PubMed HealthSearch

Biomedical subjects

E de Haan

Publications and source records attributed to E de Haan.

4 recordsLinked to original sources

Do drop-outs differ from successfully treated obsessive-compulsives?

The most common reasons given by patients for dropping out of treatment are: environmental constraints, dissatisfaction with services and that they no longer need help. In this study two groups of patients suffering from obsessive-compulsive disorders are compared. The drop-outs' reasons for terminating treatment are compared with the comments of patients who completed the therapy successfully. Drop-outs differ from successfully treated OCD's in five respects: they appear to be less obsessive-compulsive; they have more discongruent treatment expectations; they are more critical of the therapist; they experience less anxiety in carrying out homework assignments; they less frequently come under pressure from people close to them.

Adaptation, Psychological

The treatment of children with obsessive-compulsive disorder.

Very little is known about the treatment of children with an obsessive-compulsive disorder (OCD). No controlled studies have been conducted into the effects of behaviour therapy or other kinds of psychotherapy. There have only been three studies into the effects of antidepressants. After providing some general information on OCD, this article discusses the possibilities, effects and some of the difficulties of treatment.

Adolescent

Marital adjustment and obsessive-compulsive disorder.

Fifty obsessive-compulsives were treated by behavioural therapy (self-exposure in vivo and response prevention) either with their partner directly involved in all aspects of treatment or without their partner. The two treatment formats were equally effective. Although a substantial number of obsessive-compulsives were found to have marital problems, behavioural treatment directed at the obsessive-compulsive disorder resulted in improvement irrespective of marital quality and partner involvement in the therapy. The effects of treatment led neither to a deterioration of the marriage nor to adjustment problems in the partner.

Adaptation, Psychological

The significance of the patient-therapist relationship in the treatment of obsessive-compulsive neurosis.

Results are presented of two studies into the predictive value of the therapeutic relationship in the treatment of 60 and 25 obsessive-compulsive patients. A relationship was found between the therapist's score on the Barret-Lennard Relationship Inventory, assessed after the second and 10th sessions. As far as the patients' scores were concerned, however, a significant correlation with outcome was found only after the 10th session.

Follow-Up Studies