A Study on the Effectiveness of Cognitive Behavioural Therapy for Obsessive Compulsive Behaviour in Iraq: Lessons for Cross-cultural Practice

Given the emphasis on Cognitive Behavioural Therapy (CBT) as the “golden standard” treatment for Obsessive Compulsive Disorder (OCD) in the UK, some authors have called for the application of this psychotherapeutic approach in the Arab world. This study, carried out in Iraq, is a quantitative single-group design with pre- and post-assessment. Symptoms were assessed in relation to the CBT treatment and a single time follow-up evaluation was carried out after 6 months. Findings suggested a positive impact of CBT, with a significant effect for the number of sessions. The effect was bigger at 6 months follow-up, even when socio-economic status (SES) was controlled for. Initial findings suggest that the analytic nature of CBT might be a useful tool to tackle OCD in Iraq. However, local cultural habits ought to be taken into consideration. Results are discussed in relation to cross-cultural issues, suggested adaptations and the need to work more holistically with indigenous services