Cost-effectiveness of internet-delivered vs in-person cognitive behavioral therapy for children and adolescents with obsessive-compulsive disorder
Open accessAbstract
Importance: Therapist-guided, internet-delivered cognitive behavioral therapy is an effective treatment option for children and adolescents with obsessive-compulsive disorder, but to our knowledge, its cost-effectiveness compared with traditional in-person treatment has not been established. Objective: To evaluate the cost-effectiveness of guided internet-delivered cognitive behavioral therapy implemented within a stepped-care model compared with in-person cognitive behavioral therapy for young people with obsessive-compulsive disorder. Design, Setting, and Participants: This economic evaluation of a randomized noninferiority trial conducted at 2 specialist obsessive-compulsive disorder clinics in Sweden enrolled 152 children and adolescents aged 8 to 17 years with obsessive-compulsive disorder, mainly through clinician referrals (110 [72%]). Recruitment began October 6, 2017, and ended May 24, 2019. Follow-up ended April 14, 2020. Interventions: Participants were randomly assigned to receive either guided internet-delivered cognitive behavioral therapy or in-person cognitive behavioral therapy during a 16-week period. At the 3-month follow-up, nonresponders in both groups were offered additional in-person cognitive behavior therapy sessions. Main Outcomes and Measures: Health outcomes were treatment response rates (primary outcome), remission rates, and quality-adjusted life-years. Cost data were collected before treatment, after treatment, at 3-month follow-up, and at 6-month follow-up (primary end point) and are presented in 2020 US dollars. The differences in incremental costs and health outcomes were compared between the groups and presented from the health care professional, health care sector, and societal perspectives. Results: A total of 152 participants (94 girls [62%]; mean [SD] age, 13.4 [2.5] years) were randomized; 151 (99%) completed the trial. At the 6-month follow-up, 50 of 74 participants (68%) in the stepped-care group and 52 of 77 participants (68%) in the in-person cognitive behavioral therapy group were classified as treatment responders (odds ratio, 1.00 [95% CI, 0.51-1.98]; P = .99). Health economic analyses showed that the stepped-care group used fewer therapist resources than the in-person cognitive behavioral therapy group, resulting in a mean cost savings of $2104 (95% CI, $1202-$3006) per participant for the full study period of 10 months, corresponding to a relative savings of 39%. The cost savings remained largely comparable when taking wider health care sector and societal perspectives. Conclusions and Relevance: This study suggests that, for young people with obsessive-compulsive disorder, a low-cost digital intervention followed by in-person treatment for nonresponders was cost-effective compared with in-person cognitive behavior therapy alone.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Online training is generally more cost-effective than in-person sessions.
“Additionally, online training is generally more cost-effective than in-person sessions (22–25).”
From Digital resilience interventions for healthcare workers: a systematic review (2025) · cites this paper as [22]
The Discussion and Conclusions report that internet-delivered CBT followed by in-person therapy for nonresponders was more cost-effective than in-person CBT alone for young people with OCD. The source does not establish that online training in general is more cost-effective than in-person sessions, or that online treatment alone has the same effectiveness as the stepped-care approach. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Methods for the Economic Evaluation of Health Care Programmes
Drummond, M. E., Sculpher, M. J., Torrance, G. W., O’Brien, B. J., & Stoddart, G. L. (2005) · doi:10.1093/oso/9780198529446.001.0001 · Cited by 13,648 · see citing works
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638 · see citing works
Analysis of serial measurements in medical research.
