Brief culturally adapted cognitive behaviour therapy for obsessive compulsive disorder: a pilot study

ABSTRACT

To demonstrate the effectiveness of Brief Culturally adapted Cognitive Behavior Therapy [CaCBT] in the treatment of Obsessive Compulsive Disorder [OCD]. This pre and post design study was conducted on out-patients with OCD at Centre for Cognitive Behaviour Therapy, Fountain House, Lahore, from April 2011 to April 2012. A semi structured questionnaire was developed to document demographic details of all the patients. All the participants were assessed at baseline [Pre Therapy session] with Yale Brown Obsessive Compulsive Disorder Scale [Y-BOCS], Hospital Anxiety and Depression Scale [Depression Subscale and Anxiety Subscale] and Brief Disability Questionnaire [BDQ]. They were re-assessed on the same scales at the end of therapy in a follow up assessment session. Feedback from patients and their family member, who were trained as co-therapist, was obtained at the end of the therapy for assessing the satisfaction with the therapy. All the patients received six sessions of brief culturally adapted cognitive behavior therapy [CaCBT]. Statistical analyses were carried out using SPSS v.22. The mean age of the sample [n=21] was 31.14 +/- 11.9 years. There were significant differences post CBT between the scores of Y-BOCS [p=0.000], HADS - Depression subscale [p=0.001], HADS - Anxiety subscale [p=0.000] and BDQ [p=0.000]. This study provides preliminary evidence for effectiveness of culturally adapted CBT for OCD