Cited by 53Obsessive-Compulsive Spectrum DisordersDigital Mental Health InterventionsMental Health Research Topics

How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

Open access
Ferreri, Florian, Bourla, Alexis, Peretti, Charles-Siegfried, Segawa, Tomoyuki, Jaafari, Nemat, Mouchabac, Stéphane·2019·JMIR Mental Health

Published version of a preprint

Abstract

Background: New technologies are set to profoundly change the way we understand and manage psychiatric disorders, including obsessive-compulsive disorder (OCD). Developments in imaging and biomarkers, along with medical informatics, may well allow for better assessments and interventions in the future. Recent advances in the concept of digital phenotype, which involves using computerized measurement tools to capture the characteristics of a given psychiatric disorder, is one paradigmatic example. Objective: The impact of new technologies on health professionals’ practice in OCD care remains to be determined. Recent developments could disrupt not just their clinical practices, but also their beliefs, ethics, and representations, even going so far as to question their professional culture. This study aimed to conduct an extensive review of new technologies in OCD. Methods: We conducted the review by looking for titles in the PubMed database up to December 2017 that contained the following terms: [Obsessive] AND [Smartphone] OR [phone] OR [Internet] OR [Device] OR [Wearable] OR [Mobile] OR [Machine learning] OR [Artificial] OR [Biofeedback] OR [Neurofeedback] OR [Momentary] OR [Computerized] OR [Heart rate variability] OR [actigraphy] OR [actimetry] OR [digital] OR [virtual reality] OR [Tele] OR [video]. Results: We analyzed 364 articles, of which 62 were included. Our review was divided into 3 parts: prediction, assessment (including diagnosis, screening, and monitoring), and intervention. Conclusions: The review showed that the place of connected objects, machine learning, and remote monitoring has yet to be defined in OCD. Smartphone assessment apps and the Web Screening Questionnaire demonstrated good sensitivity and adequate specificity for detecting OCD symptoms when compared with a full-length structured clinical interview. The ecological momentary assessment procedure may also represent a worthy addition to the current suite of assessment tools. In the field of intervention, CBT supported by smartphone, internet, or computer may not be more effective than that delivered by a qualified practitioner, but it is easy to use, well accepted by patients, reproducible, and cost-effective. Finally, new technologies are enabling the development of new therapies, including biofeedback and virtual reality, which focus on the learning of coping skills. For them to be used, these tools must be properly explained and tailored to individual physician and patient profiles.

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  • Delivering OCS treatment via video-conferencing holds promise to be at least equally effective as face-to-face treatment.

    “These findings are confirmed in a meta-analysis which found that delivering OCS treatment via video-conferencing holds promise to be at least equally effective as face-to-face treatment but comparison studies with face-to-face control groups are necessary [14].”

    From Personalized exposure and experience sampling method feedback versus exposure as usual for obsessive–compulsive disorder: a study protocol for a randomized controlled trial (2024) · cites this paper as [14]

    The Results > Interventions section (page not provided) reports that videoconference treatment was effective and that face-to-face control studies are lacking. Its table reports one small comparison in children with no significant difference in responder status, which supports cautious promise but does not establish equal effectiveness generally. The cited paper is a review, not the meta-analysis described in the citing sentence. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 1

  1. [10]Eichenberg C Wolters C IntechOpen 2012 2017-12-29 Virtual Realities in the Treatment of Mental Disorders: A Review of the Current State of Research. https://www.intechopen.com/books/virtual-reality-in-psychological-medical- and-pedagogical-applications/virtual-realities-in-the-treatment-of-mental-disorders-a-review-of-the-current-state-of-research

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Authors
Ferreri, F., Bourla, A., Peretti, C.-S., Segawa, T., Jaafari, N., & Mouchabac, S.
Affiliations
Sorbonne Université (FR)
Corresponding author
Bourla, Alexis
Venue
JMIR Mental Health
Published
2019-12-10
Volume
6
Issue
12
Pages
e11643
ISSN
2368-7959 (ISSN-L)
OpenAlex
W2921079094
Cited by
53
References
90
Citations by year
2026: 4 · 2025: 6 · 2024: 6 · 2023: 13 · 2022: 10 · 2021: 9 · 2020: 4 · 2019: 1
FWCI
0.94
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JMIR Mental Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, other-oa)
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 › Mental Health Research Topics
Keywords
obsessive-compulsive disorder, digital phenotyping, mobile application, ecological momentary assessment, remote monitoring, wearable devices, machine learning, cognitive behavioral therapy, biofeedback, virtual reality, actigraphy, heart rate variability, telemedicine, clinical practice change

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