Evaluating CBT for health anxiety and obsessive compulsive disorder adapted for online delivery in the context of COVID-19.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2025-03-11 DOI:10.1017/S1352465824000511

Laura Johnsen, Victoria Bream, Sam French, Richard Morriss, Paul M Salkovskis

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引用次数: 0

Abstract

Background: The COVID-19 pandemic has had a negative impact on the population's mental health, particularly for individuals with health anxiety (HA) and obsessive compulsive disorder (OCD). This is in conjunction with a significant change in accessibility of face-to-face psychological services which have had to rapidly adapt to the remote delivery of therapy.

Aims: Using a single-arm open trial design, the study aimed to evaluate the effectiveness of evidence-based CBT interventions for HA and OCD delivered via a blend of online therapist consultations interspersed with self-study reading materials. A secondary aim was to evaluate remote training workshops provided to therapists.

Method: Therapists attended three half-day remote workshops after which consecutive participants with HA or OCD were assigned to therapists for treatment. Monthly expert supervision was provided. Patients completed routine outcome measures at each session and an idiosyncratic measure of pre-occupation with COVID-19 at pre- and post-treatment.

Results: Significant and comparable improvements were observed on measures of anxiety, depression and social adjustment from pre- to post-treatment in both the HA (n=14) and OCD (n=20) groups. Disorder-specific measures also showed significant improvements after treatment. The HA group showed greater levels of change on the COVID-19-specific questionnaire. The training workshops were well received by therapists, who valued the monthly supervision sessions.

Conclusions: The study provides support for the effectiveness of the online delivery of CBT for HA and OCD supported by the inclusion of additional self-study booklets.

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评估COVID-19背景下适合在线交付的健康焦虑和强迫症的CBT

背景：COVID-19大流行对人群的心理健康产生了负面影响，特别是对患有健康焦虑（HA）和强迫症（OCD）的个体。与此同时，面对面心理服务的可及性也发生了重大变化，面对面心理服务必须迅速适应远程治疗。目的：采用单臂开放试验设计，该研究旨在评估基于证据的CBT干预对HA和OCD的有效性，该干预通过在线治疗师咨询和自学阅读材料的混合方式进行。第二个目的是评估提供给治疗师的远程培训讲习班。方法：治疗师参加了三个半天的远程研讨会，之后连续有HA或OCD的参与者被分配给治疗师进行治疗。每月提供专家监督。患者在每次治疗期间完成了常规结果测量，并在治疗前和治疗后完成了针对COVID-19的特殊测量。结果：从治疗前到治疗后，HA组（n=14）和OCD组（n=20）在焦虑、抑郁和社会适应方面均有显著的改善。治疗后，疾病特异性测量也显示出显著的改善。HA组在covid -19特定问卷上显示出更大的变化。这些培训工作坊受到了治疗师的好评，他们很重视每月一次的监督会议。结论：该研究为在线提供CBT治疗HA和OCD的有效性提供了支持，并包含了额外的自学手册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.