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Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive–compulsive disorder: 12 month follow-up


Wootton, BM and Dear, BF and Johnston, L and Terides, MD and Titov, N, Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder: 12 month follow-up, Internet Interventions, 2, (3) pp. 243-247. ISSN 2214-7829 (2015) [Refereed Article]


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Copyright 2015 Elsiver Lisenced under Creative Commons Attribution-Non Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0)

DOI: doi:10.1016/j.invent.2015.05.003


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.

Item Details

Item Type:Refereed Article
Keywords:internet, obsessive compulsive disorder, cognitive behaviour therapy, anxiety, OCD
Research Division:Psychology
Research Group:Clinical and health psychology
Research Field:Health psychology
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Wootton, BM (Dr Bethany Wootton)
ID Code:100749
Year Published:2015
Deposited By:Psychology
Deposited On:2015-05-27
Last Modified:2016-06-07
Downloads:582 View Download Statistics

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