Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder: 12 month follow-up

Title
Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder: 12 month follow-up
Publication Date
2015
Author(s)
Wootton, Bethany
Dear, Blake F
Johnston, Luke
Terides, Matthew D
Titov, Nickolai
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Elsevier BV
Place of publication
Netherlands
DOI
10.1016/j.invent.2015.05.003
UNE publication id
une:19829
Abstract
Internet-delivered cognitive behavior therapy (iCBT) may reduce barriers to treatment faced by people with obsessive-compulsive disorder (OCD). To date, most research on iCBT for OCD has evaluated clinician-guided treatments. However, self-guided treatments, which do not involve contact with a clinician, have considerable public health potential and may be particularly advantageous for those patients who report stigma as a principal barrier to treatment. The findings of a recent trial of self-guided iCBT for symptoms of OCD highlighted the potential of this approach and found large within-group effect sizes from pre- to post-treatment on the YBOCS-SR (d = 137), sustained at 3-month follow-up (d = 1.17).1n addition, 32% of participants met criteria for clinically significant change at 3-month follow-up. The present study reports the long-term outcomes of that trial (N = 28). Twelve out of 18 participants (43%) completed the 12 month follow-up. A large within-group effect size was found on the YBOCS-SR (d = 1.08) and 33% met criteria for clinically significant change at 12-month follow-up. No significant changes in symptoms were found between 3-month follow-up and 12-month follow-up, demonstrating that participants maintained their treatment gains in the long term. These results add to the emerging literature supporting the potential of self-guided iCBT for individuals with symptoms of OCD.
Link
Citation
Internet Interventions, 2(3), p. 243-247
ISSN
2214-7829
Start page
243
End page
247

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