GGOC-AD: a mHealth tool to challenge obsessive-compulsive related maladaptive beliefs in Spanish community adolescents: a randomized controlled trial.

IF 4.4 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2026-07-07 DOI:10.1111/camh.70110

Yuliya Saman, Belén Pascual-Vera, Ángel Carrasco, Marta Corberán, Odalis Merchán, Laura Carratalá-Ricart, Sandra Arnáez, Guy Doron, María Roncero, Gemma García-Soriano

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引用次数: 0

Abstract

Background: Obsessive-compulsive related maladaptive beliefs play an essential role in the development and maintenance of obsessive-compulsive disorder (OCD). Nevertheless, there is a lack of accessible and widespread strategies capable of challenging such beliefs in the youth general population. This study aimed to assess the efficacy of a mobile health tool (GGOC-AD) in reducing maladaptive OCD beliefs and symptoms in Spanish community adolescents and explore its impact on emotional symptoms and self-esteem.

Methods: A two-armed parallel randomized controlled trial (https://clinicaltrials.gov/study/NCT06033391) was carried out with 94 students (M_age = 15.09 (SD = 0.6) years; 69.1% girls). Participants either used GGOC-AD, a nonguided mobile intervention targeting maladaptive OCD beliefs (experimental group; n = 48), or GGN-AD, an active comparator with neutral content (control group, n = 46) over a 14-day period. Assessments were conducted at baseline (T1), immediately postintervention (T2), and 1 month later (T3). A mixed effects model for repeated measures (MMRM) was conducted to evaluate the effects on maladaptive OCD beliefs and symptoms, emotional symptoms, and self-esteem. The outcome was specified as the scores in both T2 and T3.

Results: Completing GGOC-AD was associated with statistically significantly lower maladaptive beliefs related to responsibility and threat estimation (Estimate [SD] = 3.62 [1.47]; p = .014; d = 0.30), perfectionism and intolerance of uncertainty (Estimate [SD] = 3.07 [1.34]; p = .022; d = 0.24); and importance and need to control thoughts (Estimate [SD] = 4.34 [1.17]; p > .001; d = 0.48); and statistically significantly lower OCD symptoms (Estimate [SD] = 2.57[0.81]; p = .001; d = 0.34), compared to completing GGN-AD. No differences between groups were observed in emotional symptoms and self-esteem.

Conclusion: GGOC-AD appears to be a promising tool for addressing OCD risk factors and enhancing adolescents' mental well-being.

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GGOC-AD：挑战西班牙社区青少年强迫症相关适应不良信念的移动健康工具：一项随机对照试验。

背景：强迫症相关的适应不良信念在强迫症的发展和维持中起着至关重要的作用。然而，在普通青年群体中缺乏能够挑战这种信念的可获得和广泛的战略。本研究旨在评估移动健康工具（GGOC-AD）在减少西班牙社区青少年适应不良强迫症信念和症状方面的效果，并探讨其对情绪症状和自尊的影响。方法：采用双臂平行随机对照试验（https://clinicaltrials.gov/study/NCT06033391），纳入94名学生(Mage = 15.09 （SD = 0.6）岁；69.1%的女孩)。参与者要么使用GGOC-AD，一种针对适应不良强迫症信念的非引导移动干预（实验组，n = 48），要么使用GGN-AD，一种具有中性内容的活性比较剂（对照组，n = 46），为期14天。评估分别在基线（T1）、干预后立即（T2）和1个月后（T3）进行。采用重复测量的混合效应模型（MMRM）来评估对适应不良强迫症信念和症状、情绪症状和自尊的影响。结果为T2和T3的评分。结果：完成GGOC-AD后，与责任和威胁估计相关的适应不良信念（Estimate [SD] = 3.62 [1.47]; p = 0.014; d = 0.30）、完美主义和不确定性耐受（Estimate [SD] = 3.07 [1.34]; p = 0.022; d = 0.24）显著降低；重要性和需要控制思想（估计[SD] = 4.34 [1.17]; p >.001; d = 0.48）；与完成GGN-AD相比，强迫症症状显著降低（估计[SD] = 2.57[0.81]; p = .001; d = 0.34）。两组之间在情绪症状和自尊方面没有观察到差异。结论：GGOC-AD似乎是解决强迫症危险因素和提高青少年心理健康的一个有前途的工具。

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

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.