Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study
BackgroundTherapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in dail...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-03-01
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| Series: | JMIR Mental Health |
| Online Access: | https://mental.jmir.org/2024/1/e52790 |
| _version_ | 1797263274736091136 |
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| author | Ulrich Voderholzer Adrian Meule Stefan Koch Simone Pfeuffer Anna-Lena Netter Dirk Lehr Eva Maria Zisler |
| author_facet | Ulrich Voderholzer Adrian Meule Stefan Koch Simone Pfeuffer Anna-Lena Netter Dirk Lehr Eva Maria Zisler |
| author_sort | Ulrich Voderholzer |
| collection | DOAJ |
| description |
BackgroundTherapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home).
ObjectiveThis study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome.
MethodsA total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020.
ResultsCompared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high.
ConclusionsResults highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings. |
| first_indexed | 2024-04-25T00:10:24Z |
| format | Article |
| id | doaj.art-9997b3e67a974c8386024726cb59c346 |
| institution | Directory Open Access Journal |
| issn | 2368-7959 |
| language | English |
| last_indexed | 2024-04-25T00:10:24Z |
| publishDate | 2024-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Mental Health |
| spelling | doaj.art-9997b3e67a974c8386024726cb59c3462024-03-13T14:30:32ZengJMIR PublicationsJMIR Mental Health2368-79592024-03-0111e5279010.2196/52790Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized StudyUlrich Voderholzerhttps://orcid.org/0000-0003-0261-3145Adrian Meulehttps://orcid.org/0000-0002-6639-8977Stefan Kochhttps://orcid.org/0009-0006-4731-4455Simone Pfeufferhttps://orcid.org/0009-0007-7517-7838Anna-Lena Netterhttps://orcid.org/0000-0001-6985-6307Dirk Lehrhttps://orcid.org/0000-0002-5560-3605Eva Maria Zislerhttps://orcid.org/0000-0001-8824-9377 BackgroundTherapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). ObjectiveThis study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. MethodsA total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. ResultsCompared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. ConclusionsResults highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings.https://mental.jmir.org/2024/1/e52790 |
| spellingShingle | Ulrich Voderholzer Adrian Meule Stefan Koch Simone Pfeuffer Anna-Lena Netter Dirk Lehr Eva Maria Zisler Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study JMIR Mental Health |
| title | Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study |
| title_full | Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study |
| title_fullStr | Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study |
| title_full_unstemmed | Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study |
| title_short | Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study |
| title_sort | effectiveness of one videoconference based exposure and response prevention session at home in adjunction to inpatient treatment in persons with obsessive compulsive disorder nonrandomized study |
| url | https://mental.jmir.org/2024/1/e52790 |
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