Self-guided internet–delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial

Wootton, BM; Karin, E; Titov, N; Dear, BF

Self-guided internet–delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial

Wootton, BM

Karin, E Titov, N Dear, BF

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Publication Type:: Journal Article
Citation:: Journal of Anxiety Disorders, 2019, 66
Issue Date:: 2019-08-01

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Field	Value	Language
dc.contributor.author	Wootton, BM https://orcid.org/0000-0001-9036-0699	en_US
dc.contributor.author	Karin, E	en_US
dc.contributor.author	Titov, N	en_US
dc.contributor.author	Dear, BF	en_US
dc.date.available	2019-06-26	en_US
dc.date.issued	2019-08-01	en_US
dc.identifier.citation	Journal of Anxiety Disorders, 2019, 66	en_US
dc.identifier.issn	0887-6185	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136334
dc.description.abstract	© 2019 Elsevier Ltd Internet-delivered cognitive behavior therapy (ICBT) for obsessive-compulsive disorder (OCD) has been demonstrated to be efficacious across multiple clinical trials. However, most of these interventions include clinician support, and many individuals with OCD prefer to manage their own symptoms. Self-guided ICBT overcomes this problem, but to date the efficacy of self-guided interventions has only been studied in uncontrolled trials. The present study aims to examine the efficacy and acceptability of ICBT for OCD symptoms when delivered in a self-guided format using a randomized controlled trial design. In the present study, 190 participants were randomized to either a self-guided ICBT condition or a waitlist control group. 140 participants completed the baseline assessment, initiated treatment, and were included in the analyses. The between-group effect size at post-treatment was large on the self-report version of the Yale-Brown Obsessive-Compulsive Scale (d = 1.05; 95% CI 0.89–1.21). Twenty-seven percent of the ICBT condition met conservative criteria for clinically significant change at post-treatment, which increased to thirty-eight percent at three-month follow-up. Participants rated the program as highly acceptable. The results indicate that self-guided ICBT may be a viable treatment option for some individuals with OCD symptoms.	en_US
dc.relation.ispartof	Journal of Anxiety Disorders	en_US
dc.relation.isbasedon	10.1016/j.janxdis.2019.102111	en_US
dc.subject.classification	Clinical Psychology	en_US
dc.title	Self-guided internet–delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	66	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	66	en_US

Abstract:

© 2019 Elsevier Ltd Internet-delivered cognitive behavior therapy (ICBT) for obsessive-compulsive disorder (OCD) has been demonstrated to be efficacious across multiple clinical trials. However, most of these interventions include clinician support, and many individuals with OCD prefer to manage their own symptoms. Self-guided ICBT overcomes this problem, but to date the efficacy of self-guided interventions has only been studied in uncontrolled trials. The present study aims to examine the efficacy and acceptability of ICBT for OCD symptoms when delivered in a self-guided format using a randomized controlled trial design. In the present study, 190 participants were randomized to either a self-guided ICBT condition or a waitlist control group. 140 participants completed the baseline assessment, initiated treatment, and were included in the analyses. The between-group effect size at post-treatment was large on the self-report version of the Yale-Brown Obsessive-Compulsive Scale (d = 1.05; 95% CI 0.89–1.21). Twenty-seven percent of the ICBT condition met conservative criteria for clinically significant change at post-treatment, which increased to thirty-eight percent at three-month follow-up. Participants rated the program as highly acceptable. The results indicate that self-guided ICBT may be a viable treatment option for some individuals with OCD symptoms.

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http://hdl.handle.net/10453/136334