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Research Article

Efficacy and acceptability of a self-guided internet-delivered cognitive-behavioral educational program for obsessive-compulsive symptoms with international recruitment

ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 133-151 | Received 12 Jun 2023, Accepted 27 Oct 2023, Published online: 09 Nov 2023

References

  • Abramowitz, J. S., Deacon, B. J., Olatunji, B. O., Wheaton, M. G., Berman, N. C., Losardo, D., Timpano, K. R., McGrath, P. B., Riemann, B. C., Adams, T., Björgvinsson, T., Storch, E. A., & Hale, L. R. (2010). Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the dimensional obsessive-compulsive scale. Psychological Assessment, 22(1), 180–198. https://doi.org/10.1037/a0018260
  • American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th Text Revision ed.).
  • Aspvall, K., Andersson, E., Melin, K., Norlin, L., Eriksson, V., Vigerland, S., Jolstedt, M., Silverberg-Mörse, M., Wallin, L., Sampaio, F., Feldman, I., Bottai, M., Lenhard, F., Mataix-Cols, D., & Serlachius, E. (2021). Effect of an internet-delivered stepped-care program vs in-person cognitive Behavioral therapy on obsessive-compulsive disorder symptoms in children and adolescents: A randomized clinical trial [article]. JAMA - Journal of the American Medical Association, 325(18), 1863–1873. https://doi.org/10.1001/jama.2021.3839
  • Baer, L. (2012). Getting control: Overcoming your obsessions and compulsions. Penguin.
  • Beard, C., Hsu, K. J., Rifkin, L. S., Busch, A. B., & Björgvinsson, T. (2016). Validation of the PHQ-9 in a psychiatric sample [article]. Journal of Affective Disorders, 193, 267–273. https://doi.org/10.1016/j.jad.2015.12.075
  • Belloch, A., Del Valle, G., Morillo, C., Carrió, C., & Cabedo, E. (2009). To seek advice or not to seek advice about the problem: The help-seeking dilemma for obsessive-compulsive disorder. Social Psychiatry and Psychiatric Epidemiology, 44(4), 257–264. https://doi.org/10.1007/s00127-008-0423-0
  • Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., & Titov, N. (2015). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial [article]. Journal of Anxiety Disorders, 36, 63–77. https://doi.org/10.1016/j.janxdis.2015.09.003
  • Egan, S. J., Shafran, R., Wade, T. D., Ure, S., Gill, C., Wilker, L., Anderson, R., Mazzucchelli, T., & McEvoy, P. (2022). A qualitative examination of low-intensity cognitive behaviour therapy to reduce anxiety and depression during the COVID-19 pandemic [article]. Clinical Psychologist, 26(2), 222–230. https://doi.org/10.1080/13284207.2022.2031946
  • Eisen, J. L., Mancebo, M. A., Pinto, A., Coles, M. E., Pagano, M. E., Stout, R., & Rasmussen, S. A. (2006). Impact of obsessive-compulsive disorder on quality of life. Comprehensive Psychiatry, 47(4), 270–275. https://doi.org/10.1016/j.comppsych.2005.11.006
  • Farris, S. G., McLean, C. P., Van Meter, P. E., Simpson, H. B., & Foa, E. B. (2013). Treatment response, symptom remission, and wellness in obsessive-compulsive disorder [article]. The Journal of Clinical Psychiatry, 74(7), 685–690. https://doi.org/10.4088/JCR.12m07789
  • Federici, A., Summerfeldt, L. J., Harrington, J. L., McCabe, R. E., Purdon, C. L., Rowa, K., & Antony, M. M. (2010). Consistency between self-report and clinician-administered versions of the Yale-Brown obsessive-compulsive scale. Journal of Anxiety Disorders, 24(7), 729–733. https://doi.org/10.1016/j.janxdis.2010.05.005
  • García-Soriano, G., Rufer, M., Delsignore, A., & Weidt, S. (2014). Factors associated with non-treatment or delayed treatment seeking in OCD sufferers: A review of the literature. Psychiatry Research, 220(1), 1–10. https://doi.org/10.1016/j.psychres.2014.07.009
  • Gentle, M., Harris, L. M., & Jones, M. K. (2014). The barriers to seeking treatment for obsessive-compulsive disorder in an Australian population. Behaviour Change, 31(4), 258–278. https://doi.org/10.1017/bec.2014.20
  • Gilliam, C. M., Diefenbach, G. J., Whiting, S. E., & Tolin, D. F. (2010). Stepped care for obsessive-compulsive disorder: An open trial. Behaviour Research and Therapy, 48(11), 1144–1149. https://doi.org/10.1016/j.brat.2010.07.010
  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989). The Yale-Brown obsessive compulsive scale. I. Development, use and reliability. Archives of General Psychiatry, 46(11), 1006–1011. https://doi.org/10.1001/archpsyc.1989.01810110048007
  • Goodwin, R., Koenen, K. C., Hellman, F., Guardino, M., & Struening, E. (2002). Helpseeking and access to mental health treatment for obsessive-compulsive disorder. Acta Psychiatrica Scandinavica, 106(2), 143–149. https://doi.org/10.1034/j.1600-0447.2002.01221.x
  • Guy, W. (1976). ECDEU Assessment manual for psychopharmacology. E. Department of Health, and Welfare (Ed.).
