Judith Luijkx, Linda M. A. van Loon, Brenda De Wit-De Visser, Arno van Dam
{"title":"Presence and Impact of Adverse Childhood Experiences and Reflective Functioning on Aggression in Adults With Antisocial Behaviour","authors":"Judith Luijkx, Linda M. A. van Loon, Brenda De Wit-De Visser, Arno van Dam","doi":"10.1002/cpp.70011","DOIUrl":"https://doi.org/10.1002/cpp.70011","url":null,"abstract":"<p>This cross-sectional study investigated the relationship between the presence and impact of ACEs with both reactive and proactive aggression, and the possible moderating role of mentalization (operationalized as reflective functioning) in these expected relationships. Sixty-five inpatient and outpatient adults with any kind of antisocial behaviour completed the Dutch version of the Traumatic Experiences Checklist, the Reactive-Proactive Aggression Questionnaire, and the Adult Attachment Interview with the use of the Reflective Functioning Scale. Preliminary analysis showed a remarkably high level of ACEs, and a relatively high reported impact of these experiences. We found a positive relationship between the total presence of ACEs (including childhood maltreatment and adverse household factors), and both reactive and proactive aggression. We also found positive relationships between the experienced impact of these ACEs and both reactive and proactive aggression. Regarding childhood maltreatment in family of origin, we did not find a correlation between the presence of these experiences and respectively reactive and proactive aggression. However, we found a correlation between the impact of childhood maltreatment and reactive aggression. These results suggest that in addition to the cumulative experience of ACEs, the subjective burden of these experiences on individuals must not be underestimated in case of aggression. Additional moderation analysis showed no differences in these relationships in case of less developed versus medium-high developed reflective functioning. The findings substantiate the importance of early prevention and treatment programs with focus on ACEs to possibly reduce aggression.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ole Karkov Østergård, Lasse Grønnebæk, Kristine Kahr Nilsson
{"title":"Do Therapists Know When Their Clients Deteriorate? An Investigation of Therapists' Ability to Estimate and Predict Client Change During and After Psychotherapy","authors":"Ole Karkov Østergård, Lasse Grønnebæk, Kristine Kahr Nilsson","doi":"10.1002/cpp.70015","DOIUrl":"10.1002/cpp.70015","url":null,"abstract":"<p>In routine outcome monitoring, psychotherapists receive feedback from their clients about their self-reported progress during therapy. This practice is based on research indicating that therapists overestimate their effectiveness and cannot detect and predict negative client change. However, this assumption is based on only a few studies. This study aimed to investigate whether trainee therapists could estimate client deterioration after each session and after therapy and whether they, from session to session, could predict client post-therapy outcomes. Fifty-three postgraduate trainee therapists at a university clinic treated 105 clients, with an average of 13.1 sessions. A questionnaire was developed to measure the therapists' estimation of client change at each session and their session-by-session prediction of client post-therapy outcomes. The 10-item version of the Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE-OM) was used to measure clients' self-reported change at each session. The data included 96 (91.5%) therapist estimations of client post-therapy outcomes, 1015 (87.8%) estimations of client change from the second to the penultimate session, and 1140 predictions of post-therapy outcomes. The study found that at post-therapy, the therapists were only able to identify one out of eight clients who showed deterioration on the CORE-10. Additionally, during therapy, they could accurately estimate only six out of 83 sessions in which clients had experienced deterioration on the CORE-10, and they failed to predict any of the eight clients who ended therapy with deterioration. In conclusion, therapists cannot rely on their clinical judgement alone to assess client progress and outcomes and will depend on routine outcome monitoring to detect client deterioration.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resilience and Religious Coping in Libyan Survivors of Hurricane Daniele","authors":"Mohamed Ali, Hawwa Altaeb, Rasha Mohamed Abdelrahman","doi":"10.1002/cpp.70010","DOIUrl":"10.1002/cpp.70010","url":null,"abstract":"<p>The aim of the study was to investigate the mediating roles of resilience, posttraumatic growth (PTG) and religiosity between the impact of hurricane trauma and psychological distress. Using a cross-sectional design, the study involved 101 Libyan participants with an average age of 30.43 years (SD = 9.59), of whom 72% were women. Participants completed validated tests, including the Impact of Event Scale (IES), Brief Resilience Scale, Muslim Religiosity Scale and Patient Health Questionnaire (PHQ). The results indicated that posttraumatic stress symptoms (PTSS) were not associated with PTG (<i>r</i> = 0.04, <i>p</i> > 0.05) or