Journal
JOURNAL OF ANXIETY DISORDERS
Volume 82, Issue -, Pages -Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.janxdis.2021.102444
Keywords
Obsessive-compulsive disorder; Internet-delivered CBT; Treatment effectiveness
Categories
Funding
- Australian Government
- International OCD Foundation
- Australian National Health and Medical Research Council Emerging Leaders Fellowship
Ask authors/readers for more resources
ICBT is an effective treatment for OCD, as shown by data from Australia's MindSpot Clinic. Results indicated significant improvements in OCD symptoms at posttreatment and three-month follow up. However, future research is needed to explore the utility of ICBT in routine care settings.
Cognitive-behaviour therapy (CBT) is an effective treatment for obsessive-compulsive disorder (OCD), but many patients experience difficulty accessing this treatment. Internet-delivered CBT (ICBT) enhances access to CBT for individuals with OCD and has been shown to be efficacious in Phase I, II, and III clinical trials. However, there are fewer studies investigating ICBT for OCD in Phase IV clinical trials, which demonstrate the effectiveness of the intervention when provided as part of routine care. The aim of the present study was to report on the effectiveness of ICBT for OCD, using data from Australia's MindSpot Clinic, a federally funded treatment service that provides free ICBT to Australian adults with anxiety, depression, and pain conditions. A total of 225 MindSpot users (68 % female; Mage = 34.82; SD = 11.02) were included in the study. Within-group effect sizes at posttreatment on the Yale-Brown Obsessive-Compulsive Scale, indicated medium effect sizes (g = 0.6; 95 % CI: 0.5-0.7), increasing to large effects at three-month follow up (g = 0.9; 95 % CI: 0.8-1.0). Effects on secondary outcome measures including measures of depression, generalized anxiety, and psychological distress ranged from (g = 0.5-0.6) at post-treatment and (g = 0.5-0.7) at three-month follow up. Results from benchmarking analyses indicated that the results from routine care were significantly smaller than those found in a recent clinical trial using the same treatment protocol. The results indicate that ICBT delivered in real world settings is associated with meaningful improvements in OCD symptoms, however future research may wish to examine which patients respond best to this treatment approach and how to enhance outcomes.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available