Author Credentials

Sister Mary Coletta Dunn, O.S.F.

Date of Award

1-1-2010

Document Type

Thesis

Degree Name

Master Of Arts In Clinical Psychology

Colleges & School

College Of Arts And Sciences

First Advisor

Brad Grunert, PhD

Library of Congress Subject Heading

Obsessive-compulsive disorder--Treatment; Obsessive-compulsive disorder--Patients; Mental health facilities

Abstract

The effect of late week admission compared with early week admission in residential care on premature therapy dropout and symptom reduction was investigated for adult obsessive-compulsive patients in a residential treatment setting. Treatment drop out has long been identified as an obstacle in therapy and treatment for obsessive-compulsive disorder has been no exception (Wierzbicki and Pekarik, 1993). This study set out to investigate factors that may lead to premature therapy drop out and symptom reduction in a residential setting. Early week admissions were identified as those who were admitted on a Monday or a Tuesday and late week admissions were identified as those who were admitted on a Thursday or a Friday. It was hypothesized that those admitted late in the week would have a higher frequency of premature drop out compared to those admitted early in the week as there would be less time to form a therapeutic relationship. It was also hypothesized that those admitted on a Monday or a Tuesday would show greater OCD symptom improvement than those who were admitted on a Thursday or a Friday. This was done through a retrospective chart review of 109 patients through the index period of February 2008 and May 2010. All participants had a primary diagnosis of obsessive-compulsive disorder. The Yale Brown Obsessive Compulsive Scale was used to determine treatment progress or symptom reduction and discharge status was identified as either recommended or not recommended by treatment staff. Results did not indicate a relationship between the day of the week admitted and premature discharge rate. Results also did not indicate a relationship between admission day of the week and symptom reduction.

Rights

On-Campus Access

OCLC Number

721356411.00

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