An open trial of videoconference-mediated exposure and ritual prevention for obsessive-compulsive disorder |
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| Affiliation: | 1. Massachusetts General Hospital, One Bowdoin Sq., 6th Floor, Boston, MA, USA;2. Drexel University, 3141 Chestnut St., Philadelphia, PA, USA;3. University of Tampa, 401 W. Kennedy Blvd., Tampa, FL, USA;4. Warren Alpert Medical School of Brown University, 196 Richmond St., Providence, RI, USA;1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St. Vincent''s Hospital, Level 4 O''Brien Centre, 394-404 Victoria Street, Darlinghurst, Sydney, New South Wales, 2010, Australia;2. School of Psychiatry, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia;1. eCentreClinic, The Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW 2109, Australia;2. The University of Tasmania, Department of Psychology, Locked Bag 30, Hobart, Tasmania 7001, Australia;1. University of Queensland, Brisbane, Australia;2. Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, and the Karolinska Institutet, Stockholm;3. School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK;4. Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, the OCD and Related Disorders Clinic for Young People, South London, and Maudsley National Health Service (NHS) Foundation Trust, London;5. Institute of Psychiatry, Psychology, and Neuroscience, King’s College London;6. Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, the Great Ormond Street Hospital, London, and the Institute of Child Health, University College London;1. Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden;2. Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden;3. Osher Center for Integrative Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;4. Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden |
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| Abstract: | The gold-standard treatment for OCD is exposure and ritual prevention (ERP), yet despite its well-established efficacy, only a small percentage of OCD patients have access to this treatment. Remote treatments (e.g., videoconferencing) are becoming increasingly popular avenues for treatment delivery and show promise in increasing patient access to evidence-based mental health care. The current pilot study utilized an open trial to examine the feasibility and preliminary efficacy of videoconference-mediated, twice weekly, ERP for adults (n = 15) with OCD. Results revealed that ERP was associated with significant improvements in OCD symptoms and large within-group effect sizes. Among the 10 individuals who completed a 3-month follow-up assessment, 30% of participants no longer met DSM-IV-TR criteria for OCD and 80% of participants were rated as very much or much improved on the CGI. This study adds to the growing body of literature suggesting that videoconference-based interventions are viable alternatives to face-to-face treatment. |
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| Keywords: | Obsessive-compulsive disorder Exposure and ritual prevention Telehealth Telemental health Telepsychology Videoconferencing |
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