{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:06:24Z","timestamp":1787025984035,"version":"build-2736575974"},"reference-count":48,"publisher":"Leibniz Institute for Psychology (ZPID)","issue":"1","content-domain":{"domain":["cpe.psychopen.eu"],"crossmark-restriction":false},"short-container-title":["Clin. Psychol. Eur."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive behavioral therapy (CBT) is an effective treatment for obsessive-compulsive disorder (OCD) and may afford stable long-term improvements. It is not clear, however, how stability or symptom recurrence can be predicted at the time of termination of CBT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In a 1-year follow-up intention-to-treat study with 120 OCD patients receiving individual CBT at a university outpatient unit, we investigated the predictive value of international consensus criteria for response only (Y-BOCS score reduction by at least 35%) and remission status (Y-BOCS score \u2264 12). Secondly, we applied receiver-operating characteristic (ROC) curves in order to find an optimal cut-off score to classify for deterioration and for sustained gains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Response only at post-treatment increased the likelihood of deterioration at follow-up compared to remission at an odds ratio of 8.8. Moreover, ROC curves indicated that a post-treatment score of \u2265 13 differentiated optimally between patients with and without symptom deterioration at follow-up assessment. The optimal cut-off score to classify for any sustained gains (response, remission, or both) at follow-up relative to baseline was 12. Importantly, previous findings of generally high long-term symptom stability after treatment in OCD could be replicated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight the clinical importance of reaching remission during CBT, and suggest that a recently published expert consensus for defining remission has high utility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.32872\/cpe.v2i1.2785","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T05:03:47Z","timestamp":1585631027000},"update-policy":"https:\/\/doi.org\/10.5964\/psychopen.cmp","source":"Crossref","is-referenced-by-count":21,"title":["Long-term stability of benefits of cognitive behavioral therapy for obsessive compulsive disorder depends on symptom remission during treatment"],"prefix":"10.32872","volume":"2","author":[{"given":"Bj\u00f6rn","family":"Elsner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frieder","family":"Wolfsberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Srp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Windsheimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Jacobi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Kathmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt","family":"Reuter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1941","published-online":{"date-parts":[[2020,3,31]]},"reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.2174\/0929867325666171222163645"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.01.016"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-015-0457-9"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.74.1.160"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200401000-00014"},{"key":"r6","unstructured":"Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, TX, USA: The Psychological Corporation."},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2006.11.002"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00559.x"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-44462010000200012"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1007\/s41811-018-0002-4"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0106"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700048017"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12m07657"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000039"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12m07789"},{"key":"r16","unstructured":"First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B., & Benjamin, L. S. (1997). Structured Clinical Interview for DSM-IV\u00ae Axis II Personality Disorders SCID-II. Washington, DC, USA: American Psychiatric Publishing."},{"key":"r17","unstructured":"First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured Clinical Interview for DSM-IV Axis I Disorders. New York, NY, USA: New York State Psychiatric Institute."},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.14.4.485"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110054008"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"r21","unstructured":"Guy, W. (1976). Clinical Global Impression, ECDEU assessment manual for psychopharmacology. Rockville, MD, USA: US Dept. of Health, Education, and Welfare."},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-9552.2011.00032.x"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1159\/000257972"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2013.07.003"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2018.1478447"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1026\/1616-3443\/a000063"},{"key":"r27","unstructured":"Hohagen, F., Wahl-Kordon, A., Lotz-Rambaldi, W., & Muche-Borowski, C. (2014). S3-Leitlinie Zwangsst\u00f6rungen. Berlin, Germany: Springer."},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(84)80002-7"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.5.654"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(98)00138-4"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2016.07.005"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2011.563249"},{"key":"r34","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-531-91643-9_18"},{"key":"r35","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v061.i08"},{"key":"r36","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1327565"},{"key":"r37","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20299"},{"key":"r38","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(02)00012-4"},{"key":"r39","unstructured":"National Collaborating Centre for Mental Health. (2006). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder (National Clinical Practice Guideline Number 31). Leicester, United Kingdom: British Psychological Society and The Royal College of Psychiatrists."},{"key":"r40","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2012.08.020"},{"key":"r41","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.06.003"},{"key":"r42","first-page":"6","article-title":"A qualitative analysis of nonresponse: Management of treatment-refractory obsessive-compulsive disorder.","author":"Pallanti","year":"2004","journal-title":"The Journal of Clinical Psychiatry"},{"key":"r43","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700033146"},{"key":"r44","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2011.11.009"},{"key":"r45","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-004-0544-8"},{"key":"r46","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00049-2"},{"key":"r47","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852900006933"},{"key":"r48","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3"}],"container-title":["Clinical Psychology in Europe"],"original-title":[],"link":[{"URL":"https:\/\/cpe.psychopen.eu\/index.php\/cpe\/article\/download\/2785\/2785.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cpe.psychopen.eu\/index.php\/cpe\/article\/view\/2785\/2785.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cpe.psychopen.eu\/index.php\/cpe\/article\/download\/2785\/2785.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T12:30:07Z","timestamp":1636720207000},"score":1,"resource":{"primary":{"URL":"https:\/\/cpe.psychopen.eu\/index.php\/cpe\/article\/view\/2785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,31]]},"references-count":48,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.32872\/cpe.v2i1.2785","relation":{},"ISSN":["2625-3410"],"issn-type":[{"value":"2625-3410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,31]]},"assertion":[{"value":"PsychOpen, the European Open-Access Publishing Platform for Psychology","name":"publisher","label":"This article is published by"},{"value":"Long-term stability of benefits of cognitive behavioral therapy for obsessive compulsive disorder depends on symptom remission during treatment","name":"articletitle","label":"Article Title"},{"value":"Clinical Psychology in Europe","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/","name":"copyright","label":"Copyright"},{"value":"2020-03-31","name":"published","label":"Published"}],"article-number":"e2785"}}