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Clin Psychol Psychother. 2018 Jan;25(1):e10-e18. doi: 10.1002/cpp.2120. Epub 2017 Jul 28.

A randomized controlled trial comparing EMDR and CBT for obsessive-compulsive disorder.

Author information

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.

KEYWORDS:

CBT; EMDR; obsessive-compulsive disorder; randomized controlled trial

PMID:
28752580
DOI:
10.1002/cpp.2120
[Indexed for MEDLINE]
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