{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:49:52Z","timestamp":1787017792576,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":344,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005416","name":"Norges Forskningsr\u00e5d","doi-asserted-by":"publisher","award":["243675, HELSEFORSK"],"award-info":[{"award-number":["243675, HELSEFORSK"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005036","name":"Universitetet i Bergen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005036","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive\u2010behavioral therapy (CBT) with exposure and response prevention (ERP) is a recommended treatment for obsessive\u2010compulsive disorder (OCD), although many patients who undergo this regimen do not achieve satisfactory symptom relief, and maintaining long\u2010term remission is challenging. Concentrated exposure therapy (cET) has emerged as a potential treatment for treatment\u2010resistant OCD. However, the role of insight as a predictor of treatment outcomes in this context remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of a randomized controlled trial (RCT) including 163 adults diagnosed with treatment\u2010resistant OCD. This study used linear regression models to evaluate whether pre\u2010treatment levels of insight and changes in insight\u2014measured by the Yale\u2010Brown Obsessive Compulsive Scale (Y\u2010BOCS) insight item\u2014were associated with outcomes after 4 days of cET and whether insight levels changed post\u2010treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Baseline insight did not predict OCD severity at post\u2010treatment or 3\u2010month follow\u2010up but was associated with greater OCD severity at the 12\u2010month follow\u2010up. Insight scores improved significantly from pre\u2010 to post\u2010treatment but worsened during the follow\u2010up period. Notably, a change in insight during cET was a significant predictor of OCD symptom severity at all follow\u2010up intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Baseline insight was not a strong predictor of short\u2010term treatment outcomes following cET but was related to long\u2010term OCD severity. Improvements in insight during cET were associated with achieving and maintaining reduced symptoms over time. These results suggest that improvements in OCD and enhanced insight are associated.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ClinicalTrials.gov identifier: NCT02656342.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/da\/8960147","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T06:35:12Z","timestamp":1765521312000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Concentrated ERP for Patients With Difficult\u2010to\u2010Treat OCD: Insight as a Predictor of Acute and Long\u2010Term 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