Prevalence and Epidemiology

The vast majority of people in nonclinical samples experience unpleasant intrusive thoughts or engage in compulsive rituals from time to time. Although the content of these obsessions and compulsions is similar in clinical and nonclinical groups, these symptoms tend to be less frequent, less intense, and less distressing among nonclinical samples than among individuals with OCD (Muris, Merckelbach, & Clavan, 1997 Rachman & de Silva, 1978 Salkovskis & Harrison, 1984). The prevalence of...

Morgan T Sammons and Norman B Schmidt

This book is aimed at psychologists and other mental health practitioners who desire to understand how psychotropic drugs can be combined with psychotherapy and other behavioral treatments to produce optimum patient outcome. Readers will discover that the science underlying combined treatments remains underdeveloped. This is in part a reflection of the inattention paid to investigating combined treatments, in part a reflection of guild-based biases that champion one form of treatment over...

The Elusive Algorithm

During the 1990s, a number of attempts have been made to formulate rational prescribing strategies for psychotropics. In response to an emphasis on evidence-based practice and a need to manage rising health care costs, clinical guidelines have become increasingly common. Clinical guidelines are ideally evidence based, but many remain based on expert consensus or opinion (Woolf, Grol, Hutchinson, Eccles, & Grimshaw, 1999) and thus may not represent truly science-informed practice. Also, the...

Martin M Antony and Richard P Swinson

This chapter is organized in five main sections. The first section reviews the nature of obsessive-compulsive disorder (OCD), including such topics as diagnostic issues, prevalence and epidemiology, and comorbidity. The second section, on assessment, includes information on interview-based assessments, self-report measures, behavioral assessment, and the use of monitoring diaries. The third section covers biological treatments for OCD and includes information on the biological underpinnings of...

Contributors

Antony, PhD, Anxiety Treatment and Research Centre, St. Joseph's Hospital, and Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada Kathleen M. Carroll, PhD, Yale University School of Medicine, New Haven, CT Robert D. Coursey, PhD, Psychology Department, University of Maryland, College Park, MD Patrick H. DeLeon, PhD, JD, Office of Senator Daniel Inouye, U.S. Senate, Washington, DC John F. Drozd, PhD, Capt, USAF, BSC, 10th Medical...

Nimhocs

30 4 subscales Washing, Checking, Obsessional Slowness and Repetition, Excessive Doubting and Conscientiousness Adequate psychometric properties3 Assesses a limited range of symptoms3 Currently being revised and updated Measures OCD-related interference for various daily activities Does not assess OCD symptoms directly just interference Several versions and revisions exist 18-62 items Self-report and observer-rated versions Adequate psychometric properties but not discriminant validity 60 5...