The University of Rhode Island Change Assessment (URICA) as predictor of treatment outcome and dropout in patients with Obsessive-Compulsive Disorder receiving Exposure and Response Prevention
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- Institutt for psykologi 
The University of Rhode Island Change Assessment (URICA) is a self-report measure assessing 4 stages of change (Precontemplation, Contemplation, Action, and Maintenance). Research has shown that URICA can be a useful predictor of treatment outcome in addictive disorders, as well as in panic- and anxiety disorders. However, research on URICA as predictor of treatment outcome in Obsessive-Compulsive disorder (OCD) patients has shown ambiguous results. The aim of the current study was to investigate whether URICA predicts treatment dropout and treatment outcome in OCD patients receiving Exposure and Response Prevention (ERP). During ERP, patients face feared situations and thoughts and learn to refrain from compulsive behaviors. In line with previous research on the subject, we hypothesized that URICA has predictive value in estimating treatment dropout and completion in OCD patients receiving ERP treatment, and that Precontemplation specifically would predict dropout. Further, we hypothesized that URICA did not have predictive value in estimating treatment outcome. The sample consisted of 108 patients diagnosed with OCD, receiving ERP therapy. Our findings indicated that URICA has predictive value in estimating treatment dropout. Higher scores on the Contemplation subscale predicted that the patient would finish treatment. Precontemplation was not a predictor of dropout. URICA did not have predictive value for treatment outcome, as none of the subscales was related to OCD symptoms post-treatment. More research is needed in order to develop more reliable and valid measures of motivation.