Internet-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Korea
Psychiatry Investigation
;
: 373-382, 2016.
Article
in English
| WPRIM
| ID: wpr-74580
ABSTRACT
OBJECTIVE:
Cognitive behavioral therapy (CBT) is regarded as one of the most effective intervention for obsessive-compulsive disorder (OCD). However, many patients remain untreated or inadequately treated due to time or geographical constraints. The purpose of this study was to develop an internet-based CBT (ICBT) for OCD, and to examine its efficacy in the Korean clinical setting.METHODS:
The ICBT program ('COT') was developed from the same OCD manual in the standard CBT intervention. Twenty-seven participants of the total 42 patients completed all training sessions of the ICBT and the remainder (n=15) were classified as non-completers. Self-report measures of OCD, depression, anxiety, and work/social functioning, in addition to a neurocognitive test battery, were administered by face-to-face before and after treatment.RESULTS:
The participants showed significant improvements in OCD and depressive symptoms, and in work/social functioning after ICBT completion. The presence of combined medication had no significant impact on treatment effect. The non-completers displayed more severe depressive and anxiety symptoms, and ICBT responders were younger and performed better in the Wisconsin Card Sorting Test.CONCLUSION:
ICBT was found to be as effective for patients with moderate OC symptoms and little treatment experience. Considering the high accessibility and convenience of ICBT, it could be a helpful first treatment step for OCD patients when face-to-face treatment is unavailable. In the future a randomized controlled study will be necessary for verification and generalization of these results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anxiety
/
Cognitive Behavioral Therapy
/
Wisconsin
/
Treatment Outcome
/
Internet
/
Depression
/
Generalization, Psychological
/
Korea
/
Obsessive-Compulsive Disorder
Type of study:
Controlled clinical trial
/
Practice guideline
Limits:
Humans
Country/Region as subject:
North America
/
Asia
Language:
English
Journal:
Psychiatry Investigation
Year:
2016
Type:
Article
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