religiosity (<i>r</i> = 0.02, <i>p</i> > 0.05) but were negatively associated with resilience (<i>r</i> = −0.39, <i>p</i> < 0.001) and positively associated with psychological distress including anxiety (<i>r</i> = 0.72, <i>p</i> < 0.001) and depression (<i>r</i> = 0.69, <i>p</i> < 0.001). Structural equation modelling (SEM) revealed that only resilience positively mediated the association between PTSS and anxiety (indirect effect = 0.04, <i>p</i> = 0.031), while PTSS positively predicted psychological distress (<i>β</i> = 0.037, <i>p</i> < 0.001). Network analysis identified parent loss is strongly connected with intrusion (<i>r</i> = 0.121), as most central node, while partner loss was associated with hyperarousal (<i>r</i> = 0.063), irritability (<i>r</i> = 0.036) and both share the same connection with numbing, while interestingly partner and friends loss share connection with resilience (<i>r</i> = 0.177). The study concludes that urgent clinical interventions, such as trauma-focused cognitive behavioural therapy, are required for the affected individuals, with a focus on enhancing resilience as a protective factor against PTSS.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mila Hall, Annika A. Wagner, Paloma V. Scherner, Julian A. Rubel
{"title":"If You Give a Therapist a Network: A Qualitative Analysis of Therapists' Reactions to Their Patients' EMA-Based Network Models","authors":"Mila Hall, Annika A. Wagner, Paloma V. Scherner, Julian A. Rubel","doi":"10.1002/cpp.70013","DOIUrl":"10.1002/cpp.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Network models hold much promise for use in the form of personalized feedback, which the TheraNet Project aims to investigate. In the present study, we share therapists' first reactions to patient network models based on ecological momentary assessment (EMA) data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Therapists (<i>N</i> = 24) were taught to interpret the network models based on their patient's data. They were provided with concrete use suggestions at the end of the workshop. The workshops were analysed using descriptive qualitative content analysis. The resulting codes were then grouped thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapists spoke about using the networks for “case conceptualization”, “therapy planning”, and “psychoeducation”, but also commented on the “study design”. Before the concrete suggestions, therapists most frequently voiced thoughts on its uses for “case conceptualization”. After the suggestions, “psychoeducation” was mentioned most frequently.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Therapists intuitively connected network models to case conceptualizations. Once concrete suggestions were provided, therapists more frequently discussed networks as psychoeducative tools.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie A. Windsor, Sophie H. Li, Amy Joubert, Emily Upton, Michelle Moulds, Jill M. Newby
{"title":"Intrusive Thoughts and Images in Health Anxiety: Rates, Characteristics, and Responses","authors":"Natalie A. Windsor, Sophie H. Li, Amy Joubert, Emily Upton, Michelle Moulds, Jill M. Newby","doi":"10.1002/cpp.70017","DOIUrl":"10.1002/cpp.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Intrusive thoughts and images in Health Anxiety are poorly understood. The current study aims to explore the rates and nature of health-related intrusive thoughts and images in people with and without Health Anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We used a cross-sectional interview and survey design recruiting 82 participants (Health Anxiety: <i>n</i> = 37; control: <i>n</i> = 45).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed a diagnostic and clinical interview, and questionnaires to assess experiences and appraisals of intrusive thoughts and images about health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experiencing an intrusive thought or image was common in both groups (Health Anxiety: 89.2%, control: 55.6%). However, the Health Anxiety group reported their intrusive thoughts as more frequent, more distressing, and associated them with more negative emotions than controls. Further, the Health Anxiety group had increased negative appraisals and specific maladaptive behaviours for both intrusive thoughts and intrusive images compared to controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that, relative to controls, individuals with Health Anxiety experience intrusive thoughts and images more intensely and negatively, have more dysfunctional appraisals of them, and are more likely to respond to them with specific maladaptive behaviours. As such, addressing intrusive thoughts and images as part of cognitive behavioural interventions for Health Anxiety is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Judith Luijkx, Linda M A van Loon, Brenda De Wit-De Visser, Arno van Dam
{"title":"Presence and Impact of Adverse Childhood Experiences and Reflective Functioning on Aggression in Adults With Antisocial Behaviour.","authors":"Judith Luijkx, Linda M A van Loon, Brenda De Wit-De Visser, Arno van Dam","doi":"10.1002/cpp.70011","DOIUrl":"https://doi.org/10.1002/cpp.70011","url":null,"abstract":"<p><p>This cross-sectional study investigated the relationship between the presence and impact of ACEs with both reactive and proactive aggression, and the possible moderating role of mentalization (operationalized as reflective functioning) in these expected relationships. Sixty-five inpatient and outpatient adults with any kind of antisocial behaviour completed the Dutch version of the Traumatic Experiences Checklist, the Reactive-Proactive Aggression Questionnaire, and the Adult Attachment Interview with the use of the Reflective Functioning Scale. Preliminary analysis showed a remarkably high level of ACEs, and a relatively high reported impact of these experiences. We found a positive relationship between the total presence of ACEs (including childhood maltreatment and adverse household factors), and both reactive and proactive aggression. We also found positive relationships between the experienced impact of these ACEs and both reactive and proactive aggression. Regarding childhood maltreatment in family of origin, we did not find a correlation between the presence of these experiences and respectively reactive and proactive aggression. However, we found a correlation between the impact of childhood maltreatment and reactive aggression. These results suggest that in addition to the cumulative experience of ACEs, the subjective burden of these experiences on individuals must not be underestimated in case of aggression. Additional moderation analysis showed no differences in these relationships in case of less developed versus medium-high developed reflective functioning. The findings substantiate the importance of early prevention and treatment programs with focus on ACEs to possibly reduce aggression.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":"e70011"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Livia Bridge, Katie Langford, Katrina McMullen, Lovedeep Rai, Patrick Smith, Katharine A. Rimes
{"title":"Acceptability, feasibility and preliminary efficacy of a compassion-based cognitive behavioural intervention for low self-esteem in sexual minority young adults","authors":"Livia Bridge, Katie Langford, Katrina McMullen, Lovedeep Rai, Patrick Smith, Katharine A. Rimes","doi":"10.1002/cpp.2911","DOIUrl":"10.1002/cpp.2911","url":null,"abstract":"<p>Low self-esteem can impair daily functioning and is a risk or maintenance factor for several mental health problems. Sexual minority young adults, for example, those identifying as lesbian, gay or bisexual, on average have lower self-esteem than their heterosexual peers. Compassion-based interventions for low self-esteem might be especially beneficial for sexual minority young adults, whose higher levels of shame and self-criticism are likely to be contributing to maintenance of their low self-esteem. This study explored the acceptability, feasibility and preliminary efficacy of a new compassion-based cognitive behavioural intervention for low self-esteem tailored to sexual minority young adults. Participants were a community sample of 24 sexual minority young adults aged 16–24 experiencing clinically significant low self-esteem. An uncontrolled pre-/post-design was used with qualitative feedback and quantitative outcomes. Self-report standardised measures were completed at baseline, pre-intervention, intervention mid-point, post-intervention and 2-month follow up. Preliminary efficacy was examined through post-intervention changes in self-esteem, functioning, anxiety and depression. Potential mechanisms of change were examined through changes in self-compassion, self-criticism and unhelpful coping responses to minority stress. Results showed good acceptability and feasibility and preliminary evidence of intervention efficacy for improving self-esteem, functioning, depression and anxiety. There was evidence for improvement in self-compassion and reduction in self-criticism, and these constructs could be investigated in future studies as treatment mediators. Randomised controlled studies are needed to further examine efficacy of the intervention.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.2911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conceptualizing multiplicity spectrum experiences: A systematic review and thematic synthesis","authors":"Zarah Eve, Kim Heyes, Sarah Parry","doi":"10.1002/cpp.2910","DOIUrl":"10.1002/cpp.2910","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dissociative identity disorder and depersonalization–derealization have attracted research and clinical interest, facilitating greater understanding. However, little is known about the experience of multiplicity of self outside of traumagenic or illness constructs. Consequently, this systematic review explored how people identifying as having multiple selves conceptualize their experiences and identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of qualitative studies reporting lived experiences of multiplicity was conducted through PsycINFO, PubMed and Scopus (PROSPERO ID: CRD42021258555). Thirteen relevant studies were retrieved (<i>N</i> = 98, 16–64 years, conducted in the United Kingdom, the United States, Hungary and Poland).