{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T16:49:36Z","timestamp":1761929376361},"reference-count":28,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8221,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1995,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study tested whether adding imagined exposure to live exposure would increase the concordance between behavioural and subjective improvement in obsessive\u2013compulsive disorder (OCD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>46 OCD out-patients were randomly allocated to 9 weekly sessions of either combined live + imagined exposure\/ritual prevention (Exi, <jats:italic>n<\/jats:italic> = 23), or only live exposure\/ritual prevention (Ex, <jats:italic>n<\/jats:italic> = 23). Patients were asked to do 90 min of daily self-exposure at home (corresponding to Exi or Ex). Measures were: (A) behavioural; (B) subjective; (C) clinical global impression (CGI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 9 weeks of treatment, improvement was greater on behavioural than subjective measures (similar for the Exi and Ex groups). At 20 weeks (3-month follow-up) each group had improved slightly more on subjective measures and slightly less on behavioural ones. Two subjective measures improved less during Exi than Ex, but this difference disappeared at follow-up. The greater difference between behavioural and subjective improvement scores in Exi than in Ex did not relate to clinical outcome at the end of treatment or follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared to live exposure alone, combined imagined plus live exposure did not enhance behavioural\/subjective concordance.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.167.1.71","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:31:20Z","timestamp":1224048680000},"page":"71-75","source":"Crossref","is-referenced-by-count":9,"title":["Does Imagined Exposure to the Consequences of Not Ritualising Enhance Live Exposure for OCD? a Controlled Study"],"prefix":"10.1192","volume":"167","author":[{"given":"L. M.","family":"Ito","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I. 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