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Online computer-aided vicarious exposure for OCD symptoms: A pilot study


Matthews, AJ and Maunder, R and Scanlan, JD and Kirkby, KC, Online computer-aided vicarious exposure for OCD symptoms: A pilot study, Journal of Behavior Therapy and Experimental Psychiatry, 54 pp. 25-34. ISSN 0005-7916 (2017) [Refereed Article]

Copyright Statement

2016 Elsevier

Official URL: green. Post-print to be ...

DOI: doi:10.1016/j.jbtep.2016.06.002


Background and objectives: Computer-aided vicarious exposure (CAVE) for obsessive-compulsive disorder (OCD) is an intervention in which participants learn and rehearse exposure with response prevention (ERP) by directing a character around a virtual world. This study aimed to pilot an online CAVE program for OCD in a community sample with high OCD symptomatology.

Methods: Participants (n = 78) were allocated to an intervention group (three 45-min weekly CAVE sessions) or to a waitlist control group. The treatment group were asked to complete three 45-min sessions over a four week period.

Results: Those who completed at least one CAVE session showed greater improvement on measures of OCD symptomatology at one-month post-treatment (d = 0.490.81) compared to waitlist (d = 0.010.1). Older age, past treatment and higher symptom severity were associated with non-adherence.

Limitations: These findings should be considered preliminary due to sample size limitations and an absence of an active control group. However, the findings suggest that further development and evaluation of the program is warranted.

Conclusions: Preliminary findings suggest that online CAVE programs have potential to bridge treatment gaps among those reluctant to attend treatment or engage with in vivo exposure exercises. These programs may also have potential applications as an adjunct to face-to-face or online cognitive behavioural therapy.

Item Details

Item Type:Refereed Article
Keywords:OCD, online intervention, behaviour therapy, exposure treatment
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Matthews, AJ (Dr Allison Matthews)
UTAS Author:Maunder, R (Miss Rosie Maunder)
UTAS Author:Scanlan, JD (Dr Joel Scanlan)
UTAS Author:Kirkby, KC (Professor Kenneth Kirkby)
ID Code:109479
Year Published:2017
Web of Science® Times Cited:5
Deposited By:Medicine
Deposited On:2016-06-20
Last Modified:2018-08-27

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