TY - JOUR
T1 - Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder
T2 - 12 month follow-up
AU - Wootton, Bethany M.
AU - Dear, Blake F.
AU - Johnston, Luke
AU - Terides, Matthew D.
AU - Titov, Nickolai
N1 - Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Internet-delivered cognitive behavior therapy (iCBT) may reduce barriers to treatment faced by people with obsessive-compulsive disorder (OCD). To date, most research on iCBT for OCD has evaluated clinician-guided treatments. However, self-guided treatments, which do not involve contact with a clinician, have considerable public health potential and may be particularly advantageous for those patients who report stigma as a principal barrier to treatment. The findings of a recent trial of self-guided iCBT for symptoms of OCD highlighted the potential of this approach and found large within-group effect sizes from pre- to post-treatment on the YBOCS-SR (d= 1.37), sustained at 3-month follow-up (d= 1.17). In addition, 32% of participants met criteria for clinically significant change at 3-month follow-up. The present study reports the long-term outcomes of that trial (N= 28). Twelve out of 28 participants (43%) completed the 12. month follow-up. A large within-group effect size was found on the YBOCS-SR (d= 1.08) and 33% met criteria for clinically significant change at 12-month follow-up. No significant changes in symptoms were found between 3-month follow-up and 12-month follow-up, demonstrating that participants maintained their treatment gains in the long term. These results add to the emerging literature supporting the potential of self-guided iCBT for individuals with symptoms of OCD.
AB - Internet-delivered cognitive behavior therapy (iCBT) may reduce barriers to treatment faced by people with obsessive-compulsive disorder (OCD). To date, most research on iCBT for OCD has evaluated clinician-guided treatments. However, self-guided treatments, which do not involve contact with a clinician, have considerable public health potential and may be particularly advantageous for those patients who report stigma as a principal barrier to treatment. The findings of a recent trial of self-guided iCBT for symptoms of OCD highlighted the potential of this approach and found large within-group effect sizes from pre- to post-treatment on the YBOCS-SR (d= 1.37), sustained at 3-month follow-up (d= 1.17). In addition, 32% of participants met criteria for clinically significant change at 3-month follow-up. The present study reports the long-term outcomes of that trial (N= 28). Twelve out of 28 participants (43%) completed the 12. month follow-up. A large within-group effect size was found on the YBOCS-SR (d= 1.08) and 33% met criteria for clinically significant change at 12-month follow-up. No significant changes in symptoms were found between 3-month follow-up and 12-month follow-up, demonstrating that participants maintained their treatment gains in the long term. These results add to the emerging literature supporting the potential of self-guided iCBT for individuals with symptoms of OCD.
UR - http://www.scopus.com/inward/record.url?scp=84935901559&partnerID=8YFLogxK
U2 - 10.1016/j.invent.2015.05.003
DO - 10.1016/j.invent.2015.05.003
M3 - Article
AN - SCOPUS:84935901559
SN - 2214-7829
VL - 2
SP - 243
EP - 247
JO - Internet Interventions
JF - Internet Interventions
IS - 3
ER -