Implementation of the Bergen 4-day treatment for obsessive compulsive disorder in Iceland

Objective: The purpose of this study was to evaluate the first implementation outside of Norway of the Bergen 4-day treatment for Obsessive Compulsive Disorder (OCD), an innovative and effective treatment format with high acceptance and basically no drop-out. Method: Nineteen patients with OCD underwent the treatment at the Icelandic Anxiety Clinic (Kvíðameðferðarstöðin). Of these, 17 of the patients were classified pretreatment with severe to extreme symptoms and 2 were classified with moderate symptoms. 63% of the patients had previously received treatment for OCD (ERP or CBT). Results: Mean pretreatment score on Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was 28.79 (SD = 4.42). One week post-treatment mean Y-BOCS score was 9.95 (SD = 3.67). 94.7% of the patients had responded to treatment and 73.7 were in remission according to the international consensus criteria. At 3-month follow-up, the Y-BOCS score was 11.09 (SD = 5.89) where 78.9% of the patients had responded to treatment and 63.2% were in remission. Conclusions: All patients expressed high satisfaction with the treatment format, and none of the patients would have preferred longer term treatment. The therapists also expressed satisfaction with the treatment format. The Bergen 4-day treatment for OCD is a very promising treatment for OCD, and can be successfully implemented outside Norway.publishedVersio

Measuring biases of visual attention: A comparison of 4 tasks

Observers typically attend preferentially to stimuli with emotional content over emotionally neutral ones. For some this attentional pull is abnormally strong, and such attention biases may play a role in the development and maintenance of anxiety disorders. The assessment of potential biases is constrained by measurement methods. The tasks most commonly used to measure preferential attentional orienting to emotional stimuli, the dot-probe and spatial cueing tasks, have yielded mixed results. We assessed the sensitivity of 4 visual attention tasks (dot-probe, spatial cueing, visual search with irrelevant distractor and attentional blink tasks) to differences in attentional processing between threatening and neutral faces in 33 outpatients with a primary diagnosis of social anxiety disorder (SAD) and 26 healthy controls. The dot-probe and cueing tasks did not reveal any differential processing of neutral and threatening faces nor between the SAD and control groups. The irrelevant distractor task showed some sensitivity to differential processing of facial expression in the SAD group, but the attentional blink task was uniquely sensitive to such differences in both groups, and also revealed processing differences between the SAD and control groups. The attentional blink task revealed interesting temporal dynamics of attentional processing of emotional stimuli and may provide a uniquely nuanced picture of attentional response to emotional stimuli. The task may, therefore, be more suitable to measuring preferential attending to emotional stimuli and treating dysfunctional attention patterns than the more commonly used dot-probe and cueing tasks

Measuring biases of visual attention: A comparison of 4 tasks

Observers typically attend preferentially to stimuli with emotional content over emotionally neutral ones. For some this attentional pull is abnormally strong, and such attention biases may play a role in the development and maintenance of anxiety disorders. The assessment of potential biases is constrained by measurement methods. The tasks most commonly used to measure preferential attentional orienting to emotional stimuli, the dot-probe and spatial cueing tasks, have yielded mixed results. We assessed the sensitivity of 4 visual attention tasks (dot-probe, spatial cueing, visual search with irrelevant distractor and attentional blink tasks) to differences in attentional processing between threatening and neutral faces in 33 outpatients with a primary diagnosis of social anxiety disorder (SAD) and 26 healthy controls. The dot-probe and cueing tasks did not reveal any differential processing of neutral and threatening faces nor between the SAD and control groups. The irrelevant distractor task showed some sensitivity to differential processing of facial expression in the SAD group, but the attentional blink task was uniquely sensitive to such differences in both groups, and also revealed processing differences between the SAD and control groups. The attentional blink task revealed interesting temporal dynamics of attentional processing of emotional stimuli and may provide a uniquely nuanced picture of attentional response to emotional stimuli. The task may, therefore, be more suitable to measuring preferential attending to emotional stimuli and treating dysfunctional attention patterns than the more commonly used dot-probe and cueing tasks

Implementation of the Bergen 4-day treatment for obsessive compulsive disorder in Iceland

Objective: The purpose of this study was to evaluate the first implementation outside of Norway of the Bergen 4-day treatment for Obsessive Compulsive Disorder (OCD), an innovative and effective treatment format with high acceptance and basically no drop-out. Method: Nineteen patients with OCD underwent the treatment at the Icelandic Anxiety Clinic (Kvíðameðferðarstöðin). Of these, 17 of the patients were classified pretreatment with severe to extreme symptoms and 2 were classified with moderate symptoms. 63% of the patients had previously received treatment for OCD (ERP or CBT). Results: Mean pretreatment score on Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was 28.79 (SD = 4.42). One week post-treatment mean Y-BOCS score was 9.95 (SD = 3.67). 94.7% of the patients had responded to treatment and 73.7 were in remission according to the international consensus criteria. At 3-month follow-up, the Y-BOCS score was 11.09 (SD = 5.89) where 78.9% of the patients had responded to treatment and 63.2% were in remission. Conclusions: All patients expressed high satisfaction with the treatment format, and none of the patients would have preferred longer term treatment. The therapists also expressed satisfaction with the treatment format. The Bergen 4-day treatment for OCD is a very promising treatment for OCD, and can be successfully implemented outside Norway