{
  "creator": [
    "Elsner, Björn",
    "Wolfsberger, Frieder",
    "Srp, Jessica",
    "Windsheimer, Antonia",
    "Becker, Laura",
    "Jacobi, Tanja",
    "Kathmann, Norbert",
    "Reuter, Benedikt"
  ],
  "date": [
    "2020-03-31"
  ],
  "description": [
    "Background: Cognitive behavioral therapy (CBT) is an effective treatment for obsessive-compulsive disorder (OCD) and may afford stable long-term improvements. It is not clear, however, how stability or symptom recurrence can be predicted at the time of termination of CBT.\nMethod: In a 1-year follow-up intention-to-treat study with 120 OCD patients receiving individual CBT at a university outpatient unit, we investigated the predictive value of international consensus criteria for response only (Y-BOCS score reduction by at least 35%) and remission status (Y-BOCS score ≤ 12). Secondly, we applied receiver-operating characteristic (ROC) curves in order to find an optimal cut-off score to classify for deterioration and for sustained gains.\nResults: Response only at post-treatment increased the likelihood of deterioration at follow-up compared to remission at an odds ratio of 8.8. Moreover, ROC curves indicated that a post-treatment score of ≥ 13 differentiated optimally between patients with and without symptom deterioration at follow-up assessment. The optimal cut-off score to classify for any sustained gains (response, remission, or both) at follow-up relative to baseline was 12. Importantly, previous findings of generally high long-term symptom stability after treatment in OCD could be replicated.\nConclusion: The findings highlight the clinical importance of reaching remission during CBT, and suggest that a recently published expert consensus for defining remission has high utility."
  ],
  "format": [
    "application/pdf",
    "text/html",
    "application/xml"
  ],
  "identifier": [
    "https://cpe.psychopen.eu/index.php/cpe/article/view/2785",
    "10.32872/cpe.v2i1.2785"
  ],
  "language": [
    "eng"
  ],
  "publisher": [
    "PsychOpen GOLD / Leibniz Institut for Psychology (ZPID)"
  ],
  "relation": [
    "https://cpe.psychopen.eu/index.php/cpe/article/view/2785/2785.pdf",
    "https://cpe.psychopen.eu/index.php/cpe/article/view/2785/2785.html",
    "https://cpe.psychopen.eu/index.php/cpe/article/view/2785/2785.xml"
  ],
  "rights": [
    "Copyright (c) 2020 Björn Elsner, Frieder Wolfsberger, Jessica Srp, Antonia Windsheimer, Laura Becker, Tanja Jacobi, Norbert Kathmann, Benedikt Reuter",
    "https://creativecommons.org/licenses/by/4.0"
  ],
  "source": [
    "Clinical Psychology in Europe; Vol. 2 No. 1 (2020); 1-18",
    "2625-3410",
    "10.32872/cpe.v2i1"
  ],
  "subject": [
    "obsessive-compulsive disorder",
    "Y-BOCS",
    "cut-off score",
    "expert consensus",
    "follow-up"
  ],
  "title": [
    "Long-Term Stability of Benefits of Cognitive Behavioral Therapy for Obsessive Compulsive Disorder Depends on Symptom Remission During Treatment"
  ],
  "type": [
    "info:eu-repo/semantics/article",
    "info:eu-repo/semantics/publishedVersion"
  ]
}