  • Hannan, S. E., & Tolin, D. F. (2007, November). Examination of the validity of therapist rated and patient rated clinical global impression scores. In Annual Meeting of the Association of Behavioral and Cognitive Therapies.
  • Haug, T., Nordgreen, T., Öst, L. G., & Havik, O. E. (2012). Self-help treatment of anxiety disorders: A meta-analysis and meta-regression of effects and potential moderators. Clinical Psychology Review, 32(5), 425–445. https://doi.org/10.1016/j.cpr.2012.04.002
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting & Clinical Psychology, 59(1), 12–19. https://doi.org/10.1037//0022-006X.59.1.12
  • Karin, E., Crane, M. F., Dear, B. F., Nielssen, O., Heller, G. Z., Kayrouz, R., & Titov, N. (2021). Predictors, outcomes, and statistical solutions of missing cases in web-based psychotherapy: Methodological replication and elaboration study [article]. JMIR Mental Health, 8(2), Article e22700. https://doi.org/10.4088/JCR.12m07789
  • Karin, E., Dear, B. F., Heller, G. Z., Crane, M. F., & Titov, N. (2018). “Wish you were here”: Examining characteristics, outcomes, and statistical solutions for missing cases in web-based psychotherapeutic trials. Journal of Medical Internet Research, 5(2), Article e22. https://doi.org/10.2196/mental.8363
  • Karin, E., Dear, B. F., Heller, G. Z., Gandy, M., & Titov, N. (2018). Measurement of symptom change following web based psychotherapy – statistical characteristics and analytical methods for measuring and interpreting change. JMIR Mental Health, 5(3). https://doi.org/10.2196/10200.
  • Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184. https://doi.org/10.1002/mpr.1359
  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine: JGIM, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  • Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010). The patient health questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry, 32(4), 345–359. https://doi.org/10.1016/j.genhosppsych.2010.03.006
  • Launes, G., Hagen, K., Sunde, T., Öst, L. G., Klovning, I., Laukvik, I. L., Himle, J. A., Solem, S., Hystad, S. W., Hansen, B., & Kvale, G. (2019). A randomized controlled trial of concentrated ERP, self-help and waiting list for obsessive-compulsive disorder: The Bergen 4-day treatment [article]. Frontiers in Psychology, 10, Article 2500. https://doi.org/10.3389/fpsyg.2019.02500
  • Lenhard, F., Aspvall, K., Andersson, E., Ahlen, J., Serlachius, E., Lavner, M., Brodin, A., & Mataix-Cols, D. (2023). The cost of obsessive–compulsive disorder in Swedish youth [article]. Child Psychiatry and Human Development, 54(1), 248–254. https://doi.org/10.1007/s10578-021-01261-z
  • Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13–22.
