International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Efficacy of Group based Compassion Focused Therapy in Male Obsessive Compulsive Disorder: A Pilot Study

Document Type : Original Article

Authors
Sneha Patel 1
Neha Sayeed 1
Basudeb Das 2
1 Department of Clinical Psychology, Central Institute of Psychiatry, Ranchi, Jharkhand, India
2 Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand, India
10.30491/ijbs.2022.286927.1567
Abstract
Introduction: Compassion Focused Therapy (CFT) engages Obsessive-Compulsive Disorder (OCD) patients in value-based action and changes the context of anxiety with self-kindness. The aim of the study was to explore the initial feasibility of CFT as a group therapy for OCD.
Method: This was a cross-sectional Pre, Post and follow up pilot study conducted in a group of five OCD patients based on purposive sampling. Patients were given group based CFT for 16 sessions. Assessment was done using Yale-Brown Obsessive Compulsive scale (Y-BOCS,1989), Beck Anxiety Inventory (BAI,1988), Beck Depression Inventory (BDI,1988), the Cognitive Intrusions Questionnaire (CIQ,1991), Obsessive Belief Questionnaire (OBQ 2005), Fears of Compassion Scale (FCS,2011), Other as Shamer Scale (OAS,1994), Subjective Well Being Scale (SWBS,1985) and Clinical Global Impression (CGI,1976). Data were analyzed using mean, standard deviation and repeated measure ANOVA with the help of SPSS version 25.
Results: Findings showed improvement in OC symptoms, anxiety, depression, avoidance behavior, on importance/ control of obsession thoughts, self-compassion, external shame and global symptom severity.
Conclusion: Findings suggests that group-based CFT is feasible and efficacious for testing on a large base of adult male OCD patients.
Keywords
Obsessive Compulsive Disorder
Depression
Group Therapy and Anxiety Disorders
  1. Stein DJ. Obsessive-compulsive disorder. The Lancet. 2002;360(9330):397-405.doi:10.1016/S0140-6736(02)09620-4
  2. Ahovan M, Jajarmi M, Bakhshipoor A. Comparing the Effectiveness of Schema Therapy and Emotional Schema Therapy on Emotion Regulation of Individuals with Obsessive Compulsive Symptoms. International Journal of Behavioral Sciences.2021;14(4):239-45 doi:10.30491/IJBS.2020.225387.1238.

 

