Defense mechanism changes in successfully treated patients with obsessive-compulsive disorder

Ronald C. Albucher, James L. Abelson, Randolph Nesse

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objective: Changes in defense mechanisms after treatment of patients with obsessive-compulsive disorder (OCD) were measured by using an established rating scale. Method: Before and after 7-week group behavior therapy, 17 patients with DSM-III-R OCD were assessed with the Defense Style Questionnaire, Yale-Brown Obsessive Compulsive Scale, and Beck Depression Inventory. Results: After behavior therapy the patients evidenced significant decreases in Yale-Brown Obsessive Compulsive Scale scores and significant increases in the use of more adaptive defense mechanisms. There were no significant changes in three maladaptive defense mechanism categories. The improvement in adaptive defenses was independently linked to improvement both in OCD and in depression. Conclusions: Personality as defined by defense mechanisms may be more amenable to brief behavioral treatment than previously thought. The permanence of these changes must be further assessed.

Original languageEnglish (US)
Pages (from-to)558-559
Number of pages2
JournalAmerican Journal of Psychiatry
Volume155
Issue number4
StatePublished - 1998
Externally publishedYes

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Obsessive-Compulsive Disorder
Defense Mechanisms
Behavior Therapy
Depression
Group Psychotherapy
Diagnostic and Statistical Manual of Mental Disorders
Personality
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Defense mechanism changes in successfully treated patients with obsessive-compulsive disorder. / Albucher, Ronald C.; Abelson, James L.; Nesse, Randolph.

In: American Journal of Psychiatry, Vol. 155, No. 4, 1998, p. 558-559.

Research output: Contribution to journalArticle

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