  • Liao, J., Liu, L., Fu, X., Feng, Y., Liu, W., Yue, W., & Yan, J. (2021). The immediate and long-term impacts of the COVID-19 pandemic on patients with obsessive-compulsive disorder: A one-year follow-up study [article]. Psychiatry Research, 306, Article 114268. https://doi.org/10.1016/j.psychres.2021.114268
  • Little, R. J., D'Agostino, R., Cohen, M. L., Dickersin, K., Emerson, S. S., Farrar, J. T., Frangakis, C., Hogan, J. W., Molenberghs, G., Murphy, S. A., Neaton, J. D., Rotnitzky, A., Scharfstein, D., Shih, W. J., Siegel, J. P., & Stern, H. (2012). The prevention and treatment of missing data in clinical trials [review]. The New England Journal of Medicine, 367(14), 1355–1360. https://doi.org/10.1056/NEJMsr1203730
  • Lundström, L., Flygare, O., Andersson, E., Enander, J., Bottai, M., Ivanov, V. Z., Boberg, J., Pascal, D., Mataix-Cols, D., & Rück, C. (2022). Effect of internet-based vs face-to-face cognitive behavioral therapy for adults with obsessive-compulsive disorder: A randomized clinical trial [article]. JAMA Network Open, 5(3), Article e221967. https://doi.org/10.1001/jamanetworkopen.2022.1967
  • Luu, J., Millard, M., Newby, J., Haskelberg, H., Hobbs, M. J., & Mahoney, A. E. J. (2020). Internet-based cognitive behavioural therapy for treating symptoms of obsessive compulsive disorder in routine care [article]. Journal of Obsessive-Compulsive and Related Disorders, 26, Article 100561. https://doi.org/10.1016/j.jocrd.2020.100561
  • Marques, L., LeBlanc, N. J., Wegarden, H. M., Timpano, K. R., Jenike, M., & Wilhelm, S. (2010). Barriers to treatment and service utilization in an internet sample of individuals with obsessive-compulsive symptoms. Depression and Anxiety, 27(5), 470–475. https://doi.org/10.1002/da.20694
  • Mataix-Cols, D., Fernandez de La Cruz, L., Nordsletten, A. E., Lenhard, F., Isomura, K., & Simpson, H. B. (2016). Towards an international expert consensus for defining treatment response, remission, recovery and relapse in obsessive-compulsive disorder [letter]. World Psychiatry, 15(1), 80–81. https://doi.org/10.1002/wps.20299
  • McDonald, S., Melkonian, M., Karin, E., Dear, B. F., Titov, N., & Wootton, B. M. (2023). Predictors of response to cognitive behavioural therapy (CBT) for individuals with obsessive-compulsive disorder (OCD): A systematic review. Behavioural and Cognitive Psychotherapy, 51(4), 1–18. https://doi.org/10.1017/s1352465823000103
  • Melkonian, M., McDonald, S., Karin, E., Titov, N., Dear, B. F., & Wootton, B. M. (2023). Clinical and demographic characteristics of patients with obsessive-compulsive symptoms using internet-delivered and face-to-face cognitive behavior therapy. Australian Psychologist, 1–10. https://doi.org/10.1080/00050067.2023.2232933
  • Melkonian, M., McDonald, S., Scott, A., Karin, E., Dear, B. F., & Wootton, B. M. (2022). Symptom improvement and remission in untreated adults seeking treatment for obsessive-compulsive disorder: A systematic review and meta-analysis [review]. Journal of Affective Disorders, 318, 175–184. https://doi.org/10.1016/j.jad.2022.08.037
  • Oey, L., McDonald, S., McGrath, L., Dear, B., & Wootton, B. M. (2023). Guided versus self-guided internet-delivered cognitive behavioural therapy for anxiety and related disorders: A preliminary meta-analysis. Cognitive Behaviour Therapy, 52(6), 654–671. https://doi.org/10.1080/16506073.2023.2250073
  • Ólafsson, R. P., Snorrason, Í., & Smári, J. (2010). Yale-Brown obsessive compulsive scale: Psychometric properties of the self-report version in a student sample. Journal of Psychopathology and Behavioral Assessment, 32(2), 226–235. https://doi.org/10.1007/s10862-009-9146-0
  • Olatunji, B. O., Davis, M. L., Powers, M. B., & Smits, J. A. J. (2013). Cognitive-behavioral therapy for obsessive-compulsive disorder: A meta-analysis of treatment outcome and moderators. Journal of Psychiatric Research, 47(1), 33–41. https://doi.org/10.1016/j.jpsychires.2012.08.020
  • Pérez-Vigil, A., De La Cruz, L. F., Brander, G., Isomura, K., Jangmo, A., Feldman, I., Hesselmark, E., Serlachius, E., Lázaro, L., Rück, C., Kuja-Halkola, R., D’Onofrio, B. M., Larsson, H., & Mataix-Cols, D. (2018). Association of obsessive-compulsive disorder with objective indicators of educational attainment: A nationwide register-based sibling control study [article]. JAMA Psychiatry, 75(1), 47–55. https://doi.org/10.1001/jamapsychiatry.2017.3523
