OCD Center at Rogers
Memorial Completes Outcome Study
Residential
Treatment Outcome Study
The OCD Treatment Outcome Study included the program's first 18
residents - seven male, and eleven female - who completed a minimum
of 25 days in the program. The average age of residents was 39.2
years, and the average length of stay in the program was 64.6
days with a range of 25 to 192. Upon admission into the program,
each resident completed an assessment packet which included the
Yale-Brown Obsessive-Compulsive Scale Severity Ratings (Y-BOCS;
Goodman, Price, Rasmussen, and Mazure, 1989) and the Beck Depression
Inventory (BDI; Beck and Steer, 1993).
The
Y-BOCS is a 10-item questionnaire used to assess the severity
of obsessional thinking and compulsive activity and the impact
these symptoms have on a person's life. Each item is scored on
a scale of zero to four, with a maximum score of 40. Ranges of
the total scores are divided into levels of severity in order
to clarify the clinical significance of a person's score. An individual
scoring from zero to seven is considered subclinical in relation
to OCD symptoms. The eight to 15 range is associated with mild
OCD. A score from 16 to 23 indicates moderate levels. A score
of 24 to 31 is considered severe, and a score of 32 or higher
is considered extreme.
The
BDI is a 21-item questionnaire used to assess the intensity or
depth of depression. Each item is composed of four alternative
statements, ranging in severity from zero to three with a maximum
score of 63. Again, scores are divided into levels of severity
to illustrate clinical significance. An individual scoring from
zero to 10 is considered within the range of normal mood fluctuations
in terms of depressive symptoms, eleven to 16 is associated with
a mild mood disturbance, and 17 to 20 with borderline clinical
depression. A score of 21 to 30 is associated with moderate depression.
Residents were continually evaluated through these questionnaires
every two weeks and at discharge.
The
average admitting Y-BOCS score was 30.2 (high severe range), with
an average admitting BDI of 22.2 (low moderate range). Upon discharge,
average scores had significantly reduced both statistically and
clinically to 16.7 (low moderate range) and 10.4 (high normal
range) respectably (see Figure 1).
In
summary, the Center's residential treatment program for severe
or even extreme OCD is effective. Following an average of approximately
two months of intensive treatment, the majority of residents had
significantly reduced OCD and depression-related symptoms to a
much more manageable level.
Phase
two of this study will consist of follow-up with residents once
discharged to track improvement over the long term. Further details
of this study can be obtained by contacting Brad Riemann, Ph.D.,
Clinical Director of the Obsessive-Compulsive Disorder Center
at Rogers Memorial Hospital, at 262-646-4411 or 1-800-767-4411,
ext. 221.
References:
Goodman, W.K., Price, L.H., Rasmussen, S.A. & Mazure, C. (1989).
The Yale-Brown Obsessive Compulsive Scale. Archives of General
46, 1006-1016.
Fall,
2001
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