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Front. Psychol. | doi: 10.3389/fpsyg.2018.00639

The Bergen 4-day OCD treatment delivered in a group setting: 12-month follow-up

 Bjarne Hansen1, 2,  Kristen Hagen1, 3, Lars-Göran Öst4,  Stian Solem5 and  Gerd Kvale1*
  • 1OCD-team, Haukeland University Hospital, Norway
  • 2Department of Clinical Psychology, University of Bergen, Norway
  • 3OCD-team, Molde Hospital, Norway
  • 4Department of Psychology, Stockholm University, Sweden
  • 5Department of Psychology, Norwegian University of Science and Technology, Norway

The Bergen 4-day concentrated exposure treatment (cET) for obsessive-compulsive disorder (OCD) has proven highly acceptable; with practically no drop-out and a six month remission rate of nearly 70%. The aim of the present study was to evaluate long term gains of the approach, and to compare the results to findings from our recent meta-analysis. Sixty-nine of 95 patients consecutively referred to an outpatient clinic in the specialist health care, were offered the Bergen 4-day treatment. Among the 65 who initiated treatment, 60.0% were classified with “severe” to “extreme” OCD. None of the patients dropped-out during treatment. Independent Yale-Brown Obsessive-Compulsive Scale interviews were conducted post-treatment, and at 3- and 12-month follow-up. Using the international consensus criteria, 83.1% responded to treatment at 12-month follow-up, and 67.7% of patients were classified as recovered. Significant changes were also seen in depression, as measured by Patient Health Questionnaire-9, and in generalized anxiety, as measured by Generalized Anxiety Disorder-7 scale. A total of 89% of the patients rated the treatment as very good and 100% would recommend the treatment to a friend. Compared to results in a recent meta-analysis, the Bergen 4-day treatment is favorable in respect to attrition, response and 12-month recovery. In sum the Bergen 4-day treatment is a feasible way to deliver treatment for OCD, and and the effects are stable at 12-month follow-up. Implications for dissemination are discussed.

Keywords: OCD; ERP; concentrated exposure treatment, Bergen 4-day program; group format; long term follow-up; patients' acceptance

Keywords: OCD, ERP, concentrated exposure treatment, Bergen 4-day program, Group format, Long term follow-up, patient acceptance

Received: 06 Nov 2017; Accepted: 16 Apr 2018.

Edited by:

Changiz Mohiyeddini, Northeastern University, United States

Reviewed by:

Suzie X. Wang, Leeds Beckett University, United Kingdom
Dean McKay, Fordham University, United States  

Copyright: © 2018 Hansen, Hagen, Öst, Solem and Kvale. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Gerd Kvale, Haukeland University Hospital, OCD-team, Bergen, Norway, gerd.kvale@helse-bergen.no