  1. Foa EB, Liebowitz MR, Kozak MJ, Davies S, Campeas R, Franklin ME, et al. Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder. American Journal of psychiatry. 2005;162(1):151-61. doi:10.1176/appi.ajp.162.1.151.
  2. Fisher PL, Wells A. How effective are cognitive and behavioral treatments for obsessive–compulsive disorder? A clinical significance analysis. Behaviour research and therapy. 2005;43(12):1543-58.doi:10.1016/j.brat.2004.11.007
  3. McDermott SP. A 38-year-old man with anxiety, intrusive violent thoughts. Psychiatric Annals. 2006;36(1):10. doi:10.3928/00485713-20060101-08
  4. Mancini F, Gangemi A. Fear of guilt from behaving irresponsibly in obsessive–compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry. 2004;35(2):109-20.doi:10.1016/j.jbtep.2004.04.003
  5. Kolts RL. CFT made simple: A clinician's guide to practicing compassion-focused therapy: New Harbinger Publications; 2016.
  6. Gilbert P. An introduction to compassion focused therapy in cognitive behavior therapy.International Journal of Cognitive Therapy.2010June;3(2):97-112.doi:10.1521/ijct.2010.3.2.97
  7. Gilbert P, Procter S. Compassionate mind training for people with high shame and self‐criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2006;13(6):353-79. doi:10.1002/cpp.507
  8. Braehler C, Gumley A, Harper J, Wallace S, Norrie J, Gilbert P. Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology. 2013;52(2):199-214. doi:10.1111/bjc.12009
  9. Kelly AC, Carter JC. Self‐compassion training for binge eating disorder: A pilot randomized controlled trial. Psychology and psychotherapy: Theory, research and practice. 2015;88(3):285-303.doi:10.1111/papt.12044
  10. O'Neill M, McMillan T. Can deficits in empathy after head injury be improved by compassionate imagery? Neuropsychological rehabilitation.2012;22(6):83651.doi:10.1080/09602011.2012.691886
  11. Noorbala F, Borjali A, Ahmadian-Attari MM, Noorbala AA. Effectiveness of compassionate mind training on depression, anxiety, and self-criticism in a group of Iranian depressed patients. Iranian journal of psychiatry. 2013;8(3):113-117
  12. Beaumont E, Galpin A, Jenkins P. 'Being kinder to myself': A prospective comparative study, exploring post-trauma therapy outcome measures, for two groups of clients, receiving either Cognitive Behaviour Therapy or Cognitive Behaviour Therapy and Compassionate Mind Training. Counselling Psychology Review. 2012;27(1):31-43.
  13. Neff KD, Kirkpatrick KL, Rude SS. Self-compassion and adaptive psychological functioning. Journal of research in personality.2007;41(1):139-54.doi:10.1016/j.jrp.2006.03.004
  14. Hosseini K, Soleimani E. The Relationship between Child Abuse and Cognitive Distortions with Clinical Symptoms of Obsessive-Compulsive Disorder: The Mediating Role of Emotion Dysregulation. International Journal of Behavioral Sciences. 2021;15(2):88-95. doi:10.30491/IJBS.2021.253385.1408
  15. Welford M. A compassion focused approach to anxiety disorders. International Journal of Cognitive Therapy. 2010 Jun;3(2):124-40. doi:10.1521/IJCT.2010.3.2.124
  16. David D, Cristea I, Hofmann SG. Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers inpsychiatry.2018;9:4.doi.:10.3389/fpsyt.2018.00004
  17. Girishchandra B, Khanna S. Phenomenology of obsessive compulsive disorder: a factor analytic approach. Indian journal of psychiatry. 2001;43(4):306.
  18. Jaisoorya T, Reddy YJ, Srinath S, Thennarasu K. Sex differences in Indian patients with obsessive-compulsive disorder. Comprehensivepsychiatry.2009;50(1):70-5. doi:10.1016/j.comppsych.2008.05.003.
  19. Raffaelli M, Ontai LL. Gender Socialization in Latino/a Families: Results From Two Retrospective Studies. Sex Roles. 2004Mar;50(5-6):287-299.doi.org/10.1023/b:sers.0000018886.58945.06
  20. Judge L, Cleghorn A, McEwan K, Gilbert P. An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy. 2012;5(4):420-9. doi:10.:1521/ijct.2012.5.4.420
  21. Lucre KM, Corten N. An exploration of group compassion‐focused therapy for personality disorder. Psychology and Psychotherapy: theory, research and Practice. 2013;86(4):387-400. doi:10.1111/j.2044-8341.2012.02068.x
  22. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown obsessive compulsive scale: I. Development, use, and reliability. Archives ofgeneralpsychiatry.1989;46(11):1006-11. doi:10.1001/archpsyc.1989.01810110048007
  23. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology.1988;56(6):893. doi:10.1037/0022-006X.56.6.893
  24. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of general psychiatry.1961;4(6):561-71. doi:10.1001/archpsyc.1961.01710120031004
  25. Freeston MH, Ladouceur R, Thibodeau N, Gagnon F. Cognitive intrusions in a non-clinical population. I. Response style, subjective experience, and appraisal. Behaviour research and therapy.1991;29(6):585-97.doi:10.1016/0005-7967(91)90008-Q.
  26. Group OCCW. Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory—Part 2: Factor analyses and testing of a brief version. Behaviour ResearchandTherapy.2005;43(11):1527-42. doi:10.1016/j.brat.2004.07.010.
  27. Gilbert P, McEwan K, Matos M, Rivis A. Fears of compassion: Development of three self‐report measures. Psychology and Psychotherapy: Theory, research and practice. 2011;84(3):239-55. doi:10.1348/147608310X526511
  28. Cook DR. Measuring shame: The internalized shame scale. Alcoholism treatment quarterly. 1988;4(2):197-215.doi: 10.1300/J020v04n02_12
  29. Allan S, Gilbert P, Goss K. An exploration of shame measures—II: psychopathology. Personality and Individual differences. 1994;17(5):719-22.doi:10.1016/01918869(94)90150-3.
  30. Goss K, Gilbert P, Allan S. An exploration of shame measures—I: The other as Shamer scale. Personality and Individual differences.1994;17(5):713-7.doi:10.1016/0191-8869(94)90149-X.
  31. Nagpal R, Sell H. Subjective Well-Being.World Health Organization Regional Office for South East Asia, New Delhi, India;1985.
  32. Guy W. ECDEU assessment manual for psychopharmacology: US Department of Health, Education,and Welfare, Public Health Service,Alcohol,Drug Abuse and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs. 1976:217-2.
  33. Leucht S, Kane JM, Kissling W, Hamann J, Etschel E, Engel R. Clinical implications of brief psychiatric rating scale scores. The BritishJournalofPsychiatry.2005;187(4):366-71. doi:10.1192/bjp.187.4.366
  34. Dahlke F, Lohaus A, Gutzman H. Reliability and clinical concepts underlying global judgments in dementia: implications for clinical research. Psychopharmacology Bulletin 1992 Jan 1;28(4):425-32.
  35. Bates T. The expression of compassion in group cognitive therapy. Compassion: Routledge; 2005. 381-98.
  36. Steinberg DS, Wetterneck CT, Little T, Phillips L, Hart J. Examining self-compassion and experiential avoidance in symptom dimensions of OCD. InSymposium presented at the 32nd Annual Anxiety Disorders Association of America Conference, Arlington, Virginia 2012.

39.  Leary MR, Tate EB, Adams CE, Batts Allen A, Hancock J. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of personality and social psychology. 2007;92(5):887.

International Journal of Behavioral Sciences
Volume 15, Issue 4
Winter 2022
Pages 275-281