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dc.contributor.authorÖst, Lars Gøran
dc.contributor.authorEnebrink, Pia
dc.contributor.authorFinnes, Anna
dc.contributor.authorAta, Ghaderi
dc.contributor.authorHavnen, Audun
dc.contributor.authorKvale, Gerd
dc.contributor.authorSalomonsson, Sigrid
dc.contributor.authorWergeland, Gro Janne Henningsen
dc.date.accessioned2022-11-21T15:13:02Z
dc.date.available2022-11-21T15:13:02Z
dc.date.created2022-08-26T09:07:52Z
dc.date.issued2022
dc.identifier.issn0005-7967
dc.identifier.urihttps://hdl.handle.net/11250/3033216
dc.description.abstractCognitive behavioral therapy (CBT) has strong research support for obsessive-compulsive disorder (OCD). However, less is known about how CBT performs when delivered in routine clinical care. A systematic review and meta-analysis was conducted of CBT for OCD in adults treated in routine clinical care. Ovid MEDLINE, Embase OVID, and PsycINFO were systematically searched for studies published until July 2021. The effectiveness of CBT, methodological quality, and moderators of treatment outcome were examined, and benchmarked by meta-analytically comparing with efficacy studies for OCD. Twenty-nine studies (8 randomized controlled trials) were included, comprising 1669 participants. Very large within-group effect sizes (ES) were obtained for OCD-severity at post-treatment (2.12), and follow-up (2.30), on average 15 months post-treatment. Remission rates were 59.2% post-treatment and 57.0% at follow-up. Attrition rate was 15.2%. Risk of bias was considerable in the majority of studies. The benchmarking analysis showed that effectiveness studies had almost exactly the same ES as efficacy studies at post-treatment and somewhat higher at follow-up. Furthermore, effectiveness studies had significantly higher remission rates than efficacy studies, both at post- and follow-up assessment. CBT for OCD is an effective treatment when delivered in routine clinical care, with ES comparable to those found in efficacy studies. However, the evidence needs to be interpreted with caution because of the risk of bias in a high proportion of studies.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleCognitive behavior therapy for obsessive-compulsive disorder in routine clinical care: A systematic review and meta-analysisen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2022 the authorsen_US
dc.source.articlenumber104170en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.doi10.1016/j.brat.2022.104170
dc.identifier.cristin2046204
dc.source.journalBehaviour Research and Therapyen_US
dc.identifier.citationBehaviour Research and Therapy. 2022, 159, 104170.en_US
dc.source.volume159en_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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