Zoe Marsden1, Karina Lovell2, David Blore3, Shehzad Ali4, Jaime Delgadillo5. 1. Leeds Community Healthcare NHS Trust, Burmantofts Health Centre, Leeds, UK. 2. School of Nursing, Midwifery and Social Work and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. 3. David Blore Associates Ltd., York, UK. 4. Department of Health Sciences, ARRC Building, University of York, York, UK. 5. Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.
Abstract
BACKGROUND: This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. METHOD: This was a pragmatic, feasibility randomized controlled trial in which 55 participants with OCD were randomized to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive-compulsive scale was completed at baseline, after treatment and at 6 months follow-up. Treatment completion and response rates were compared using chi-square tests. Effect size was examined using Cohen's d and multilevel modelling. RESULTS: Overall, 61.8% completed treatment and 30.2% attained reliable and clinically significant improvement in OCD symptoms, with no significant differences between groups (p > .05). There were no significant differences between groups in Yale-Brown obsessive-compulsive scale severity post-treatment (d = -0.24, p = .38) or at 6 months follow-up (d = -0.03, p = .90). CONCLUSIONS:EMDR and CBT had comparable completion rates and clinical outcomes.
RCT Entities:
BACKGROUND: This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. METHOD: This was a pragmatic, feasibility randomized controlled trial in which 55 participants with OCD were randomized to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive-compulsive scale was completed at baseline, after treatment and at 6 months follow-up. Treatment completion and response rates were compared using chi-square tests. Effect size was examined using Cohen's d and multilevel modelling. RESULTS: Overall, 61.8% completed treatment and 30.2% attained reliable and clinically significant improvement in OCD symptoms, with no significant differences between groups (p > .05). There were no significant differences between groups in Yale-Brown obsessive-compulsive scale severity post-treatment (d = -0.24, p = .38) or at 6 months follow-up (d = -0.03, p = .90). CONCLUSIONS: EMDR and CBT had comparable completion rates and clinical outcomes.
Authors: Tine Roanna Luyten; Laure Jacquemin; Nancy Van Looveren; Frank Declau; Erik Fransen; Emilie Cardon; Marc De Bodt; Vedat Topsakal; Paul Van de Heyning; Vincent Van Rompaey; Annick Gilles Journal: Front Psychol Date: 2020-09-10