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Cogn Behav Ther. 2015;44(2):142-52. doi: 10.1080/16506073.2014.981758. Epub 2014 Nov 24.

Competitive Memory Training (COMET) for OCD: a self-treatment approach to obsessions.

Author information

1
a Department of Psychiatry and Psychotherapy , University Medical Center Hamburg-Eppendorf , Martinistr. 52, 20246 Hamburg , Germany.

Abstract

Competitive Memory Training (COMET) is a cognitive intervention that aims to change the maladaptive cognitive-emotional networks underlying obsessive-compulsive disorder (OCD). COMET has not been previously tried as a self-help intervention. The present study tested the preliminary feasibility, acceptability, and effectiveness of COMET for OCD implemented as a self-help intervention. Sixty-five participants with OCD recruited through online OCD self-help fora completed an online baseline assessment including measures of OCD symptoms, self-esteem, and depression. Participants were randomly assigned to either COMET or a wait-list control group. All participants were approached 4 weeks later to complete an online post-assessment. There was no evidence for a greater decline of OCD symptoms or depression under COMET. When analyses were limited to only those participants who reported reading the entire manual at least once, self-esteem was higher at post-assessment in the COMET group. Although 78.1% of patients in the COMET group rated it as appropriate for self-administration, only 56.5% performed COMET exercises regularly and 26.4% read the entire manual at least once. The feasibility and effectiveness of COMET as a self-help internet intervention for OCD was not supported in this study. Further work is needed to better understand if modifications to our implementation of COMET may yield improved outcomes.

KEYWORDS:

cognitive therapy; obsessions; obsessive-compulsive disorder; self-esteem; self-help

PMID:
25421606
DOI:
10.1080/16506073.2014.981758
[Indexed for MEDLINE]

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