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Förändringsfaktorer under exponering och responsprevention för OCD: betydelsen av motivation, följsamhet och självförmåga

Bengtsson, Linn LU and Beckman, Moa LU (2024) PSPR14 20232
Department of Psychology
Abstract
Exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD), but not everyone benefits. While many authors have explored the contribution of demographic and clinical factors in relation to treatment outcome, few studies have investigated how processes that occur during the course of treatment (e.g., changes in motivation) relate to treatment outcome. The aim of this study was to examine how motivation, self-efficacy and adherence to treatment were related to treatment outcome. Levels at baseline, mean levels across treatment and changes during treatment were examined. The study included 46 adult participants (26 women, 20 men, 18-52 years old, M = 31,67 years) with OCD who received intensive... (More)
Exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD), but not everyone benefits. While many authors have explored the contribution of demographic and clinical factors in relation to treatment outcome, few studies have investigated how processes that occur during the course of treatment (e.g., changes in motivation) relate to treatment outcome. The aim of this study was to examine how motivation, self-efficacy and adherence to treatment were related to treatment outcome. Levels at baseline, mean levels across treatment and changes during treatment were examined. The study included 46 adult participants (26 women, 20 men, 18-52 years old, M = 31,67 years) with OCD who received intensive treatment with ERP. The results indicated that neither motivation nor self-efficacy at baseline predicted treatment outcome. However, changes in both self-efficacy and treatment adherence were significant and positively correlated with a decrease in OCD symptoms. Our findings suggest that individuals with OCD who experience an increased belief in their own abilities and adhere more to treatment as the treatment progresses are more likely to achieve a positive treatment response. These findings underscore the importance of, throughout ERP for OCD, promote a positive change in the patient’s belief in their own ability to overcome OCD and their commitment to treatment. (Less)
Abstract (Swedish)
Trots att exponering- och responsprevention (ERP) är en effektiv behandling för patienter med tvångssyndrom (eng: obsessive-compulsive disorder; OCD), blir inte alla hjälpta. Medan många författare har intresserat sig för demografiska och kliniska faktorers betydelse för behandlingsutfall, är det få studier som har undersökt hur processer som uppstår under behandling (t.ex. förändring i motivation) hänger samman med utfall av behandling. Denna studie syftade till att undersöka hur olika mått på motivation, self-efficacy (självförmåga) och följsamhet till behandling korrelerade med behandlingsutfall. Nivåer innan behandling, medelnivåer under behandling och förändring under behandling undersöktes. 46 deltagare (26 kvinnor och 20 män, 18–52... (More)
Trots att exponering- och responsprevention (ERP) är en effektiv behandling för patienter med tvångssyndrom (eng: obsessive-compulsive disorder; OCD), blir inte alla hjälpta. Medan många författare har intresserat sig för demografiska och kliniska faktorers betydelse för behandlingsutfall, är det få studier som har undersökt hur processer som uppstår under behandling (t.ex. förändring i motivation) hänger samman med utfall av behandling. Denna studie syftade till att undersöka hur olika mått på motivation, self-efficacy (självförmåga) och följsamhet till behandling korrelerade med behandlingsutfall. Nivåer innan behandling, medelnivåer under behandling och förändring under behandling undersöktes. 46 deltagare (26 kvinnor och 20 män, 18–52 år, M = 31,67 år) med OCD inkluderades i studien och erbjöds intensiv gruppbehandling med ERP. Varken motivation eller self-efficacy vid förmätning hängde samman med behandlingsutfall medan förändringar inom både self-efficacy och följsamhet till behandling korrelerade positivt med en minskning av symtom. Studiens fynd indikerar att individer med OCD som upplever en ökad tro på sin egen förmåga och/eller som blir mer följsamma medan behandlingen fortlöper generellt uppnår bättre behandlingsresultat. Studiens resultat stärker betydelsen av att under behandling kontinuerligt arbeta för att främja positiva förändringar i patientens tro på den egna förmågan att bli av med sin OCD och engagemang i behandlingen. (Less)
Please use this url to cite or link to this publication:
author
Bengtsson, Linn LU and Beckman, Moa LU
supervisor
organization
course
PSPR14 20232
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
OCD, tvångssyndrom, exponering och responsprevention, motivation, följsamhet, självförmåga, exposure and Response Prevention, adherence, self-efficacy
language
Swedish
id
9146324
date added to LUP
2024-01-24 16:11:34
date last changed
2024-01-24 16:11:34
@misc{9146324,
  abstract     = {{Exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD), but not everyone benefits. While many authors have explored the contribution of demographic and clinical factors in relation to treatment outcome, few studies have investigated how processes that occur during the course of treatment (e.g., changes in motivation) relate to treatment outcome. The aim of this study was to examine how motivation, self-efficacy and adherence to treatment were related to treatment outcome. Levels at baseline, mean levels across treatment and changes during treatment were examined. The study included 46 adult participants (26 women, 20 men, 18-52 years old, M = 31,67 years) with OCD who received intensive treatment with ERP. The results indicated that neither motivation nor self-efficacy at baseline predicted treatment outcome. However, changes in both self-efficacy and treatment adherence were significant and positively correlated with a decrease in OCD symptoms. Our findings suggest that individuals with OCD who experience an increased belief in their own abilities and adhere more to treatment as the treatment progresses are more likely to achieve a positive treatment response. These findings underscore the importance of, throughout ERP for OCD, promote a positive change in the patient’s belief in their own ability to overcome OCD and their commitment to treatment.}},
  author       = {{Bengtsson, Linn and Beckman, Moa}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Förändringsfaktorer under exponering och responsprevention för OCD: betydelsen av motivation, följsamhet och självförmåga}},
  year         = {{2024}},
}