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Full-Text Articles in Educational Psychology
The “How” Of Exposures: Examining The Relationship Between Exposure Parameters And Outcomes In Obsessive-Compulsive Disorder, Clarissa W. Ong, Julie M. Peterson, Carina L. Terry, Jennifer Krafft, Jennifer L. Barney, Jonathan S. Abramowitz, Michael P. Twohig
The “How” Of Exposures: Examining The Relationship Between Exposure Parameters And Outcomes In Obsessive-Compulsive Disorder, Clarissa W. Ong, Julie M. Peterson, Carina L. Terry, Jennifer Krafft, Jennifer L. Barney, Jonathan S. Abramowitz, Michael P. Twohig
Psychology Faculty Publications
Exposure and response prevention (ERP) is the most empirically supported treatment for obsessive-compulsive disorder (OCD). However, details on how to effectively conduct ERP are lacking. The current study aimed to identify exposure parameters associated with better subsequent outcomes in ERP for OCD. We analyzed data from 271 therapy sessions across 46 participants in a randomized controlled trial comparing traditional ERP and ERP conducted from an acceptance and commitment therapy framework (ACT + ERP). Multilevel model results indicated that experiential delivery of acceptance/tolerance practice was associated with higher exposure homework adherence, lower psychological inflexibility, and less OCD symptom severity (except contamination) …
An Open Trial Of Acceptance And Commitment Therapy With Exposure And Response Prevention In An Intensive Outpatient Setting For Adults With Ocd, L. K. Capel, P. Zurita-Ona, C. Muller, Michael P. Twohig
An Open Trial Of Acceptance And Commitment Therapy With Exposure And Response Prevention In An Intensive Outpatient Setting For Adults With Ocd, L. K. Capel, P. Zurita-Ona, C. Muller, Michael P. Twohig
Psychology Faculty Publications
Intensive outpatient (IOP) treatment settings for adults with obsessive-compulsive disorder (OCD) are common, but data on their effectiveness is limited. The effectiveness of IOP treatment for adults with OCD using combined Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP) was studied with eight adults. The intervention was 15 hours per week for three weeks. Measures were collected at pre-treatment, one-week, two-weeks, post-treatment, and at one-month follow-up. At the end of treatment, all participants were in the mild range of OCD symptom severity with a mean symptom decrease of 58%. Psychological inflexibility, depression, anxiety and stress significantly decreased …
Moderators And Processes Of Change In Traditional Exposure And Response Prevention (Erp) Versus Acceptance And Commitment Therapy-Informed Erp For Obsessive-Compulsive Disorder, Clarissa W. Ong, Shannon M. Blakey, Brooke M. Smith, Kate L. Morrison, Ellen J. Bluett, Jonathan S. Abramowitz, Michael P. Twohig
Moderators And Processes Of Change In Traditional Exposure And Response Prevention (Erp) Versus Acceptance And Commitment Therapy-Informed Erp For Obsessive-Compulsive Disorder, Clarissa W. Ong, Shannon M. Blakey, Brooke M. Smith, Kate L. Morrison, Ellen J. Bluett, Jonathan S. Abramowitz, Michael P. Twohig
Psychology Faculty Publications
The present study evaluated moderators and processes of change in a randomized controlled trial comparing exposure and response prevention (ERP) delivered from a traditional framework versus ERP from an acceptance and commitment therapy framework (ACT+ERP) for obsessive-compulsive disorder (OCD). This paper presents baseline, weekly session, posttreatment, and follow-up data from the study. We examined (a) moderation effects of anxiety, depression, psychological inflexibility, and interpretation of intrusions and (b) the role of psychological inflexibility and interpretation of intrusions respectively as processes of change. Participants with less dysfunctional appraisals at pretreatment performed consistently better in ERP relative to ACT+ERP. In process analyses, …
Adding Acceptance And Commitment Therapy To Exposure And Response Prevention For Obsessive-Compulsive Disorder: A Randomized Controlled Trial, Michael P. Twohig, Jonathan S. Abramowitz, Brooke M. Smith, Laura E. Fabricant, Ryan J. Jacoby, Kate L. Morrison, Ellen J. Bluett, Lillian Reuman, Shannon M. Blakey, Thomas Ledermann
Adding Acceptance And Commitment Therapy To Exposure And Response Prevention For Obsessive-Compulsive Disorder: A Randomized Controlled Trial, Michael P. Twohig, Jonathan S. Abramowitz, Brooke M. Smith, Laura E. Fabricant, Ryan J. Jacoby, Kate L. Morrison, Ellen J. Bluett, Lillian Reuman, Shannon M. Blakey, Thomas Ledermann
Psychology Faculty Publications
The objective of this study was to test whether treatment acceptability, exposure engagement, and completion rates could be increased by integrating acceptance and commitment therapy (ACT) with traditional exposure and response prevention (ERP). 58 adults (68% female) diagnosed with obsessive-compulsive disorder (OCD; M age = 27, 80% white) engaged in a multisite randomized controlled trial of 16 individual twice-weekly sessions of either ERP or ACT + ERP. Assessors unaware of treatment condition administered assessments of OCD, depression, psychological flexibility, and obsessional beliefs at pretreatment, posttreatment, and six-month follow-up. Treatment acceptability, credibility/expectancy, and exposure engagement were also assessed. Exposure engagement was …
Acceptance And Commitment Therapy For A Case Of Scrupulosity-Related Obsessive-Compulsive Disorder, Eric B. Lee, Clarissa W. Ong, Woolee An, Michael P. Twohig
Acceptance And Commitment Therapy For A Case Of Scrupulosity-Related Obsessive-Compulsive Disorder, Eric B. Lee, Clarissa W. Ong, Woolee An, Michael P. Twohig
Psychology Faculty Publications
Acceptance and Commitment Therapy (ACT) is a modern form of Cognitive Behavior Therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP.