A pilot open trial of video telehealth-delivered exposure and response prevention for obsessive-compulsive disorder in rural Veterans
A pilot open trial of video telehealth-delivered exposure and response prevention for obsessive-compulsive disorder in rural Veterans
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DOI：
10.1080/08995605.2021.1970983
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发表时间：
2021-10-16
影响因子：
1.1
通讯作者：
Hundt, Natalie E.
中科院分区：
文献类型：
--
作者：
Fletcher, Terri L.;Boykin, Derrecka M.;Hundt, Natalie E.
暴露和反应预防（ERP）是黄金标准，以证据为基础的心理治疗强迫症（OCD），但很少收到它。视频远程医疗可以增加接触ERP的强迫症，并可能提高暴露的显着性。本研究旨在探讨视讯远距医疗提供ERP之可行性、可接受性及初步成效。我们进行了一项试点开放试验与11名退伍军人，使用混合定量和定性方法。治疗完成者（n = 9）治疗后强迫症和创伤后应激障碍症状明显减轻。患者表示更大的舒适度在家里比在诊所从事ERP。治疗师报告说，看到病人的家庭环境有助于他们了解他们的症状，并确定相关的强迫症暴露。结果表明，视频远程医疗提供ERP是可行的，可接受的患者和治疗师，并有望减少强迫症症状。未来的研究应该将其有效性与常规护理进行比较，并评估患者对治疗的偏好。
Exposure and response prevention (ERP) is the gold-standard, evidence-based psychotherapy for obsessive-compulsive disorder (OCD), but few receive it. Video telehealth can increase access to ERP for OCD and may enhance the salience of exposures. This study examined the feasibility, acceptability, and preliminary effectiveness of video telehealth-delivered ERP. We conducted a pilot open trial with 11 Veterans, using mixed quantitative and qualitative methods. Treatment completers (n = 9) had significantly reduced OCD and posttraumatic stress disorder symptoms posttreatment. Patients expressed greater comfort in engaging in ERP at home than in clinics. Therapists reported that seeing patients' home environments helped them understand their symptoms and identify relevant OCD exposures. Results suggest that video telehealth-delivered ERP is feasible and acceptable to patients and therapists and promising for reducing OCD symptoms. Future research should compare its effectiveness to usual care and evaluate patients' preferences for treatment delivery.