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Behaviour Therapy for Obsessive Compulsive Disorder in a 78-Year-Old Woman

✍ Scribed by CATRIONA COLVIN; STEPHEN J. A. BODDINGTON


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
104 KB
Volume
12
Category
Article
ISSN
0885-6230

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✦ Synopsis


Objective. To describe a case of late onset obsessive compulsive disorder (OCD) and determine the impact of a behavioural intervention on OCD symptoms.

Design. A single case design was undertaken in which the severity of the patient's OCD symptoms was measured before and after treatment.

Setting. The intervention was undertaken in the patient's home.

Patient. A 78-year-old woman with a history of depression who experienced sudden onset and rapid escalation of OCD following a domestic accident.

Intervention. A behavioural procedure involving continuous in vivo exposure and response prevention over an 8-hour period.

Measures. The Y-BOCS self-rating scale (Yale Brown Obsessive Compulsive Scale) and clinical observation.

Results. Y-BOCS score improved from 35 prior to treatment to 12 post treatment (mean for OCD population 25X1; SD 6, . Improvement was maintained at 2 months follow-up (Y-BOCS 11). Improvements in confusion and agitation were also observed.

Conclusions. This case study supports the use of behavioural interventions for elderly patients suering from OCD. Risk factors and treatment designs are discussed in view of the literature.


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