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Clinical predictors of response to cognitive-behavioral therapy for obsessive-compulsive disorder.
This paper reviews predictors of treatment response in open and controlled trials of cognitive-behavioral therapy for obsessive-compulsive disorder (OCD). We focus on demographic characteristics, aspects of OCD symptoms, comorbidity, family factors, cognitive influences, and treatment-specific characteristics as predictor variables. Although inconsistent findings characterize much of the literature, several relatively consistent and salient predictors have emerged, including symptom severity, symptom subtype, severe depression, the presence of comorbid personality disorders, family dysfunction, and the therapeutic alliance. Implications of findings and recommendations for future research are discussed.
Clin Psychol Rev. 2008 Jan;28(1):118-30. Keeley ML, Storch EA, Merlo LJ, Geffken GR. Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida, United States; Department of Psychiatry, University of Florida, Gainesville, Florida, United States.
According to the National Health Interview Survey, 75% of the general US population experiences some level of stress every couple weeks. And, according to the American Psychological Association, 54% are concerned about their stress levels. Of course, when referring to here is distress, which is overwhelmingly negative stress. When it of gets out of hand, it can cause cognitive, emotional, behavioral, and even physical symptoms.
If you are concerned that your stress level is getting out of control, their specific symptoms for which you should be on the lookout. These include:...
Unless you are one of very few lucky people, most likely the only way that you will ever be successful is to commit to taking the massive action required to achieve a goal. Star athletes, successful business people, and even those who have found the love of their lives realize that without commitment, nothing will ever be achieved. So, if this is such as well-established fact, why isn’t everyone a total success.
The answer to that question is that for too many people several of the areas of their brain, which should normally help them become masters of their universe, have enabled them to...
Bullying is a condition or situation where one or more people are involved with aggression that is so excessive as cause extreme psychological stress for others. Unfortunately, it is a fact of life in international affairs, politics, organizational dynamics, and with individuals. By its ubiquitous nature it should be obvious that it has always played a role in our society. This, however, does not mean that we should not be concerned.
The predominant problem with bullying is its affect on the victims. When it occurs the recipient must cope and adjust behavior. This can either cause...