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using line-by-line thematic synthesis, four analytical themes were developed: multiplicity: disorder versus experience; impact of understanding multiplicity; importance of supporting multiplicity; and continuum of experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This review highlights heterogeneity within multiplicity-spectrum experiences, emphasizing the need for person-centred, individualized understanding, separate from mental health conceptualizations. Therefore, training in person-centred individualized care to promote self-concept clarity is needed across health, education and social care. This systematic review is the first to synthesize voices of people with lived experience across the multiplicity spectrum, demonstrating how qualitative research can contribute to advancing our understanding of this complex phenomena with the community, acknowledging reciprocal psychosocial impacts of multiplicity and providing valuable recommendations for services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.2910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ephrem Fernandez, Brandon Perez, Renhao Sun, Krishna Kolaparthi, Tuan Pham, Emmanuel Iwuala, Rudy Garza, Eric C. Shattuck, Wenbo Wu
{"title":"Anger treatment via CBAT delivered remotely: Outcomes on psychometric and self-monitored measures of anger","authors":"Ephrem Fernandez, Brandon Perez, Renhao Sun, Krishna Kolaparthi, Tuan Pham, Emmanuel Iwuala, Rudy Garza, Eric C. Shattuck, Wenbo Wu","doi":"10.1002/cpp.2907","DOIUrl":"10.1002/cpp.2907","url":null,"abstract":"<p>Studies of anger treatment have often reported on reappraisal and relaxation techniques delivered in person to forensic and psychiatric samples. The present study evaluated an integrative programme of cognitive–behavioural affective therapy (CBAT) delivered remotely to chronic pain sufferers with comorbid anger. Volunteers (<i>N</i> = 54) were randomly assigned to either CBAT or an Emotional Education (EE) group, both receiving hour-long videorecorded sessions twice a week for 4 weeks plus weekly calls by telephone. At 1-month post-treatment, follow-up was conducted. Outcomes were measured using the Anger Parameters Scale (APS) and its five subscales (frequency, duration, intensity, latency and threshold) as well as daily self-monitored anger logs. As hypothesized, pre- to post-treatment decline in APS total scores was significant for CBAT, Hedges' <i>g</i> = 0.65, 95% CI [0.14, 1.16] but nonsignificant and small for EE, <i>g</i> = 0.17, CI [−0.41, 0.75]. At the primary endpoint (post-treatment), APS total scores were significantly lower for CBAT than for EE. Treatment gains were maintained till follow-up. On all five APS subscales, pre-post effect sizes were medium-sized for CBAT and generally small for EE. This picture was mirrored in the self-monitored frequency, duration and intensity of anger. Findings support the efficacy of CBAT over time, its comparative efficacy over EE and its ecological generalizability. Future research could expand sample size, reduce sample imbalance, extend follow-up and strengthen treatment potency with more sessions. The present study renews enthusiasm for teletherapy and is the first to demonstrate CBAT efficacy in treating maladaptive anger in the chronic pain population.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10572130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diana M. Lisi, Lance L. Hawley, Randi E. McCabe, Karen Rowa, Duncan H. Cameron, Margaret A. Richter, Neil A. Rector
{"title":"Online versus in-person delivery of cognitive behaviour therapy for obsessive compulsive disorder: An examination of effectiveness","authors":"Diana M. Lisi, Lance L. Hawley, Randi E. McCabe, Karen Rowa, Duncan H. Cameron, Margaret A. Richter, Neil A. Rector","doi":"10.1002/cpp.2908","DOIUrl":"10.1002/cpp.2908","url":null,"abstract":"<p>Cognitive behavioural therapy (CBT) including exposure and response prevention is the first-line psychological treatment for obsessive compulsive disorder (OCD). Given changes in the clinical landscape, there are increasing efforts to evaluate its effectiveness in online contexts. Mirroring the traditional in-person delivery, few studies have assessed the role of therapist-guided, manual-based CBT for OCD delivered in real-time via videoconferencing methods. The present study sought to fill this gap by comparing in-person and online delivery of group-based CBT for the treatment of OCD. A convenience sample of participants with moderate to severe OCD (<i>n</i> = 144) were recruited from a naturalistic database from two large OCD specialty assessment and treatment centres. Patients received group-based CBT that was provided in-person (pre-COVID-19 pandemic; March 2018 to March 2020) or online via videoconferencing (during the COVID-19 pandemic; March 2020 to April 2021). In both delivery methods, treatment consisted of 2-h weekly sessions led by trained clinicians. Analyses revealed that, regardless of treatment modality, both in-person and online groups demonstrated significant, reliable, and statistically equivalent improvements in OCD symptoms post-treatment. Videoconferenced, clinician-led CBT may be a promising alternative to in-person delivery for those with moderate to severe OCD symptoms.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}