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Psychiatry Investig. 2016 Jul;13(4):373-82. doi: 10.4306/pi.2016.13.4.373. Epub 2016 Jul 25.

Internet-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Korea.

Author information

1
Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.; Seoultop Psychiatry Clinic & Seoul Junior Counseling Center, Seoul, Republic of Korea.
2
Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.; Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
3
Seoultop Psychiatry Clinic & Seoul Junior Counseling Center, Seoul, Republic of Korea.
4
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.

Abstract

OBJECTIVE:

Cognitive behavioral therapy (CBT) is regarded as one of the most effective intervention for obsessive-compulsive disorder (OCD). However, many patients remain untreated or inadequately treated due to time or geographical constraints. The purpose of this study was to develop an internet-based CBT (ICBT) for OCD, and to examine its efficacy in the Korean clinical setting.

METHODS:

The ICBT program ('COT') was developed from the same OCD manual in the standard CBT intervention. Twenty-seven participants of the total 42 patients completed all training sessions of the ICBT and the remainder (n=15) were classified as non-completers. Self-report measures of OCD, depression, anxiety, and work/social functioning, in addition to a neurocognitive test battery, were administered by face-to-face before and after treatment.

RESULTS:

The participants showed significant improvements in OCD and depressive symptoms, and in work/social functioning after ICBT completion. The presence of combined medication had no significant impact on treatment effect. The non-completers displayed more severe depressive and anxiety symptoms, and ICBT responders were younger and performed better in the Wisconsin Card Sorting Test.

CONCLUSION:

ICBT was found to be as effective for patients with moderate OC symptoms and little treatment experience. Considering the high accessibility and convenience of ICBT, it could be a helpful first treatment step for OCD patients when face-to-face treatment is unavailable. In the future a randomized controlled study will be necessary for verification and generalization of these results.

KEYWORDS:

Cognitive behavioral therapy; Computer; Internet; Obsessive-compulsive disorder; Treatment efficacy

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