Obsessive Compulsive Disorder AND Body Dysmorphic Disorder AND Psychosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Meet the criteria for OCD, BDD or psychosis, a primary diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed; American Psychiatric Association, 2013) • Are aged 18 and beyond • Dutch literacy • Cut-off Y-BOCS of 20 (not eligible for psychosis) • No change in medication. Stable dose at least 6 weeks prior to study (not eligible for psychosis)
Exclusion criteria
Exclusion criteria: • Current (hypo)mania • Psychotic disorder (excluding delusional symptoms related to disorder) (not eligible for psychose) • Alcohol or drugs abuse as diagnosed by DSM-5 • Electroconvulsive therapy in last 6 months • Neurological disorder or IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes - Schema or core beliefs, as measured by VAS scales. - OCD and BDD core symptoms (based on the Y-BOCS, as measured by VAS scales) - Well-being (MHQoL) and self-esteem (RSES) (Psychosis) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes - Y-BOCS(-BDD), which is a semi structured interview (5 items about obsession and 5 items about compulsions). Measure: OCD and BDD symptoms. Frequency: 4 times. - Brown Assessment of Beliefs Scale (BABS), a 7-item semi-structured, rater-administered scale. Measure: Insight/delusions. Frequency: pre-post-FU - Young Schema Questionnaire (YSQ-S3) and Schema Mode Inventory (SMI), a self-report questionnaire of respectively 90 and 118 items. Measure: Schemata and modes. Frequency: pre-post-FU - Hamilton Rating Scale for Depression (HRSD), a 17-item semi-structured interview. Measure: Mood. Frequency: 4 times - VAS scales measuring core emotions (shame, guilt, anxiety, sadness, anger, disgust, repugnance). - VAS scale measuring affect strength. - VAS scale measuring obtrusiveness of imagination. - Qualitative interview and questionnaire: Imagery rescripting working mechanisms, therapeutic alliance, experiential avoidance, changes in cognition - Psychosis: PSYRATS (psychotic symptoms), trauma (PCL-5) | — |
Countries
Netherlands