Internet-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Korea
Open accessAbstract
OBJECTIVE: Cognitive behavioral therapy (CBT) is regarded as one of the most effective intervention for obsessive-compulsive disorder (OCD). However, many patients remain untreated or inadequately treated due to time or geographical constraints. The purpose of this study was to develop an internet-based CBT (ICBT) for OCD, and to examine its efficacy in the Korean clinical setting. METHODS: The ICBT program ('COT') was developed from the same OCD manual in the standard CBT intervention. Twenty-seven participants of the total 42 patients completed all training sessions of the ICBT and the remainder (n=15) were classified as non-completers. Self-report measures of OCD, depression, anxiety, and work/social functioning, in addition to a neurocognitive test battery, were administered by face-to-face before and after treatment. RESULTS: The participants showed significant improvements in OCD and depressive symptoms, and in work/social functioning after ICBT completion. The presence of combined medication had no significant impact on treatment effect. The non-completers displayed more severe depressive and anxiety symptoms, and ICBT responders were younger and performed better in the Wisconsin Card Sorting Test. CONCLUSION: ICBT was found to be as effective for patients with moderate OC symptoms and little treatment experience. Considering the high accessibility and convenience of ICBT, it could be a helpful first treatment step for OCD patients when face-to-face treatment is unavailable. In the future a randomized controlled study will be necessary for verification and generalization of these results.
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Several studies on ICBT with treatment programs adapted to specific cultures in China, Korea, and Pakistan yielded results supporting the effectiveness of ICBT.
“Recently, several studies on ICBT with treatment programs adapted to specific cultures have been conducted in China, Korea, and Pakistan, yielding results supporting the effectiveness of ICBT [14-16].”
From Feasibility of Guided Internet-Based Cognitive Behavioral Therapy for Panic Disorder and Social Anxiety Disorder in Japan: Pilot Single-Arm Trial (2024) · cites this paper as [16]
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- Authors
- Seol, S.-H., Kwon, J. S., Kim, Y. Y., Kim, S. N., & Shin, M.-S.
- Affiliations
- Seoul National University (KR)
- Seoultop Psychiatry Clinic & Seoul Junior Counseling Center, Seoul, Republic of Korea.
- Corresponding author
- Shin, Min-Sup
- Venue
- Psychiatry Investigation
- Publisher
- Korean Neuropsychiatric Association
- Published
- 2016
- Volume
- 13
- Issue
- 4
- Pages
- 373
- ISSN
- 1738-3684 (ISSN-L)
- 1976-3026
- PMC
- PMC4965646
- OpenAlex
- W2493953692
- Cited by
- 35
- References
- 54
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 1
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Psychiatry Investigation (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- Ministry of Education, Science and Technology
- 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
- internet-based cognitive behavioral therapy, obsessive-compulsive disorder, treatment efficacy, treatment completion, depressive symptoms, anxiety symptoms, work and social functioning, neuropsychological performance, Wisconsin Card Sorting Test, medication use, Korean patients
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