Published in

Elsevier, Journal of Obsessive-Compulsive and Related Disorders, 2(3), p. 102-108, 2014

DOI: 10.1016/j.jocrd.2014.03.001

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Self-guided internet administered treatment for obsessive-compulsive disorder: Results from two open trials

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Effective treatments for obsessive-compulsive disorder (OCD) exist, however, many patients experience barriers to treatment. Internet-administered cognitive-behavioral therapy (iCBT), which has the potential to reduce these barriers, has recently been shown to be efficacious in the treatment of OCD. To date, only therapist-guided iCBT interventions have been studied for OCD. Self-guided iCBT, administered without a therapist, may help to further reduce barriers to treatment, particularly for those concerned about stigma or who are unlikely to engage in treatment with a therapist. The present article describes the results of two open-trial feasibility studies that examined the acceptability and preliminary efficacy of fully self-guided iCBT for symptoms of OCD. In both trials scores on the Yale-Brown Obsessive Compulsive Inventory-Self-Report and the Dimensional Obsessive Compulsive Scale reduced significantly over time and moderate to large effect sizes were obtained. In trial 1, 29% met criteria for clinically significant change at 3-month follow-up and in trial 2, 32% met criteria for clinically significant change at 3-month follow-up. These results indicate that self-guided iCBT may be an acceptable and effective treatment for some individuals with obsessive-compulsive symptoms.