Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.
J Anxiety Disord. 2011 Dec;25(8):1102-7. doi: 10.1016/j.janxdis.2011.07.009. Epub 2011 Aug 6.
The present study evaluates efficacy of a new Internet-administered cognitive behavioral therapy (CBT) protocol, The OCD Program, designed to treat obsessive-compulsive disorder (OCD) remotely. This protocol comprises 8 online lessons delivered over 8 weeks and incorporates cognitive and behavioral techniques. Twenty-two individuals with a principal diagnosis of OCD received CBT-based online lessons, homework assignments, twice weekly contact from a clinical psychologist, and automated emails. Eighty-one percent of participants completed the lessons within the 8-week program. Post-treatment and 3-month follow-up data were collected from 21/21 (100%) and 19/21 (91%) participants, respectively. Participants improved significantly on the primary outcome measures, the Yale-Brown Obsessive Compulsive Scale and Obsessive Compulsive Inventory-Revised, with within-groups effect sizes (Cohen's d) at follow-up of 1.28 and 0.60, respectively. Participants rated the procedure as highly acceptable despite receiving an average of only 86min (SD=54.4min) telephone contact with the therapist over the 8 weeks. These results provide preliminary support for efficacy of Internet-administered treatment for obsessive-compulsive disorder.
本研究评估了一种新的互联网管理认知行为疗法（CBT）方案的疗效，即旨在远程治疗强迫症（OCD）的 OCD 计划。该方案包括 8 个在线课程，分 8 周进行，结合了认知和行为技术。22 名主要诊断为 OCD 的个体接受了基于 CBT 的在线课程、家庭作业、每周两次来自临床心理学家的联系以及自动电子邮件。81%的参与者在 8 周的方案内完成了课程。21/21（100%）和 19/21（91%）的参与者分别在治疗后和 3 个月随访时收集了数据。主要结局测量指标（耶鲁-布朗强迫症量表和强迫症清单修订版）显示，参与者的得分显著改善，随访时的组内效应大小（Cohen's d）分别为 1.28 和 0.60。尽管在 8 周的时间内，参与者与治疗师平均仅进行了 86 分钟（SD=54.4 分钟）的电话联系，但他们对该程序的评价仍然非常高。这些结果初步支持了互联网管理治疗强迫症的疗效。