Matthews, J. N. S., Altman, D. G., Campbell, M. J., & Royston, P. J. (1990) · BMJ · doi:10.1136/bmj.300.6719.230 · Cited by 3,137 · see citing works
Sanders, G. D., Neumann, P. J., Basu, A., Brock, D. W., Feeny, D., Krahn, M., Kuntz, K. M., Meltzer, D. O., Owens, D. K., Prosser, L. A., et al. (2016) · JAMA · doi:10.1001/jama.2016.12195 · Cited by 3,069 · see citing works
Children's Yale-Brown Obsessive Compulsive Scale: Reliability and Validity
SCAHILL, L., RIDDLE, M. A., McSWIGGIN-HARDIN, M., ORT, S. I., KING, R. A., GOODMAN, W. K., CICCHETTI, D., & LECKMAN, J. F. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199706000-00023 · Cited by 2,045 · see citing works
Husereau, D., Drummond, M., Petrou, S., Carswell, C., Moher, D., Greenberg, D., Augustovski, F., Briggs, A. H., Mauskopf, J., & Loder, E. (2013) · Value in Health · doi:10.1016/j.jval.2013.02.002 · Cited by 1,998 · see citing works
Manca, A., Hawkins, N., & Sculpher, M. J. (2005) · Health Economics · doi:10.1002/hec.944 · Cited by 1,024 · see citing works
GELLER, D. A., & March, J. S. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.09.019 · Cited by 516 · see citing works
Multiple regression of cost data: use of generalised linear models
Barber, J., & Thompson, S. (2004) · Journal of Health Services Research & Policy · doi:10.1258/1355819042250249 · Cited by 404 · see citing works
Bouwmans, C., De Jong, K., Timman, R., Zijlstra-Vlasveld, M., Van der Feltz-Cornelis, C., Tan, S. S., & Hakkaart-van Roijen, L. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-217 · Cited by 401 · see citing works
Mataix‐Cols, D., de la Cruz, L. F., Nordsletten, A. E., Lenhard, F., Isomura, K., & Simpson, H. B. (2016) · World Psychiatry · doi:10.1002/wps.20299 · Cited by 386 · see citing works
Self-citationWomen Are at Greater Risk of OCD Than Men: A Meta-Analytic Review of OCD Prevalence Worldwide
Fawcett, E. J., Power, H., & Fawcett, J. M. (2020) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.19r13085 · Cited by 344 · see citing works
Early versus late onset obsessive–compulsive disorder: Evidence for distinct subtypes
Taylor, S. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.06.007 · Cited by 291 · see citing works
Öst, L., Riise, E. N., Wergeland, G. J., Hansen, B. K. A., & Kvale, G. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.08.003 · Cited by 244 · see citing works
Stevens, K. J. (2011) · Applied Health Economics and Health Policy · doi:10.2165/11587350-000000000-00000 · Cited by 231 · see citing works
Suicide in obsessive–compulsive disorder: A population-based study of 36 788 Swedish patients
Fernández de la Cruz, L., Rydell, M., Runeson, B., D'Onofrio, B. M., Brander, G., Rück, C., Lichtenstein, P., Larsson, H., & Mataix-Cols, D. (2017) · Molecular Psychiatry · doi:10.1038/mp.2016.115 · Cited by 210 · see citing works
Self-citationMortality Among Persons With Obsessive-Compulsive Disorder in Denmark
Meier, S. M., Mattheisen, M., Mors, O. N., Schendel, D., Mortensen, P. B., & Plessen, K. J. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.3105 · Cited by 172 · see citing works
van Enckevort, P. J., Koopmanschap, M. A., TenVergert, E. M., Geertsma, A., van der Bij, W., de Boer, W. J., & Rutten, F. (2006) · Health Economics · doi:10.1002/(issn)1099-1050 · Cited by 160 · see citing works
Lenhard, F., Andersson, E., Mataix-Cols, D., Rück, C., Vigerland, S., Högström, J., Hillborg, M., Brander, G., Ljungström, M., Ljótsson, B., et al. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2016.09.515 · Cited by 146 · see citing works
Lack, C. W., Storch, E. A., Keeley, M. L., Geffken, G. R., Ricketts, E. J., Murphy, T. K., & Goodman, W. K. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0013-9 · Cited by 140 · see citing works
Pérez-Vigil, A., Fernández de la Cruz, L., Brander, G., Isomura, K., Jangmo, A., Feldman, I., Hesselmark, E., Serlachius, E., Lázaro, L., Rück, C., et al. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.3523 · Cited by 120 · see citing works
Self-citationTurner, C. M., Mataix-Cols, D., Lovell, K., Krebs, G., Lang, K., Byford, S., & Heyman, I. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.09.012 · Cited by 111 · see citing works
Self-citationLenhard, F., Vigerland, S., Andersson, E., Rück, C., Mataix-Cols, D., Thulin, U., Ljótsson, B., & Serlachius, E. (2014) · PLoS ONE · doi:10.1371/journal.pone.0100773 · Cited by 104 · cited 1× · see citing works
“5) [8-17] Educational level of parenta Primary school 2 (3) 0 Secondary school 8 (11) 8 (10) College or university <2 y 8 (11) 8 (10) ≥2 y 53 (72) 60 (77) Doctorate 3 (4) 2 (3) Occupational status of parenta Working 68 (92) 75 (96) Student 0 3 (4) On sick leave 6 (8) 0 Comorbidity None 50 (68) 50 (64) Depressive episo…”
Self-citationUhre, C. F., Uhre, V., Lønfeldt, N. N., Pretzmann, L., Vangkilde, S., Plessen, K. J., Gluud, C. N., Jakobsen, J. C., & Pagsberg, A. K. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.08.480 · Cited by 104 · see citing works
Self-reports of health-care utilization: Diary or questionnaire?
