Efficacy of intensive CBT telehealth for obsessive-compulsive disorder during the COVID-19 pandemic.
Efficacy of intensive CBT telehealth for obsessive-compulsive disorder during the COVID-19 pandemic.
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DOI：
10.1016/j.jocrd.2021.100705
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发表时间：
2022-01
影响因子：
1.8
通讯作者：
Riemann BC
中科院分区：
文献类型：
--
作者：
Pinciotti CM;Bulkes NZ;Horvath G;Riemann BC
尽管有证据表明认知行为疗法（CBT）对强迫症（OCD）有效，但许多患有强迫症的人缺乏获得所需行为健康治疗的机会。虽然一些文献表明，虚拟模式的治疗强迫症是有效的，目前还不清楚是否强化计划，如部分住院和强化门诊计划（PHP和IOP）可以有效地提供远程医疗（TH）和全球流行病的背景下。有限的现有研究表明，临床医生认为在大流行期间治疗反应减弱。使用线性混合模型比较了两个匹配样本的轨迹和结果：COVID前亲自（IP）样本（n = 239）和COVID TH样本（n = 239）。研究结果表明，这两种方式是有效的治疗强迫症和抑郁症状，虽然大流行TH组需要额外的2.6个治疗日。目前的研究提供了证据，证明在COVID-19大流行期间通过TH提供的PHP和IOP治疗与大流行前的IP治疗大致一样有效，并为未来提供了有希望的发现，即无法获得IP治疗的复杂OCD患者在大流行期间和可能在大流行之后仍然可以通过TH PHP和IOP治疗显著改善症状。
Despite evidence for the effectiveness of cognitive behavioral therapy (CBT) for obsessive-compulsive disorder (OCD), many individuals with OCD lack access to needed behavioral health treatment. Although some literature suggests that virtual modes of treatment for OCD are effective, it remains unclear whether intensive programs like partial hospitalization and intensive outpatient programs (PHP and IOPs) can be delivered effectively over telehealth (TH) and within the context of a global pandemic. Limited extant research suggests that clinicians perceive attenuated treatment response during the pandemic. The trajectory and outcomes of two matched samples were compared using linear mixed modeling: a pre-COVID in-person (IP) sample (n = 239) and COVID TH sample (n = 239). Findings suggested that both modalities are effective at treating OCD and depressive symptoms, although the pandemic TH group required an additional 2.6 treatment days. The current study provides evidence that PHP and IOP treatment delivered via TH during the COVID-19 pandemic is approximately as effective as pre-pandemic IP treatment and provides promising findings for the future that individuals with complicated OCD who do not have access to IP treatment can still experience significant improvement in symptoms through TH PHP and IOP treatment during and potentially after the pandemic.
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影响因子：
5.9
作者：
Comer JS;Furr JM;Kerns CE;Miguel E;Coxe S;Elkins RM;Carpenter AL;Cornacchio D;Cooper-Vince CE;DeSerisy M;Chou T;Sanchez AL;Khanna M;Franklin ME;Garcia AM;Freeman JB
通讯作者：
Freeman JB
影响因子：
5.9
作者：
Brown, E. Sherwood;Murray, Michelle;Rush, A. John
通讯作者：
Rush, A. John
影响因子：
22.8
作者：
Herbst, Nirmal;Voderholzer, Ulrich;Kuelz, Anne Katrin
通讯作者：
Kuelz, Anne Katrin
DOI：
10.1089/153056204773644535
发表时间：
2004-03-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Bouchard, S;Paquin, B;Lapierre, J
通讯作者：
Lapierre, J
影响因子：
3.6
作者：
Bisseling, Else M.;Schellekens, Melanie P. J.;van der Lee, Marije L.
通讯作者：
van der Lee, Marije L.