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BMC Psychiatry. 2018 Oct 4;18(1):323. doi: 10.1186/s12888-018-1887-4.

Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment.

Author information

1
Haukeland University Hospital, OCD-team, 5021, Bergen, Norway.
2
Department of Clinical Psychology, University of Bergen, Bergen, Norway.
3
McLean Hospital, Belmont, MA, USA.
4
Harvard Medical School, Boston, MA, USA.
5
Molde Hospital, Molde, Norway.
6
Nidaros DPS, Division of Psychiatry, St. Olav University Hospital, Trondheim, Norway.
7
Oslo University Hospital, Oslo, Norway.
8
Sørlandet Sykehus, Kristiansand, Norway.
9
Haukeland University Hospital, OCD-team, 5021, Bergen, Norway. stian.solem@ntnu.no.
10
Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway. stian.solem@ntnu.no.
11
Norwegian OCD-foundation, Ananke, Oslo, Norway.
12
Department of Psychiatry and Department of Anatomy & Neurosciences, VU university medical center (VUmc), Amsterdam, The Netherlands.
13
Department of Psychology, Stockholm University, Stockholm, Sweden.

Abstract

BACKGROUND:

Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%.

METHODS:

Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format.

RESULTS:

Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD.

CONCLUSIONS:

We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.

KEYWORDS:

4-day treatment; Exposure; OCD; Obsessive-compulsive disorder

PMID:
30286745
PMCID:
PMC6172736
DOI:
10.1186/s12888-018-1887-4
[Indexed for MEDLINE]
Free PMC Article

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