A central question in the field of Obsessive-Compulsive Disorder (OCD) is the role of symptom-related dysfunctional beliefs thought to underlie symptoms. This study examines change in symptoms and related dysfunctional beliefs during Cognitive Behavior Therapy (CBT) with 32 previously treatment resistant OCD patients. Three questions were examined: (a) What is the relationship between dysfunctional beliefs and symptoms at pre-treatment; (b) How much change occurs in symptoms, and related beliefs, during specialized CBT; and (c) What is the relationship between change in cognitive and symptom variables. On average, symptoms and related beliefs of symptomatic-responders resolved to within normal limits following treatment. Beliefs of patients whose symptoms did not improve remained unchanged. Pre-treatment strength of overestimation of threat and response to unpredictability were significant predictors of symptomatic improvement. Change in overcontrol of intrusive thoughts and overestimation of threat significantly predicted change in symptoms. Theoretical and treatment implications of the findings are discussed.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.80248 |
| Date | January 2004 |
| Creators | Dalfen, Samara |
| Contributors | Sookman, Debbie (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Psychiatry.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 002211868, proquestno: AAIMQ98617, Theses scanned by UMI/ProQuest. |
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