Depression often coexists with OCD (4). Using a large sample
of 87 patients, Abramowitz and colleagues examined the
effects of comorbid depressive symptoms on ERP outcome
(40). They divided patients into groups without depression,
with mild depression, with moderate depression, and
with severe depression on the basis of pretreatment scores on
the Beck Depression Inventory (41). Results indicated attenuated
outcome only for the group with the most severe depression.
The authors suggested that, because of their high
emotional reactivity, individuals with severe depression fail
to undergo the decrease in anxiety-distress that occurs following
extended exposure to feared stimuli. Thus they do not
have the therapeutic experience of feeling comfortable in the
presence of feared stimuli and therefore fail to leam that
obsessive doubts are unrealistic. Motivational difficulties,
which often accompany depression, may also account for
poor treatment outcome.
Depression often coexists with OCD (4). Using a large sampleof 87 patients, Abramowitz and colleagues examined theeffects of comorbid depressive symptoms on ERP outcome(40). They divided patients into groups without depression,with mild depression, with moderate depression, andwith severe depression on the basis of pretreatment scores onthe Beck Depression Inventory (41). Results indicated attenuatedoutcome only for the group with the most severe depression.The authors suggested that, because of their highemotional reactivity, individuals with severe depression failto undergo the decrease in anxiety-distress that occurs followingextended exposure to feared stimuli. Thus they do nothave the therapeutic experience of feeling comfortable in thepresence of feared stimuli and therefore fail to leam thatobsessive doubts are unrealistic. Motivational difficulties,which often accompany depression, may also account forpoor treatment outcome.
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