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Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study

Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet

Standard

Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study. / Voderholzer, Ulrich; Meule, Adrian; Koch, Stefan et al.
in: JMIR Mental Health, Jahrgang 11, Nr. 1, e52790, 13.03.2024.

Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet

Harvard

Voderholzer, U, Meule, A, Koch, S, Pfeuffer, S, Anna-Lena, N, Lehr, D & Zisler, EM 2024, 'Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study', JMIR Mental Health, Jg. 11, Nr. 1, e52790. https://doi.org/10.2196/52790

APA

Voderholzer, U., Meule, A., Koch, S., Pfeuffer, S., Anna-Lena, N., Lehr, D., & Zisler, E. M. (2024). Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study. JMIR Mental Health, 11(1), Artikel e52790. https://doi.org/10.2196/52790

Vancouver

Voderholzer U, Meule A, Koch S, Pfeuffer S, Anna-Lena N, Lehr D et al. Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study. JMIR Mental Health. 2024 Mär 13;11(1):e52790. doi: 10.2196/52790

Bibtex

@article{0364d11cccb64951b6bcb620e729d36e,
title = "Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study",
abstract = "Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients{\textquoteright} views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients{\textquoteright} natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients{\textquoteright} natural environment and foster the generalization of ERP conducted in clinical settings.",
keywords = "clinical setting, environment, exposure, inpatient, mood, obsessive-compulsive disorder, OCD, positive mood, prevention, response prevention, therapist, therapists, therapy, video, videoconference, videoconference-based treatment, Psychology",
author = "Ulrich Voderholzer and Adrian Meule and Stefan Koch and Simone Pfeuffer and Netter Anna-Lena and Dirk Lehr and Zisler, {Eva Maria}",
note = "Publisher Copyright: {\textcopyright} 2024 JMIR Publications Inc.. All rights reserved.",
year = "2024",
month = mar,
day = "13",
doi = "10.2196/52790",
language = "English",
volume = "11",
journal = "JMIR Mental Health",
issn = "2368-7959",
publisher = "JMIR Publications Inc.",
number = "1",

}

RIS

TY - JOUR

T1 - Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder

T2 - Nonrandomized Study

AU - Voderholzer, Ulrich

AU - Meule, Adrian

AU - Koch, Stefan

AU - Pfeuffer, Simone

AU - Anna-Lena, Netter

AU - Lehr, Dirk

AU - Zisler, Eva Maria

N1 - Publisher Copyright: © 2024 JMIR Publications Inc.. All rights reserved.

PY - 2024/3/13

Y1 - 2024/3/13

N2 - Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings.

AB - Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings.

KW - clinical setting

KW - environment

KW - exposure

KW - inpatient

KW - mood

KW - obsessive-compulsive disorder

KW - OCD

KW - positive mood

KW - prevention

KW - response prevention

KW - therapist

KW - therapists

KW - therapy

KW - video

KW - videoconference

KW - videoconference-based treatment

KW - Psychology

UR - http://www.scopus.com/inward/record.url?scp=85188118080&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/39d88756-6289-3c79-8954-959fd47f1be0/

U2 - 10.2196/52790

DO - 10.2196/52790

M3 - Journal articles

C2 - 38477970

AN - SCOPUS:85188118080

VL - 11

JO - JMIR Mental Health

JF - JMIR Mental Health

SN - 2368-7959

IS - 1

M1 - e52790

ER -

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