The Comparison of Acceptance and Commitment Therapy with Selective Serotonin Reuptake Inhibitors in the Treatment of Obsessive-Compulsive Disorder

authors:

avatar Yaghoob Vakili 1 , avatar Banafsheh Gharraee 2 , * , avatar Mojtaba Habibi 3 , avatar Fahimeh Lavasani 4 , avatar Maryam Rasoolian 4

Department of Clinical Psychology, Tehran In stitute of Psychiatry, Faculty of Behavior al Sciences and Mental Health, Iran University of Medical Sciences , Tehran, Iran
Department of Clinical Psychology, Tehran In stitute of Psychiatry, Faculty of Behavior al Sciences and Mental Health, Iran Unive rsity of Medical Sciences , Tehran, Iran
Family Research Institute, Shahid Beheshti University, Tehran, Iran
Department of Clinical Psychology, Tehran Institute of Psychiatry, Faculty of Behavior al Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
Zahedan Journal of Research in Medical Sciences: Vol.16, issue 10(suppl)
published online: October 13, 2013
article type: Review Article
received: May 13, 2013
accepted: June 29, 2012

how to cite: Vakili Y, Gharraee B , Habibi M, Lavasani F, Rasoolian M. The Comparison of Acceptance and Commitment Therapy with Selective Serotonin Reuptake Inhibitors in the Treatment of Obsessive-Compulsive Disorder. Zahedan J Res Med Sci. 2014;16(10(suppl)): -. 

Abstract

Background: The aim of this study was to compare the effectiveness of acceptance and commitment therapy (ACT), selective serotonin reuptake inhibitors (SSRIs), and the combination of ACT and SSRIs in the treatment of adults with obsessive-compulsive disorder (OCD).
Materials and Methods: In This experimental study 32 outpatients meeting DSM-IV-TR criteria for OCD were randomly assigned to one of three treatment conditions: ACT, SSRIs, and combined treatment. The Yale-Brown Obsessive-Compulsive Scale (YBOCS), Beck Depression Inventory-II-Second edition (BDI-II), and Beck Anxiety Inventory (BAI) were administered at pre- and post-treatment. Twenty-seven patients completed the study. Data were analyzed by one-way analysis of variance (ANOVAs) and one - way analysis of covariance (ANCOVAs), clinically significant change, and complete remission status.
Results: Analyses with ANCOVA revealed that the patients treated with ACT and combined treatment experienced a significantly greater improvement in obsessivecompulsive symptoms at post-treatment as compared to those treated with SSRIs alone. However, there were no significant differences between ACT and combined treatment on OC symptoms. In addition, no significant differences were found between all the 3 treatment groups regarding reduction in the BDI-II and BAI scores at post-treatment. Clinically significant change and complete remission status results also showed that, unlike the SSRI, the ACT and combined treatment lead to more improvement in OC symptoms.
Conclusion: ACT and combined treatment are more effective than SSRIs alone in treating OC symptoms. However, it seems that adding SSRIs to ACT does not increase the effectiveness of ACT in the treatment of adults with OCD in the short-term.

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