  • Perris, F., Sampogna, G., Giallonardo, V., Agnese, S., Palummo, C., Luciano, M., Fabrazzo, M., Fiorillo, A., & Catapano, F. (2021). Duration of untreated illness predicts 3-year outcome in patients with obsessive-compulsive disorder: A real-world, naturalistic, follow-up study. Psychiatry Research, 299, 113872. https://doi.org/10.1016/j.psychres.2021.113872
  • Staples, L., Nielssen, O., Kayrouz, R., Cross, S., Karin, E., Ryan, K., Dear, B., & Titov, N. (2020). Rapid report 2: Symptoms of anxiety and depression during the first 12 weeks of the coronavirus (COVID-19) pandemic in Australia [article]. Internet Interventions, 22, Article 100351. https://doi.org/10.1016/j.invent.2020.100351
  • Steketee, G., Frost, R., & Bogart, K. (1996). The Yale-Brown obsessive compulsive scale: Interview versus self-report. Behaviour Research and Therapy, 34(8), 675–684. https://doi.org/10.1016/0005-7967(96)00036-8
  • Storch, E. A., De Nadai, A. S., Conceição Do Rosário, M., Shavitt, R. G., Torres, A. R., Ferrão, Y. A., Miguel, E. C., Lewin, A. B., & Fontenelle, L. F. (2015). Defining clinical severity in adults with obsessive-compulsive disorder. Comprehensive Psychiatry, 63, 30–35. https://doi.org/10.1016/j.comppsych.2015.08.007
  • Titov, N., Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Sheehan, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., & McEvoy, P. M. (2015). Disorder-specific versus transdiagnostic and clinician-guided versus self-guided treatment for major depressive disorder and comorbid anxiety disorders: A randomized controlled trial [article]. Journal of Anxiety Disorders, 35, 88–102. https://doi.org/10.1016/j.janxdis.2015.08.002
  • Tolin, D. F., Diefenbach, G. J., & Gilliam, C. M. (2011). Stepped care versus standard cognitive-behavioral therapy for obsessive-compulsive disorder: A preliminary study of efficacy and costs. Depression and Anxiety, 28(4), 314–323. https://doi.org/10.1002/da.20804
  • Tolin, D. F., Diefenbach, G. J., Maltby, N., & Hannan, S. (2005). Stepped care for obsessive-compulsive disorder: A pilot study. Cognitive and Behavioral Practice, 12(4), 403–414. https://doi.org/10.1016/S1077-7229(05)80068-9
  • Tolin, D. F., Gilliam, C. M., & Dufresne, D. (2010). The economic and social burden of anxiety disorders. In D. J. Stein, E. Hollander, & B. O. Rothbaum (Eds.), Textbook of anxiety disorders (2nd ed., pp. 731–746). American Psychiatric Publishing.
  • Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B., Davis, E., Hannan, S. E., Steinman, S. A., Worden, B., & Hallion, L. S. (2018). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related Disorders. Assessment, 25(1), 3–13. https://doi.org/10.1177/1073191116638410
  • Torres, A. R., Prince, M. J., Bebbington, P. E., Bhugra, D., Brugha, T. S., Farrell, M., Jenkins, R., Lewis, G., Meltzer, H., & Singleton, N. (2006). Obsessive-compulsive disorder: Prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000 [article]. American Journal of Psychiatry, 163(11), 1978–1985. https://doi.org/10.1176/ajp.2006.163.11.1978
  • Wootton, B. M., Dear, B. F., Johnston, L., Terides, M. D., & Titov, N. (2014). Self-guided internet administered treatment for obsessive-compulsive disorder: Results from two open trials [article]. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 102–108. https://doi.org/10.1016/j.jocrd.2014.03.001
  • Wootton, B. M., Dear, B. F., Johnston, L., Terides, M. D., & Titov, N. (2015). Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder: 12 month follow-up [article]. Internet Interventions, 2(3), 243–247. https://doi.org/10.1016/j.invent.2015.05.003
  • Wootton, B. M., Karin, E., Dear, B. F., Staples, L., Nielssen, O., Kayrouz, R., & Titov, N. (2021). Internet-delivered cognitive-behaviour therapy (ICBT) for obsessive-compulsive disorder when delivered as routine clinical care: A phase IV clinical trial [Article]. Journal of Anxiety Disorders, 82, Article 102444. https://doi.org/10.1016/j.janxdis.2021.102444
  • Wootton, B. M., Karin, E., Titov, N., & Dear, B. F. (2019). Self-guided internet-delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial [article]. Journal of Anxiety Disorders, 66, Article 102111. https://doi.org/10.1016/j.janxdis.2019.102111