Cognitive Checking Intervention for Maladaptive Beliefs About Memory

University of Manitoba

Status: Terminated

Conditions: Obsessive-Compulsive Disorder

Treatments: Other: Treatment as Usual; Behavioral: CBT for Maladaptive Beliefs about Memory

Study type: Interventional

Funder types: Other

Identifiers

NCT03241056

H2017:142

Details and patient eligibility

About

A small (N = 24) pilot study developed a new and brief cognitive-behavioural therapy (CBT) module for checking symptoms (CBT-C) in obsessive-compulsive disorder (OCD). CBT-C targets maladaptive beliefs about memory and results show that it is effective at significantly decreasing checking symptoms as compared to a waitlist control. The objectives of the current investigation are to further investigate CBT-C by (1) replicating the pilot results in a larger sample; (2) using an active control condition (treatment as usual) as the comparison condition (3) including a 6-month follow-up, and (4) determining whether the association between maladaptive beliefs about memory at pre-treatment assessment are related to degree of checking symptom reduction following CBT-C. The findings of the study will have theoretical significance in adding to our understanding of the maladaptive belief domains relevant to the development and maintenance of OCD and supporting the cognitive model of compulsive checking. The relevant clinical significance is the further development of an intervention that could improve outcomes in treatment of persons with OCD. The key practical outcome of the research would be to add a stepped care offering to patients with OCD.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult over the age of 18 living in the province of Manitoba, Canada.
• Diagnosis of OCD with clinically significant levels of compulsive checking (i.e., able to meet the diagnostic criteria for OCD according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition based solely on checking symptoms. Other OCD symptoms may be present and checking does not need to be the primary symptom.)

Exclusion criteria

• Active psychosis
• Active Mania
• Presence of a substance use disorder that would interfere with participation in the treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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23 participants in 2 patient groups

CBT for Maladaptive Beliefs about Memory

Experimental group

Description:

Using cognitive-behavioural therapy principles, this therapy is intended to examine and change maladaptive beliefs about memory as they pertain to compulsive checking.

Treatment:

Behavioral: CBT for Maladaptive Beliefs about Memory

Treatment as Usual

Active Comparator group

Description:

This is a control treatment, Treatment as Usual (TAU), which is what patients or community members would otherwise normally receive.

Treatment:

Other: Treatment as Usual