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Does Concentrated Exposure Treatment for Obsessive-Compulsive Disorder Improve Insomnia Symptoms? Results From a Randomized Controlled Trial

Bibliographic Data

ID15526367
AuthorsKristen Hagen (0000-0002-4286-1277, Norwegian University of Science and Technology, corresponding author), Håkon Nordahl (0000-0002-6066-1164, Haukeland University Hospital), Gunvor Launes (Sørlandet Sykehus), Gerd Kvale (0000-0001-5449-2344, Haukeland University Hospital), Lars‐Göran Öst (0000-0002-4351-2810, Haukeland University Hospital), Sigurd W Hystad (0000-0002-7245-9828, University of Bergen), Sigurd Hystad, Bjarne Hansen (0000-0001-5659-1119, Haukeland University Hospital), Stian Solem (0000-0002-6942-2645, Norwegian University of Science and Technology)
Year2021
Volume12
Pages625631-625631
Publication date2021-08-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.625631
PMID34489744
OpenAlexW3195761966
LanguageEN
References cited36

Insomnia is a substantial problem in patients with obsessive-compulsive disorder (OCD). There is, however, a lack of studies investigating changes in concurrent symptoms of insomnia in OCD after concentrated treatment. A recent randomized controlled trial randomized participants to the Bergen 4-day treatment (B4DT, n = 16), or 12 weeks of unguided self-help (SH, n = 16), or waitlist (WL, n = 16). Patients from the SH- and WL-group who wanted further treatment after the 12 weeks were then offered the B4DT (total of 42 patients treated with the B4DT). There were no significant differences in symptoms of insomnia between the conditions at post-treatment, but a significant moderate improvement at 3-month follow-up for patients who received the B4DT. Insomnia was not associated with OCD-treatment outcome, and change in symptoms of insomnia was mainly related to changes in depressive symptoms. The main conclusion is that concentrated exposure treatment is effective irrespective of comorbid insomnia, and that insomnia problems are moderately reduced following treatment

Anxiety · Depressive symptoms · Exposure and response prevention · Insomnia · Obsessive compulsive · Psychiatry · Randomized controlled trial · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Eating Disorders and Behaviors · Medicine · Obsessive-Compulsive Spectrum Disorders · Internal Medicine

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Citation velocityhistorical
Highly citedNo

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