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Stepped care versus standard cognitive–behavioral therapy for obsessive–compulsive disorder: A preliminary study of efficacy and costs by David F. Tolin; Gretchen J. Diefenbach; Christina M. Gilliam is a Psychology article available to read on EtoBox.

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## Background: Exposure and response prevention (erp) for obsessive-compulsive disorder (ocd) is underutilized, in part because of costs and time requirements. this study extends pilot work investigating the use of a stepped care erp administration, in which patients are first given a low-intensity, low-cost treatment and the more costly intervention is reserved for those who do not respond to the first intervention. ## Methods: Thirty adults with ocd were randomized to receive stepped care erp or standard erp. those receiving stepped care started with three sessions over 6 weeks of low-intensity counseling with erp bibliotherapy; patients failing to meet strict responder criteria after 6 weeks were given the more traditional treatment of therapist-administered erp (17 sessions twice weekly). those receiving standard erp received the therapist-administered erp with no lower-intensity lead-in. ## Results: The two treatments were equally efficacious, with 67% of stepped care completers and 50% of standard treatment completers meeting criteria for clinically significant change at posttreatment. similarly, no differences in client satisfaction ratings were obtained between the two grou

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Author

David F. Tolin; Gretchen J. Diefenbach; Christina M. Gilliam

Publisher

Hindawi Limited

Published

2011

Language

EN

Field

Psychology (Social Sciences)