Home Self-Assessment and Self-Treatment of Obsessive-Compulsive Disorder Using a Manual and a Computer-Conducted Telephone Interview: Replication of a U.K.-U.S. Study
Abstract
BACKGROUND: This open study replicates and extends previous pilot work with BT STEPS, a self-therapy system to assess and treat obsessive-compulsive disorder (OCD) through exposure and ritual prevention. METHOD: 21 OCD patients entered this open trial, using a self-guiding manual and any Touch-Tone telephone to access computer-driven interviews via an Interactive Voice Response system. The patients also used the system to rate progress on rating scales. RESULTS: The results support those of the previous open study. Of the 21 patients, 16 (76%) completed self-assessment over a mean of 21 days. Of these, 10 patients (48%) went on to do 2 or more exposure and ritual prevention sessions over a mean of 64 days; they improved significantly on OCD symptoms, as much as is usual with serotonin reuptake inhibitor medication, and in mood and work/social adjustment. Improvement was predicted by baseline motivation and by rapid completion of self-assessment with BT STEPS, even though self-assessment alone was not therapeutic. CONCLUSION: The significant improvement in the intent-to-treat analysis was due to the subgroup of patients (48% of those who began BT STEPS) who went beyond self-assessment to do exposure and ritual prevention self-therapy at home guided by BT STEPS. A controlled trial is now needed.
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There is limited evidence for the efficacy of Internet-based treatment or computerized treatments specifically for OCD.
“presently there is limited evidence for the efficacy of Internet-based treatment or computerized treatments specifically for OCD [5], [16], [17], [18].”
From The acceptability of internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: An internet survey (2011) · cites this paper as [16]
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Autoayuda con contacto mínimo con el terapeuta para el trastorno obsesivo-compulsivo: una revisión
Mataix‐Cols, D., & Marks, I. M. (2006) · European psychiatry (Ed Española) · doi:10.1017/s1134066500003118
Harwood, T. M., & L’Abate, L. (2009) · Springer eBooks · doi:10.1007/978-1-4419-1099-8_7
Personality, Obsessive-Compulsive Symptoms, and Human Computer Interactions
Bagga, H. (2001) · eCite Digital Repository (University of Tasmania) · doi:10.25959/23221937
- Authors
- Bachofen, M., Nakagawa, A., Marks, I. M., Park, J.-M., Greist, J. H., Baer, L., Wenzel, K. W., Parkin, J. R., & Dottl, S. L.
- Affiliations
- University of London (GB)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 1999-08-15
- Volume
- 60
- Issue
- 8
- Pages
- 545-549
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W1991634179
- Cited by
- 79
- References
- 11
- Citations by year
- 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 2 · 2012: 4
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical 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, self-medication, exposure and response prevention, interactive voice response, telephone-delivered therapy, medication adherence, motivation
- MeSH terms
- Adult, Attitude to Health, Aversive Therapy, Behavior Therapy, Female, Health Status, Humans, Male, Manuals as Topic, Middle Aged, Motivation, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Self Care, Therapy, Computer-Assisted, Treatment Outcome, Remote Consultation
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