A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment
BackgroundThe Bergen 4-day treatment (B4DT) is a concentrated exposure-based treatment for patients with Obsessive-Compulsive Disorder (OCD) delivered during four consecutive days. The B4DT has in a number of effectiveness studies demonstrated promising results as approximately 90% of patients gain...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2019-11-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2019.02500/full |
| _version_ | 1828528755022233600 |
|---|---|
| author | Gunvor Launes Gunvor Launes Kristen Hagen Kristen Hagen Tor Sunde Lars-Göran Öst Lars-Göran Öst Ingrid Klovning Inger-Lill Laukvik Inger-Lill Laukvik Joseph A. Himle Stian Solem Stian Solem Sigurd W. Hystad Bjarne Hansen Bjarne Hansen Gerd Kvale Gerd Kvale |
| author_facet | Gunvor Launes Gunvor Launes Kristen Hagen Kristen Hagen Tor Sunde Lars-Göran Öst Lars-Göran Öst Ingrid Klovning Inger-Lill Laukvik Inger-Lill Laukvik Joseph A. Himle Stian Solem Stian Solem Sigurd W. Hystad Bjarne Hansen Bjarne Hansen Gerd Kvale Gerd Kvale |
| author_sort | Gunvor Launes |
| collection | DOAJ |
| description | BackgroundThe Bergen 4-day treatment (B4DT) is a concentrated exposure-based treatment for patients with Obsessive-Compulsive Disorder (OCD) delivered during four consecutive days. The B4DT has in a number of effectiveness studies demonstrated promising results as approximately 90% of patients gain reliable clinical change post-treatment and nearly 70% are recovered on a long-term basis.MethodsThe current study is the first randomized controlled trial evaluating the effects of the B4DT. Forty-eight patients diagnosed with OCD were randomized to B4DT, self-help (SH), or waiting list (WL) with 16 patients in each condition. All participants randomized to the B4DT underwent the treatment without any attrition.ResultsThe B4DT yielded significantly better effects than control conditions on measures of OCD, depression, and generalized anxiety. The response rate (≥35% reduction of the individual patient’s pre-treatment Y-BOCS score) was 93.8% in B4DT, 12.5% in SH and 0% in WL, while remission rate (response criterion is fulfilled and the post-treatment Y-BOCS score is ≤12 points) was 62.5%, 6.3%, and 0%, respectively. Furthermore, patients who had received the B4DT, showed improved work- and social functioning. None of the patients treated with B4DT showed signs of deterioration. In comparison, one patient in the SH condition was in remission, and one showed significant clinical improvement, whereas the remaining showed no change.ConclusionThe results indicate that the B4DT is an effective treatment for patients suffering from OCD.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NCT02886780. |
| first_indexed | 2024-12-11T21:57:20Z |
| format | Article |
| id | doaj.art-4471708e9db74f4f875569ce50050ac2 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-11T21:57:20Z |
| publishDate | 2019-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-4471708e9db74f4f875569ce50050ac22022-12-22T00:49:15ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-11-011010.3389/fpsyg.2019.02500486492A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day TreatmentGunvor Launes0Gunvor Launes1Kristen Hagen2Kristen Hagen3Tor Sunde4Lars-Göran Öst5Lars-Göran Öst6Ingrid Klovning7Inger-Lill Laukvik8Inger-Lill Laukvik9Joseph A. Himle10Stian Solem11Stian Solem12Sigurd W. Hystad13Bjarne Hansen14Bjarne Hansen15Gerd Kvale16Gerd Kvale17Sørlandet Sykehus, Kristiansand, NorwayDepartment of Clinical Psychology, University of Bergen, Bergen, NorwayDepartment of Psychiatry, Molde Hospital, Molde, NorwayBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwaySørlandet Sykehus, Kristiansand, NorwayBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwayDepartment of Psychology, Stockholm University, Stockholm, SwedenSørlandet Sykehus, Kristiansand, NorwaySørlandet Sykehus, Kristiansand, NorwayBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwayDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, United StatesBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwayDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Psychosocial Science, University of Bergen, Bergen, NorwayDepartment of Clinical Psychology, University of Bergen, Bergen, NorwayBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Psychology, University of Bergen, Bergen, NorwayBergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, NorwayBackgroundThe Bergen 4-day treatment (B4DT) is a concentrated exposure-based treatment for patients with Obsessive-Compulsive Disorder (OCD) delivered during four consecutive days. The B4DT has in a number of effectiveness studies demonstrated promising results as approximately 90% of patients gain reliable clinical change post-treatment and nearly 70% are recovered on a long-term basis.MethodsThe current study is the first randomized controlled trial evaluating the effects of the B4DT. Forty-eight patients diagnosed with