Treatment motivation, treatment expectancy, and helping alliance as predictors of outcome in cognitive behavioral treatment of OCD

J Behav Ther Exp Psychiatry. 2006 Sep;37(3):247-55. doi: 10.1016/j.jbtep.2005.12.001. Epub 2006 Feb 7.

Abstract

Predictors of improvement in obsessive-compulsive symptoms (Y-BOCS) in a randomized clinical trial with adult obsessive-compulsive disorder outpatients were examined. Results of multiple regression analyses revealed that a positive helping alliance was significantly predictive of posttreatment Y-BOCS. Treatment expectancy and high motivation to change were not significantly related to posttreatment outcome. None of the predictors were significantly related to Y-BOCS levels at 12-month follow-up, but positive alliance showed a trend to significance.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Ambulatory Care
  • Cognitive Behavioral Therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motivation*
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / psychology
  • Obsessive-Compulsive Disorder / therapy*
  • Patient Participation / psychology*
  • Personality Inventory
  • Professional-Patient Relations*
  • Prognosis
  • Regression Analysis
  • Set, Psychology*
  • Surveys and Questionnaires
  • Treatment Outcome