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Mindfulness-Based Cognitive Therapy for OCD: Stand-Alone and Post-CBT Augmentation Approaches

International Journal of Cognitive Therapy volume 11, pages 58–79 (2018)Cite this article

Abstract

Mindfulness, defined as the awareness that emerges through paying attention on purpose, in the present moment and nonjudgmentally, promotes engagement with internal experience and has been shown to reduce symptoms of anxiety and depression in meta-analyses, but few have tested its potential benefits in Obsessive Compulsive Disorder (OCD). The following study aimed to test the preliminary efficacy of an OCD-tailored 8-week course of Mindfulness Based Cognitive Therapy (MBCT) to treatment-seeking patients with OCD. Treatment-seeking participants (N = 37) with a principal DSM-5 (APA 2013) diagnosis of OCD completed an 8-week MBCT group intervention (adapted from Segal et al. 2013) tailored to OCD either prior to receiving CBT (n = 19) or following a 14-week CBT intervention (n = 18). Participants completed measures of obsessive–compulsive symptoms (including the Y-BOCS), depression (BDI-II), mindfulness (FFMQ), and Obsessive Beliefs Questonnaire (OBQ) at baseline and post-treatment. Repeated measures analysis of variance demonstrated significant change from pre- to post-treatment in both MBCT treatment groups, with no condition or condition by time effects. These preliminary results demonstrate the potential efficacy of MBCT for OCD with large and significant reductions in obsessive–compulsive symptoms from pre- to post-treatment both as a stand-alone treatment, prior to other first-line interventions and as an augmentation treatment for patients showing only partial response to CBT.

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Notes

  1. Of 37 participants, the following demographic information was missing: education (n = 3), ethnicity (n = 1), marital status (n = 1), and occupation (n = 1)

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Acknowledgements

The authors would like to thank Dr. Danielle Katz for her editorial assistance.

Funding

This research was supported by internal funds from the Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre.

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Authors and Affiliations

  1. Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

    Steven Selchen, Lance L. Hawley, Rotem Regev, Peggy Richter & Neil A. Rector

  2. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

    Steven Selchen, Lance L. Hawley, Peggy Richter & Neil A. Rector

  3. Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, 2075 Bayview Ave., Toronto, Ontario, M4N 3M5, Canada

    Neil A. Rector

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  1. Steven Selchen
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  2. Lance L. Hawley
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Correspondence to Neil A. Rector.

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All aspects of the clinical protocol were approved by the Sunnybrook Health Sciences Centre (SHSC) Research Ethics Board.

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Selchen, S., Hawley, L.L., Regev, R. et al. Mindfulness-Based Cognitive Therapy for OCD: Stand-Alone and Post-CBT Augmentation Approaches. J Cogn Ther 11, 58–79 (2018). https://doi.org/10.1007/s41811-018-0003-3

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Keywords

  • Mindfulness
  • MBCT
  • OCD
  • CBT