Meta-Cognitive Therapy in Drug-Resistant Patients with Obsessive - Compulsive Disorder: Case Report

Document Type : Case Report

Authors

1 PhD in Clinical Psychology, Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Assistant Professor, Iran University of Medical Sciences, Tehran, Iran.

3 Assistant Professor Kharazmi University, Tehran, Iran

4 Assistant Professor, Shahed University, Tehran, Iran

5 Professor of Psychiatry, Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

6 Assistant professor, Psychiatry Ward, Shahid Beheshti University of Medical Sciences, Tehran, Iran

7 7. MSc, Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction and Aim: A significant ratio of people who suffer from Obsessive-Compulsive Disorder (OCD) do not respond well to common drugs and psychological treatments. The treatment gap increases the chronicity of the disorder and develops morbidity in social functioning, employment, and costs imposed to society. The purpose of the present study was to assess the role of Wells' metacognitive model in reducing OCD symptoms and rehabilitation in the patients.
Materials and Methods: The current study is a single case study carried out in 10 sessions on a drug-resistant patient with one, three, and six month follow-ups. The tools were Structured Clinical Interview (SCID-I), Yale Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Scale (BDI-II), the Scale of Mental Distress (SUDs), Metacognition Questionnaire (MCQ-30), and World Health Organization's Disability Scale (WHODAS 2.0). To analyze the data, diagrams were used and the rate of recovery was calculated.
Results: Test scores, from pre-test to post-test for (Y-BOCS) intensity scale was reduced from 36 to 8 (recovery rate: 77%). Also, the rate of depression, mental distress, and disability of patient had a significant reduction.
Conclusion: The meta-cognitive therapy which insists on the form of thoughts and the relationship with intrusions can be an alternative choice for drug-resistant patients with OCD and they will benefit from its therapeutic effects even in the follow-up stages.

Keywords

Main Subjects

References

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The Scientific Journal of Rehabilitation Medicine
Volume 5, Issue 2
July and August 2016
Pages 40-51

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History

  • Receive Date: 09 June 2015
  • Revise Date: 08 October 2015
  • Accept Date: 29 November 2015
  • First Publish Date: 21 June 2016

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