A randomised controlled trial comparing EMDR and CBT for obsessive-compulsive disorder
Description
Background:
This study aimed to evaluate eye-movement desensitisation and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention.
Method:
This was a pragmatic, feasibility randomised controlled trial in which 55 participants with OCD were randomised to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive compulsive scale (YBOCS) was completed at baseline, after treatment and at 6 months follow-up. Treatment completion and response rates were compared using chi square tests. Effect size was examined using Cohen’s d and multilevel modelling.
Results:
Overall, 61.8% completed treatment and 30.2% attained reliable and clinically significant improvement in OCD symptoms, with no significant differences between groups (p > .05). There were no significant differences between groups in YBOCS severity post-treatment (d = -0.24, p = .38) or at 6 months follow-up (d = -0.03, p = .90).
Conclusions:
EMDR and CBT had comparable completion rates and clinical outcomes.
This study aimed to evaluate eye-movement desensitisation and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention.
Method:
This was a pragmatic, feasibility randomised controlled trial in which 55 participants with OCD were randomised to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive compulsive scale (YBOCS) was completed at baseline, after treatment and at 6 months follow-up. Treatment completion and response rates were compared using chi square tests. Effect size was examined using Cohen’s d and multilevel modelling.
Results:
Overall, 61.8% completed treatment and 30.2% attained reliable and clinically significant improvement in OCD symptoms, with no significant differences between groups (p > .05). There were no significant differences between groups in YBOCS severity post-treatment (d = -0.24, p = .38) or at 6 months follow-up (d = -0.03, p = .90).
Conclusions:
EMDR and CBT had comparable completion rates and clinical outcomes.
Format
Journal
Language
English
Original Work Citation
Marsden, Z., Lovell, K., Blore, D., Ali, S., & Delgadillo, J. (2018, January). A randomised controlled trial comparing EMDR and CBT for obsessive-compulsive disorder. Clinical Psychology and Psychotherapy, 5(1), e10-e18. doi:10.1002/cpp.2120
Citation
“A randomised controlled trial comparing EMDR and CBT for obsessive-compulsive disorder,” Francine Shapiro Library, accessed May 5, 2024, https://francineshapirolibrary.omeka.net/items/show/24549.