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ABCT’s 47th Annual Convention

conference contribution
posted on 2023-05-24, 13:24 authored by Wootton, BM, Dear, B, Titov, N, Johnston, M, Terides, M

Background: Effective treatments for OCD exist, however, there are multiple barriers to accessing these treatments. An innovative way to reduce treatment barriers is to administer cognitive­behavioral treatment via the Internet (iCBT). Several recent studies have documented the successful treatment of OCD via iCBT when guided via a therapist. The present paper reports outcomes from two self­guided open trials of iCBT, conducted at the eCentreClinic, Australia.

Method: In the first study, 16 participants with OCD were treated online with The OCD Course, an 8­ week iCBT treatment. The second study partially replicated the first study, but extended treatment duration to 10­weeks. Participants did not receive contact from a clinician during the treatment in either study.

Results: Results from the first study demonstrated large effect sizes (Cohen’s d) for those who completed the treatment on measures of OCD (YBOCS, 1.22) and depression (PHQ­9, 1.82) severity. Overall 31% met a conservative criterion of clinically significant change at 3­month follow up. In the second study preliminary results are available for the first 13 participants. Outcomes are similar to the first study with 23% meeting criteria for clinically significant change and large within group effect sizes (YBOCS, 1.15 and PHQ­9, 1.03) demonstrated. Final results for the second study are expected in July 2013.

Conclusions: iCBT for OCD can be clinically effective when delivered in a self­guided format. However, further research is required to understand possible predictors of outcome. Reliably identifiable characteristics will help to develop algorithms that can be used to advise consumers on suitable treatment options.

History

Department/School

School of Psychological Sciences

Event title

ABCT’s 47th Annual Convention

Event Venue

Nashville

Date of Event (Start Date)

2013-11-21

Date of Event (End Date)

2013-11-24

Repository Status

  • Restricted

Socio-economic Objectives

Mental health services

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