receiving residential ERP provided self-rated willingness and other exposure-related variables during each daily coached ERP session. Obsessive-compulsive and depressive symptom severity was assessed every week. Multilevel modeling was used to study the impact of willingness on treatment outcome during the first 6 weeks of residential care.<bold>Results: </bold>Data indicated that individuals with higher willingness during ERP reported faster symptom reduction during residential treatment, even when controlling for length of stay, psychopharmacological intervention, depression, adherence, and rituals performed during ERP. These results appear to have both statistical and clinical significance.<bold>Conclusions: </bold>Willingness to fully experience unpleasant and unwanted thoughts, emotions, and bodily sensations during exposures appears to be a marker of successful exposure therapy in adults with OCD. Future research should examine how willingness may enhance extinction learning during ERP. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=126090414
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        Text: English
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      – SubjectFull: Anxiety
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