{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:45:18Z","timestamp":1787013918025,"version":"build-2736575974"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,7,8]],"date-time":"2018-07-08T00:00:00Z","timestamp":1531008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"\n Objectives<\/jats:title>\n \n Exposure and response prevention (\n ERP<\/jats:styled-content>\n ) remains the most empirically supported psychological treatment for obsessive compulsive disorder (\n OCD<\/jats:styled-content>\n ). Clinical guidelines recommend the addition of cognitive approaches to\n ERP<\/jats:styled-content>\n although the presumed additive benefits have not been directly tested. The aim of this was to compare a treatment that integrated cognitive therapy with\n ERP<\/jats:styled-content>\n (\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n ) to traditional, manualized\n ERP<\/jats:styled-content>\n to test the additive benefits.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A longitudinal, randomized control trial design was used.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Participants (\n N<\/jats:italic>\n \u00a0=\u00a0127) with\n OCD<\/jats:styled-content>\n were randomly assigned to receive individual outpatient\n ERP<\/jats:styled-content>\n or\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n . Obsessive\u2010compulsive symptom severity measures were completed pre\u2010 and post\u2010treatment and at 6\u2010month follow\u2010up.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n While both conditions led to significant symptom and obsessive belief reduction,\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n led to significantly greater symptom and belief reduction as compared to\n ERP<\/jats:styled-content>\n across all main symptom presentations of\n OCD<\/jats:styled-content>\n . Based on\n a priori<\/jats:italic>\n definitions of effectiveness, more patients in\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n compared to the\n ERP<\/jats:styled-content>\n group were also deemed treatment responders.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The results of this study suggest that cognitive therapy can be readily integrated with\n ERP<\/jats:styled-content>\n to improve clinical outcomes beyond\n ERP<\/jats:styled-content>\n alone.\n <\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n \n Both\n ERP<\/jats:styled-content>\n and\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n were effective, however a course of\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n was significantly more effective at reducing symptoms of\n OCD<\/jats:styled-content>\n than the\n ERP<\/jats:styled-content>\n treatment condition.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Significantly more participants who received\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n experienced clinically significant change in\n OCD<\/jats:styled-content>\n symptoms compared to those who received\n ERP<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n OCD<\/jats:styled-content>\n symptom dimension did not significantly impact response to either\n ERP<\/jats:styled-content>\n or\n ERP<\/jats:styled-content>\n \u00a0+\u00a0\n CT<\/jats:styled-content>\n treatments.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjc.12188","type":"journal-article","created":{"date-parts":[[2018,7,9]],"date-time":"2018-07-09T01:14:07Z","timestamp":1531098847000},"page":"1-18","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Does the addition of cognitive therapy to exposure and response prevention for obsessive compulsive disorder enhance clinical efficacy? 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