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.

Format

Journal

Language

English

Author(s)

Zoe Marsden
Karina Lovell
David Blore
Shehzad Ali
Jaime Delgadillo

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

Collection

Citation

“A randomised controlled trial comparing EMDR and CBT for obsessive-compulsive disorder,” Francine Shapiro Library, accessed June 1, 2020, https://emdria.omeka.net/items/show/24549.

Output Formats