van den Brink, M., van den Hout, W. B., Stiggelbout, A. M., Putter, H., van de Velde, C. J. H., & Kievit, J. (2005) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462305050397 · Cited by 93 · see citing works
Isomura, K., Brander, G., Chang, Z., Kuja‐Halkola, R., Rück, C., Hellner, C., Lichtenstein, P., Larsson, H., Mataix‐Cols, D., & de la Cruz, L. F. (2017) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.12.003 · Cited by 86 · see citing works
Self-citationLenhard, F., Ssegonja, R., Andersson, E., Feldman, I., Rück, C., Mataix‐Cols, D., & Serlachius, E. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-015246 · Cited by 67 · see citing works
Self-citationAspvall, K., Andersson, E., Melin, K., Norlin, L., Eriksson, V., Vigerland, S., Jolstedt, M., Silverberg-Mörse, M., Wallin, L., Sampaio, F., et al. (2021) · JAMA · doi:10.1001/jama.2021.3839 · Cited by 66 · see citing works
Self-citationMelin, K., Skarphedinsson, G., Thomsen, P. H., Weidle, B., Torp, N. C., Valderhaug, R., Højgaard, D. R. M. A., Hybel, K. A., Nissen, J. B., Jensen, S., et al. (2020) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.01.010 · Cited by 65 · cited 1× · see citing works
“5) [8-17] Educational level of parenta Primary school 2 (3) 0 Secondary school 8 (11) 8 (10) College or university <2 y 8 (11) 8 (10) ≥2 y 53 (72) 60 (77) Doctorate 3 (4) 2 (3) Occupational status of parenta Working 68 (92) 75 (96) Student 0 3 (4) On sick leave 6 (8) 0 Comorbidity None 50 (68) 50 (64) Depressive episo…”
Self-citationPérez-Vigil, A., Mittendorfer‐Rutz, E., Helgesson, M., de la Cruz, L. F., & Mataix‐Cols, D. (2018) · Psychological Medicine · doi:10.1017/s0033291718001691 · Cited by 57 · see citing works
Self-citationvan Lier, L. I., Bosmans, J. E., van Hout, H. P. J., Mokkink, L. B., van den Hout, W. B., de Wit, G. A., Dirksen, C. D., Nies, H. L. G. R., Hertogh, C. M. P. M., & van der Roest, H. G. (2017) · The European Journal of Health Economics · doi:10.1007/s10198-017-0947-x · Cited by 56 · see citing works
Chatterton, M. L., Rapee, R. M., Catchpool, M., Lyneham, H. J., Wuthrich, V. M., Hudson, J. L., Kangas, M., & Mihalopoulos, C. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867418823272 · Cited by 42 · see citing works
Andersson, E., Hedman, E., Ljótsson, B., Wikström, M., Elveling, E., Lindefors, N., Andersson, G., Kaldo, V., & Rück, C. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2014.12.004 · Cited by 33 · see citing works
Self-citationHow resistant is ‘treatment‐resistant’ obsessive‐compulsive disorder in youth?
