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Specialised in-patient treatment for severe, chronic, resistant obsessive-compulsive disorder

St George’s, University of London, London SW17 ORE, email: lynnemd{at}sgul.ac.uk

Anusha Pillay, Cognitive–Behavioural Psychotherapist, Peter Kolb, Cognitive–Behavioural Psychotherapist and Shashi Rani, Associate Specialist

Behavioural Cognitive Psychotherapy Unit, Springfield University Hospital, London SW17 7DJ

Declaration of interest

None.

AIMS AND METHOD

A naturalistic study was conducted to examine the outcome on self-report and observer-rated measures in patients with severe, chronic, resistant obsessive-compulsive disorder (OCD) admitted to a specialised in-patient unit.

RESULTS

Twenty-six patients were admitted over the study period. The mean age of all patients was 37 years (s.d.=13.8, range 18-61 years) and they had a mean duration of OCD of 18.4 years (s.d.=10.9, range 4 -40 years). Instruments measuring severity demonstrated a 37-67% reduction in obsessive-compulsive symptoms and a 64% reduction in depressive symptoms after an average of almost 15 weeks in hospital.

CLINICAL IMPLICATIONS

This study demonstrates that specialised in-patient care can benefit a small group of severely ill patients with OCD who fail to respond to treatment in primary and secondary care.

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