Cognitive behavioural therapy for obsessive-compulsive disorder with comorbid schizophrenia: a case report with repetitive measurements

Behav Cogn Psychother. 2014 May;42(3):374-8. doi: 10.1017/S1352465813000519. Epub 2013 Jul 30.

Abstract

Background: Obsessive-compulsive disorder (OCD) has been observed in a substantial proportion of patients with schizophrenia. Although cognitive-behavioural therapy (CBT) is well documented for OCD, few case studies are available regarding CBT for comorbid OCD in schizophrenia.

Aims: The study aims to present a case study to augment the limited knowledge concerning CBT treatment for OCD in patients with schizophrenia.

Method: The research adopted a case study approach, with a baseline condition and repeated assessments during the 3-week treatment and 6-month follow-up period.

Results: The treatment was successful and the patient achieved clinical significant change in OCD symptoms. The patient had a reduction on the Y-BOCS from 24 to 5 (79%) and from 38 to 10 (73%) on the OCI-R from before treatment to 6 months follow-up. He did not fulfil the criteria for an OCD diagnosis at the end of the 3-week treatment period, or the follow-up at 3- and 6 months.

Conclusions: The results strengthen the impressions given by previous case studies suggesting that CBT may be a promising treatment for OCD in patients with schizophrenia.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Clozapine / therapeutic use
  • Combined Modality Therapy
  • Comorbidity
  • Follow-Up Studies
  • Humans
  • Implosive Therapy / methods
  • Male
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / psychology*
  • Obsessive-Compulsive Disorder / therapy*
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychometrics
  • Psychotherapeutic Processes
  • Quality of Life
  • Schizophrenia, Paranoid / diagnosis
  • Schizophrenia, Paranoid / psychology*
  • Schizophrenia, Paranoid / therapy*
  • Self Care / psychology

Substances

  • Clozapine