Objectives: The aim of this study was to explore how client's agency appears in the narratives of patients with obsessive compulsive disorder.

Methods: A qualitative descriptive design was used as a study design and a thematic analysis was employed to collect and analyse the data. Semi-structured interviews were conducted with 37 participants (26 patients with obsessive compulsive disorder and 11 counselors). All patients had received tele-counseling.

Results: Three main themes were extracted from the data including agency prior to the therapy, agency via awareness, and enhancers of client's agency.

Conclusions: Findings demonstrated that when the participants became aware of having OCD and underwent therapy with self-involvement, they achieved a higher level of agency in the therapy process and achieve better treatment results. Culture may also influence on how the disorder is experienced, and the level of agency in starting and following the required treatments.

Practice Implications: The results could be used by counsellors to enhance their clients' agency.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pec.2023.107928DOI Listing

Publication Analysis

Top Keywords

patients obsessive
8
obsessive compulsive
8
level agency
8
agency
7
agency process
4
process change
4
change investigating
4
investigating experience
4
patients
4
experience patients
4

Similar Publications

Cannabidiol (CBD) and Δ-tetrahydrocannabinol (THC), the main components of Cannabis sativa plants, can interact with specific cell receptors known as cannabinoid receptors (CBs). The endogenous compounds anandamide (AEA) and 2-arachidonoylglycerol (2-AG) are CB agonists, and, alongside enzymes, they constitute the endocannabinoid system (ECS) and take part in neuromodulation. Several LC-MS/MS methods have been developed to quantify these compounds in biological matrixes, but a fast and simple method that can determine these analytes in plasma samples simultaneously is not available.

View Article and Find Full Text PDF

Local effective connectivity changes after transcranial direct current stimulation in obsessive-compulsive disorder patients.

J Affect Disord

January 2025

School of Medicine and Health, Department of Diagnostic and Interventional Neuroradiology, Technical University of Munich, Munich, Germany; School of Medicine and Health, TUM-NIC Neuroimaging Center, Technical University of Munich, Munich, Germany.

Aim: This study investigates the effects of transcranial direct current stimulation (tDCS) on brain network connectivity in individuals with obsessive-compulsive disorder (OCD).

Methods: In a randomized, double-blind, sham-controlled experimental design anodal tDCS (vs. sham) was applied in a total of 43 right-handed patients with OCD, targeting the right pre-supplementary motor area (pre-SMA).

View Article and Find Full Text PDF

Exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder. However, ERP's distressful nature may be too demanding for some patients, resulting in low engagement with treatment or even dropout. The current review aimed to summarize and categorize the components of ERP plus add-on protocols.

View Article and Find Full Text PDF

Mobile Health for Obsessive-Compulsive Disorder: Patients' Preferences and Perception of Patient-Centeredness.

Actas Esp Psiquiatr

January 2025

Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, 3004-504 Coimbra, Portugal; Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), University of Coimbra, 3000-548 Coimbra, Portugal; Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal; Department of Psychiatry, Coimbra Hospital and University Centre, 3004-561 Coimbra, Portugal.

Background: The increasingly fast development of mobile health technologies holds significant value for individuals dealing with mental health conditions. However, inadequate consideration of patients' preferences and expectations undermines real-world outcomes, including sustained adherence. Driven by the belief that specific characteristics, such as youth and higher education, of individuals with obsessive-compulsive disorder make them suitable for digital adoption, we investigated mHealth-related desirability factors within this patient group.

View Article and Find Full Text PDF

Objective: Both general medical and mental health services were disrupted during the pandemic. It is unclear how these disruptions played out for people with various mental health diagnoses. We compared change in mental health status and use of mental health services between four psychiatric groups: schizophrenia spectrum disorders, bipolar disorder, unipolar depression, and anxiety/obsessive-compulsive disorder (OCD).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!