Krebs, G., Isomura, K., Lang, K., Jassi, A. D., Heyman, I., Diamond, H., Advani, J., Turner, C. M., & Mataix‐Cols, D. (2014) · British Journal of Clinical Psychology · doi:10.1111/bjc.12061 · Cited by 30 · see citing works
Self-citationAspvall, K., Andrén, P., Lenhard, F., Andersson, E., Mataix‐Cols, D., & Serlachius, E. (2018) · BJPsych Open · doi:10.1192/bjo.2018.10 · Cited by 27 · see citing works
Self-citationAspvall, K., Lenhard, F., Melin, K., Krebs, G., Norlin, L., Näsström, K., Jassi, A. D., Turner, C. M., Knoetze, E., Serlachius, E., et al. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100308 · Cited by 21 · see citing works
Self-citationLenhard, F., Andersson, E., Mataix‐Cols, D., Rück, C., Aspvall, K., & Serlachius, E. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-00327-x · Cited by 12 · see citing works
Self-citationAspvall, K., Andersson, E., Lenhard, F., Melin, K., Norlin, L., Wallin, L., Silverberg-Mörse, M., Feldman, I., Bottai, M., Mataix‐Cols, D., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.13810 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
2 of the 42 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- [9]National Institute for Health and Care Excellence. Obsessive-compulsive disorder and body dysmorphic disorder: treatment. Clinical guideline [CG31. Published November 29, 2005. Accessed October 11, 2020. https://www.nice.org.uk/guidance/cg31 31869034
- [29]Neumann PJ, Sanders GD, Russell LB, Siegel JE, Ganiats TG. Cost-Effectiveness in Health and Medicine. 2nd ed. Oxford University Press; 2017.
Cited by
Sorted by citations
Alavi, N., Moghimi, E., Stephenson, C., Gutierrez, G., Jagayat, J., Kumar, A., Shao, Y., Miller, S., Yee, C. S., Stefatos, A., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1113956 · Cited by 36 · see citing works
Economic Evaluations of Digital Health Interventions for Children and Adolescents: Systematic Review
Stanic, T., Avşar, T. S., & Gomes, M. (2023) · Journal of Medical Internet Research · doi:10.2196/45958 · Cited by 33 · see citing works
Altunkaya, J., Craven, M. P., Lambe, S., Beckley, A., Rosebrock, L. E., Dudley, R. E. J., Chapman, K., Morrison, A. P., O’Regan, E., Grabey, J., et al. (2022) · Journal of Medical Internet Research · doi:10.2196/39248 · Cited by 21 · see citing works
Zhang, W., Yang, W., Ruan, H., Gao, J. P., & Wang, Z. (2023) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2023.10.025 · Cited by 21 · see citing works
Wickberg, F., Lenhard, F., Aspvall, K., Serlachius, E., Andrén, P., Johansson, F., Silverberg-Mörse, M., & Mataix‐Cols, D. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100520 · Cited by 19 · see citing works
Self-citationZhong, J., Zhang, Y., Sun, Y., Wang, Q., Dong, G., & Li, X. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.06.084 · Cited by 15 · see citing works
Treatment of Obsessive-Compulsive Disorder in Children and Youth: A Meta-Analysis
Steele, D. W., Kanaan, G., Caputo, E. L., Freeman, J. B., Brannan, E. H., Balk, E. M., Trikalinos, T. A., & Adam, G. P. (2024) · PEDIATRICS · doi:10.1542/peds.2024-068992 · Cited by 13 · see citing works
The Cost of Obsessive–Compulsive Disorder in Swedish Youth
Lenhard, F., Aspvall, K., Andersson, E., Åhlén, J., Serlachius, E., Lavner, M., Brodin, A., & Mataix‐Cols, D. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01261-z · Cited by 13 · see citing works
Self-citationDigital resilience interventions for healthcare workers: a systematic review
Larsson, M., Ho, D. M., Kirschner, M., Seifritz, E., & Manoliu, A. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1519670 · Cited by 14 · see citing works
