Home self-assessment of obsessive-compulsive disorder: Use of a manual and a computer-conducted telephone interview: two UK-US studies
Abstract
Background Two studies tested whether subjects with obsessive-compulsive disorder could successfully use BT STEPS, a computer-aided system, to perform self-assessment for self-treatment of obsessive-compulsive disorder by exposure and ritual prevention. Method Subjects were given a self-guiding manual and could use a touch-tone telephone to access computer-controlled Interactive Voice Response interviews at their convenience from home. Using the BT STEPS system, patients rated themselves and worked out a plan for individually tailored self-exposure therapy. Results Outcomes were similar in the two studies. Of the 63 subjects who used BT STEPS, 84% completed the self-assessment module. Most calls were made outside usual office hours. As expected, subjects did not improve merely by completing self-assessment. However, completion of self-assessment predicted later improvement with self-exposure therapy. Conclusions Most subjects successfully completed self-assessment using BT STEPS from their homes. Declaration of interest BT STEPS is a trademark of Pfizer, Inc. I.M.M., L.B. and J.H.G. have a financial interest in BT STEPS.
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A number of computer treatment systems are in clinical service at the Maudsley Hospital, London, for example BTSTEPS for obsessive-compulsive disorder and FEARFIGHTER for phobic anxiety disorders.
“A number of computer treatment systems are in clinical service at the Maudsley Hospital, London, for example, BTSTEPS C40Marks et al, 1998) for the treatment of obsessive--compulsive disorder and FEARFIGHTER C40Shaw et al, 1999) for the treatment of phobic anxiety disorders.”
From Psychotherapy by computer: A postal survey of responders to a teletext article (2000) · cites this paper as Marks et al, 1998
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- Authors
- Marks, I. M., Baer, L., Greist, J. H., Park, J.-M., Bachofen, M., Nakagawa, A., Wenzel, K. W., Parkin, J. R., Manzo, P. S., Dottl, S. L., & Mantle, J. M.
- Affiliations
- Massachusetts General Hospital (US)
- Corresponding author
- Marks, Isaac M.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1998-05
- Volume
- 172
- Issue
- 5
- Pages
- 406-412
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2040495598
- Cited by
- 86
- References
- 0
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 3 · 2019: 2 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 7
- FWCI
- 9.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- obsessive-compulsive disorder, self-assessment, exposure and response prevention, interactive voice response, telephone-delivered therapy, home-based therapy
- MeSH terms
- Adult, Behavior Therapy, Female, Home Care Services, Humans, Male, Manuals as Topic, Obsessive-Compulsive Disorder, Self-Assessment, Telephone, Therapy, Computer-Assisted, Treatment Outcome
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