OCD were randomized to B4DT, self-help (SH), or waiting list (WL) with 16 patients in each condition. All participants randomized to the B4DT underwent the treatment without any attrition.ResultsThe B4DT yielded significantly better effects than control conditions on measures of OCD, depression, and generalized anxiety. The response rate (≥35% reduction of the individual patient’s pre-treatment Y-BOCS score) was 93.8% in B4DT, 12.5% in SH and 0% in WL, while remission rate (response criterion is fulfilled and the post-treatment Y-BOCS score is ≤12 points) was 62.5%, 6.3%, and 0%, respectively. Furthermore, patients who had received the B4DT, showed improved work- and social functioning. None of the patients treated with B4DT showed signs of deterioration. In comparison, one patient in the SH condition was in remission, and one showed significant clinical improvement, whereas the remaining showed no change.ConclusionThe results indicate that the B4DT is an effective treatment for patients suffering from OCD.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NCT02886780.https://www.frontiersin.org/article/10.3389/fpsyg.2019.02500/fullobsessive-compulsive disorderOCDERPRCTB4DTgroup therapy |
| spellingShingle | Gunvor Launes Gunvor Launes Kristen Hagen Kristen Hagen Tor Sunde Lars-Göran Öst Lars-Göran Öst Ingrid Klovning Inger-Lill Laukvik Inger-Lill Laukvik Joseph A. Himle Stian Solem Stian Solem Sigurd W. Hystad Bjarne Hansen Bjarne Hansen Gerd Kvale Gerd Kvale A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment Frontiers in Psychology obsessive-compulsive disorder OCD ERP RCT B4DT group therapy |
| title | A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment |
| title_full | A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment |
| title_fullStr | A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment |
| title_full_unstemmed | A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment |
| title_short | A Randomized Controlled Trial of Concentrated ERP, Self-Help and Waiting List for Obsessive- Compulsive Disorder: The Bergen 4-Day Treatment |
| title_sort | randomized controlled trial of concentrated erp self help and waiting list for obsessive compulsive disorder the bergen 4 day treatment |
| topic | obsessive-compulsive disorder OCD ERP RCT B4DT group therapy |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2019.02500/full |
| work_keys_str_mv | AT gunvorlaunes arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gunvorlaunes arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT kristenhagen arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT kristenhagen arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT torsunde arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT larsgoranost arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT larsgoranost arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingridklovning arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingerlilllaukvik arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingerlilllaukvik arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT josephahimle arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT stiansolem arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT stiansolem arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT sigurdwhystad arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT bjarnehansen arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT bjarnehansen arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gerdkvale arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gerdkvale arandomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gunvorlaunes randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gunvorlaunes randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT kristenhagen randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT kristenhagen randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT torsunde randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT larsgoranost randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT larsgoranost randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingridklovning randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingerlilllaukvik randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT ingerlilllaukvik randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT josephahimle randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT stiansolem randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT stiansolem randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT sigurdwhystad randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT bjarnehansen randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT bjarnehansen randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gerdkvale randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment AT gerdkvale randomizedcontrolledtrialofconcentratederpselfhelpandwaitinglistforobsessivecompulsivedisorderthebergen4daytreatment |