Yun, J., Shin, J., Lee, H., Kim, D., Choi, I. Y., & Kim, M. (2023) · Journal of Medical Internet Research · doi:10.2196/45465 · Cited by 11 · see citing works
Jacobson, N. C., Quist, R. E., Lee, C. M., & Marsch, L. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90045-4.00005-8 · Cited by 10 · see citing works
Economic Analyses of Obsessive-Compulsive Disorder Interventions: A Systematic Review
Strouphauer, E., Morris, O. J., Soileau, K. J., Wiese, A. D., Quast, T. C., Goodman, W. K., Sheth, S. A., Wojcik, K. D., Guzick, A. G., & Storch, E. A. (2023) · PharmacoEconomics · doi:10.1007/s40273-023-01250-1 · Cited by 8 · see citing works
Cuenca‐Martínez, F., Suso‐Martí, L., Herranz‐Gómez, A., Varangot‐Reille, C., Calatayud, J., Romero-Palau, M., Blanco‐Díaz, M., Salar-Andreu, C., & Casaña, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063231 · Cited by 6 · see citing works
Farrell, L. J., de Diaz, N. A. N., Mathieu, S. L., McKenzie, M. L., Miyamoto, T., Donovan, C. L., Waters, A. M., March, S., Bothma, N., Kroon, R., et al. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1009735 · Cited by 5 · see citing works
Wahlund, T., Perrin, S. G., Lauri, K. O., Burman, M., Dagerborn, S., Meregalli, M., Västhagen, M., Jolstedt, M., Nord, M., Serlachius, E., et al. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2515196 · Cited by 4 · see citing works
Self-citationHerbener, A. B., Klincewicz, M., Frank, L. E., & Damholdt, M. F. (2025) · Computers in Human Behavior Artificial Humans · doi:10.1016/j.chbah.2025.100182 · Cited by 5 · see citing works
Pringsheim, T. M., Gaudet, L., Pillay, J., Hartling, L., Szejko, N., Fletcher, J., Wilcox, G., Patten, S. B., Zang, R., & Martino, D. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01897-1 · Cited by 4 · see citing works
Lauri, K. O., Andersson, E., Mataix‐Cols, D., Norlin, L., Eriksson, V., Melin, K., Lenhard, F., Serlachius, E., & Aspvall, K. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100613 · Cited by 4 · see citing works
Self-citationBjureberg, J., Ojala, O., Rasmusson, B., Malmgren, J., Hellner, C., Sampaio, F., & Flygare, O. (2025) · JMIR Mental Health · doi:10.2196/74303 · Cited by 3 · see citing works
Self-citationChoudhary, S., Mehta, U. M., Naslund, J. A., & Torous, J. B. (2025) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-025-00569-0 · Cited by 5 · see citing works
Sannes, A., Rognli, E. W., Hanssen‐Bauer, K., Torp, N. C., Storfossen, S. K., Høstaker, M. N., & Aalberg, M. (2025) · Journal of Medical Internet Research · doi:10.2196/83543 · Cited by 3 · see citing works
Vigerland, S., Fredlander, S., Aspvall, K., Jolstedt, M., Lenhard, F., Mataix‐Cols, D., Ljótsson, B., & Serlachius, E. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100738 · Cited by 3 · see citing works
Self-citationHedman‐Lagerlöf, M., Hedman‐Lagerlöf, E., Buhrman, M., & Axelsson, E. (2025) · Journal of Pain · doi:10.1016/j.jpain.2025.105375 · Cited by 2 · see citing works
Digital mental health needs a purpose-driven approach
Househ, M. S., Shah, H. A., Tariq, Z. U. A., Hassan, D. A., Khalifa, M., Schneider, J., Hamdi, M., Abd-Alrazaq, A. A., Ahmad, A., Solaiman, B., et al. (2026) · Nature Human Behaviour · doi:10.1038/s41562-025-02380-6 · Cited by 3 · see citing works
Obse, A., Pavarini, G., Fazel, M. S., Ma, M., Fancourt, D. E., Morgan, C., Harriss, E. P., Bhui, K. S., Smith, L., Hugh‐Jones, S., et al. (2026) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-025-02932-1 · Cited by 2 · see citing works
Jabeen, M., Shahzadi, M., Hussain, A., Unbrin, A., & Ehsaan, S. (2024) · Journal of the Pakistan Medical Association · doi:10.47391/jpma.10974 · Cited by 2 · see citing works
