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Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment

BACKGROUND: Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the proble...

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Autores principales: Kvale, Gerd, Hansen, Bjarne, Björgvinsson, Thröstur, Børtveit, Tore, Hagen, Kristen, Haseth, Svein, Kristensen, Unn Beate, Launes, Gunvor, Ressler, Kerry J., Solem, Stian, Strand, Arne, van den Heuvel, Odile A., Öst, Lars-Göran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172736/
https://www.ncbi.nlm.nih.gov/pubmed/30286745
http://dx.doi.org/10.1186/s12888-018-1887-4
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author Kvale, Gerd
Hansen, Bjarne
Björgvinsson, Thröstur
Børtveit, Tore
Hagen, Kristen
Haseth, Svein
Kristensen, Unn Beate
Launes, Gunvor
Ressler, Kerry J.
Solem, Stian
Strand, Arne
van den Heuvel, Odile A.
Öst, Lars-Göran
author_facet Kvale, Gerd
Hansen, Bjarne
Björgvinsson, Thröstur
Børtveit, Tore
Hagen, Kristen
Haseth, Svein
Kristensen, Unn Beate
Launes, Gunvor
Ressler, Kerry J.
Solem, Stian
Strand, Arne
van den Heuvel, Odile A.
Öst, Lars-Göran
author_sort Kvale, Gerd
collection PubMed
description BACKGROUND: Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%. METHODS: Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format. RESULTS: Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD. CONCLUSIONS: We conclude that the B4DT is an acceptable and potentially effective OCD-treatment.
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spelling pubmed-61727362018-10-15 Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment Kvale, Gerd Hansen, Bjarne Björgvinsson, Thröstur Børtveit, Tore Hagen, Kristen Haseth, Svein Kristensen, Unn Beate Launes, Gunvor Ressler, Kerry J. Solem, Stian Strand, Arne van den Heuvel, Odile A. Öst, Lars-Göran BMC Psychiatry Research Article BACKGROUND: Oslo University Hospital, Norway, had by autumn 2016, accumulated a waiting list of 101 patients with obsessive-compulsive disorder (OCD) who had a legal right to receive treatment by a specialized OCD team. In this challenging situation, the Bergen OCD-team suggested to solve the problem by offering all patients an option for the rapid Bergen 4-day treatment (B4DT). The B4DT is an individual treatment delivered during four consecutive days in a group of six patients with the same number of therapists. The approach has previously shown a post-treatment response rate of 90% and a 3-month remission rate of 70%. METHODS: Ninety-seven of the wait-list patients were available for the scheduled time slots, and 90 received the 4-day format during 8 days (45 patients each week). The therapists were recruited from 22 different specialized OCD-teams from all over Norway, and 44 (68%) had not previously delivered the 4-day format. RESULTS: Post-treatment; 91.1% of the patients were classified as responders, and 72.2% were in remission. At 3-month follow-up; 84.4 were classified as responders and the remission rate was 67.7%. Oslo University Hospital now offers the 4-day treatment as standard treatment for OCD. CONCLUSIONS: We conclude that the B4DT is an acceptable and potentially effective OCD-treatment. BioMed Central 2018-10-04 /pmc/articles/PMC6172736/ /pubmed/30286745 http://dx.doi.org/10.1186/s12888-018-1887-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kvale, Gerd
Hansen, Bjarne
Björgvinsson, Thröstur
Børtveit, Tore
Hagen, Kristen
Haseth, Svein
Kristensen, Unn Beate
Launes, Gunvor
Ressler, Kerry J.
Solem, Stian
Strand, Arne
van den Heuvel, Odile A.
Öst, Lars-Göran
Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title_full Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title_fullStr Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title_full_unstemmed Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title_short Successfully treating 90 patients with obsessive compulsive disorder in eight days: the Bergen 4-day treatment
title_sort successfully treating 90 patients with obsessive compulsive disorder in eight days: the bergen 4-day treatment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172736/
https://www.ncbi.nlm.nih.gov/pubmed/30286745
http://dx.doi.org/10.1186/s12888-018-1887-4
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