Internet-based cognitive behavior therapy for obsessive compulsive disorder: A pilot study

BMC Psychiatry

Research Article

Brjánn Ljótsson¹  Erik Hedman¹  Erik Andersson¹  Nils Lindefors¹  Viktor Kaldo¹  Christian Rück¹  Gerhard Andersson²  Björn Paxling³ 

[1] Department of Clinical Neuroscience, Division of psychiatry, Karolinska Institutet, Stockholm, Sweden;Department of Clinical Neuroscience, Division of psychiatry, Karolinska Institutet, Stockholm, Sweden;Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden;Department of Epidemiology and Biostatistics, EMGO Institute for Health and Health Care Research, VU University Medical Centre, Amsterdam, The Netherlands;Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden;

关键词: Cognitive behavior therapy;    Internet;    obsessive compulsive disorder;   

DOI  :  10.1186/1471-244X-11-125

 received in 2011-05-31, accepted in 2011-08-03,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundCognitive behavior therapy (CBT) is widely regarded as an effective treatment for obsessive compulsive disorder (OCD), but access to CBT therapists is limited. Internet-based CBT (ICBT) with therapist support is a way to increase access to CBT but has not been developed or tested for OCD. The aim of this study was to evaluate ICBT for OCD.MethodAn open trial where patients (N = 23) received a 15-week ICBT program with therapist support consisting of psychoeducation, cognitive restructuring and exposure with response prevention. The primary outcome was the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), which was assessed by a psychiatrist before and immediately after treatment. Secondary outcomes were self-rated measures of OCD symptoms, depressive symptoms, general functioning, anxiety and quality of life. All assessments were made at baseline and post-treatment.ResultsAll participants completed the primary outcome measure at all assessment points. There were reductions in OCD symptoms with a large within-group effect size (Cohen's d = 1.56). At post-treatment, 61% of participants had a clinically significant improvement and 43% no longer fulfilled the diagnostic criteria of OCD. The treatment also resulted in statistically significant improvements in self-rated OCD symptoms, general functioning and depression.ConclusionsICBT with therapist support reduces OCD symptoms, depressive symptoms and improves general functioning. Randomized trials are needed to confirm the effectiveness of this new treatment format.Trial RegistrationClinicalTrials.gov: NCT01348529

【 授权许可】

CC BY   
© Andersson et al; licensee BioMed Central Ltd. 2011