Aviraj, K. S., Mohanty, M., Gnanasekaran, S., & Pachori, R. (2024) · Research Square · doi:10.21203/rs.3.rs-4999453/v1 · Cited by 2 · see citing works
Valentim, W. L., Tylee, D. S., & Polimanti, R. A. (2023) · WIREs Mechanisms of Disease · doi:10.1002/wsbm.1635 · Cited by 1 · see citing works
Aspvall, K., Mataix‐Cols, D., Melin, K., Norlin, L., Serlachius, E., & Andersson, E. (2024) · BMC Digital Health · doi:10.1186/s44247-024-00130-8 · Cited by 1 · see citing works
Self-citationArtificial Intelligence in Cognitive Behavioral Therapy
Tzioumaki, N., Arvanitaki, E., & Xirakia, E. (2025) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3373-5072-1.ch010 · Cited by 1 · see citing works
Prospects for Disseminating Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Japan
Matsumoto, K. (2023) · Anxiety Disorder Research · doi:10.14389/jsad.15.1_38
Jusoh, M. Y. F., & Ishak, N. A. (2024) · International Journal of Education Psychology and Counseling · doi:10.35631/ijepc.953036
Use of Technology in Brief Interventions
Gega, L., & Saiger, M. J. (2024) · CBT: science into practice · doi:10.1007/978-3-031-60746-2_16
Digitalization in Pediatrics in Low- and Middle-Income Countries: Rationale and Directions
Sargsyan, S. (2024) · Sustainable development goals series · doi:10.1007/978-3-031-62332-5_13 · Cited by 2 · see citing works
McKenzie, R., Hwang, L. J., Feng, B., & Phillips, E. J. (2025) · Journal of American College Health · doi:10.1080/07448481.2025.2496979
Freeman, K., & Farrell, L. J. (2025) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.06.006
Koleva‐Kolarova, R., Hulse, E. S. G., Németh, B. B., Mölken, M. R., Edwards, R. T., Babarczy, B., Nagy, B., Wordsworth, S., & Tsiachristas, A. (2026) · Applied Health Economics and Health Policy · doi:10.1007/s40258-025-01023-1
Innovation in treating obsessive-compulsive disorder will not solve the care gap
Isung, J., de la Cruz, L. F., & Mataix‐Cols, D. (2026) · BMJ · doi:10.1136/bmj.s472
Self-citationSaha, S., Olsson, E., Andrén, P., Gušić, S., Thorsson, M., Serlachius, E., Gerdtham, U., & Cervin, M. (2026) · Child Psychiatry & Human Development · doi:10.1007/s10578-026-02050-2
Self-citation
- Authors
- Aspvall, K., Sampaio, F., Lenhard, F., Melin, K., Norlin, L., Serlachius, E., Mataix-Cols, D., & Andersson, E.
- Affiliations
- Region Stockholm (SE)
- Uppsala University (SE)
- Karolinska Institutet (SE)
- Sahlgrenska University Hospital (SE)
- Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden
- Corresponding author
- Andersson, Erik
- Venue
- JAMA Network Open
- Publisher
- American Medical Association (AMA)
- Published
- 2021-07-30
- Volume
- 4
- Issue
- 7
- Pages
- e2118516
- ISSN
- 2574-3805 (ISSN-L)
- PMC
- PMC8325072
- OpenAlex
- W3183430452
- Cited by
- 39
- References
- 42
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 9 · 2023: 8 · 2022: 5 · 2021: 1
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JAMA Network Open (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Funders
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd
- Jane och Dan Olssons Stiftelse
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- obsessive-compulsive disorder, children and adolescents, internet-based cognitive behavioral therapy, stepped care, cost-effectiveness, quality-adjusted life years, treatment response, remission
- MeSH terms
- Equivalence Trials as Topic, Internet-Based Intervention, Adolescent, Child, Cost-Benefit Analysis, Female, Humans, Male, Obsessive-Compulsive Disorder, Patient Acceptance of Health Care, Remission Induction, Sweden, Cognitive Behavioral Therapy, Odds Ratio, Randomized Controlled Trials as Topic, Treatment Outcome, Health Care Costs, Quality-Adjusted Life Years
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
