G. Steketee, SOCIAL SUPPORT AND TREATMENT OUTCOME OF OBSESSIVE-COMPULSIVE DISORDERAT 9-MONTH FOLLOW-UP, Behavioural psychotherapy, 21(2), 1993, pp. 81-95
The present study investigated whether social support and family membe
rs' reactions to clients with obsessive compulsive disorder played a s
ignificant role in the follow-up outcome of an intensive behavioral tr
eatment program. The roles OCD symptoms, moodstate, social functioning
and life events were also assessed. General social support did not pr
edict relapse, but significant others' empathy and positive interactio
ns were associated with maintenance of gains. Negative family interact
ions (especially criticism and anger) and belief that clients could co
ntrol their symptoms predicted relapse. Higher levels of post-treatmen
t anxiety and depression and poorer functioning were related to negati
ve outcome, as was distress from life events during follow-up. Results
are discussed with respect to possible mechanisms of action and futur
e research needs.