Computer-assisted cognitive behavior therapy for obsessive-compulsive disorder: A randomized trial on the impact of lay vs. professional coaching

Annals of General Psychiatry

Volumn 14, Issue 1, 2015, Pages

  Kobak, Kenneth A ^a   Greist, Revere ^b   Jacobi, David M ^c   Levy Mack, Hollie ^d   Greist, John H ^e  

^a Center for Telepsychology   (United States)

^b Waypoint Health Innovations   (United States)

^c ROGERS MEMORIAL HOSPITAL   (United States)

^d Healthcare Technology Systems ^*  (United States)

^e Healthcare Technology Systems Inc   (United States)

Author keywords

Cognitive behavior therapy; Computerized self instruction program; Obsessive compulsive disorder

Indexed keywords

ADULT; ARTICLE; COGNITIVE BEHAVIORAL THERAPY; COMPUTER ASSISTED COGNITIVE BEHAVIOR THERAPY; COMPUTER ASSISTED THERAPY; CONTROLLED STUDY; EFFECT SIZE; FEMALE; HEALTH CARE PERSONNEL; HUMAN; LAY COACH; MAJOR CLINICAL STUDY; MALE; OBSESSIVE COMPULSIVE DISORDER; ONLINE SYSTEM; PATIENT ATTITUDE; PSYCHOTHERAPIST; RANDOMIZED CONTROLLED TRIAL; SELF HELP; TREATMENT OUTCOME; YALE BROWN OBSESSIVE COMPULSIVE SCALE;

EID: 84928690351     PISSN: None     EISSN: 1744859X     Source Type: Journal    
DOI: 10.1186/s12991-015-0048-0     Document Type: Article

References (81)

1. Robins LN, Helzer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD, et al. Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatr. 1984;41:949-58.
2. Kessler RC, Chiu WT, Demier O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatr. 2005;62(6):617-27.
3. National Advisory Mental Health Council. Health care reform for Americans with severe mental illnesses: report of the National Advisory Mental Health Council. Am J Psychiatry. 1993;150(10):1447-65.
4. Jenike MA. Obsessive-compulsive disorder: efficacy of specific treatments as assessed by controlled trials. Psychopharmacol Bull. 1993;29(4):487-99.
5. Murray CJL, Lopez AD. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected 2020. Cambridge, MA: Harvard University Press; 1996.
6. DuPont RL, Rice DP, Shiraki S, Rowland CR. Economic costs of obsessivecompulsive disorder. Medical Interface, 1995;102-9
7. Gutierrez CM. Statistical Abstract of the United States U.S. Bureau of the Census, Editor. Blue Ridge Summit, PA: Bernan Associates; 2006.
8. Khanna S, Rajendra PN, Channabasavanna SM. Sociodemographic variables in obsessive compulsive neurosis in India. Int J Soc Psychiatry. 1986;32(3):47-54.
9. Jayakumar C, Jagadheesan K, Verma AN. Disability in obsessive-compulsive disorder: a comparison with schizophrenia. Int J Rehabil Res. 2002;25(2):147-51.
10. Khan A, Leventhal RM, Khan S, Brown WA. Suicide risk in patients with anxiety disorders: a meta-analysis of the FDA database. J Affect Disord. 2002;68(2-3):183-90.
11. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
12. Stein DJ, Fineberg NA, Bienvenu OJ, Denys D, Lochner C, Mestadt G, et al. Should OCD be classified as an anxiety disorder in DSM-V? Depress Anxiety. 2010;27(6):495-506.
13. Craig K, Chamberlain S. The neuropsychology of anxiety disorders. In: Stein DJ, Hollander E, Rothbaum BO, editors. Textbook of anxiety disorders. Washington, DC: American Psychiatric Publishing; 2010.
14. Chamberlain SR, Blackwell AD, Fineberg NA, Robbins TW, Sahakian BJ. The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neurosci Biobehav Rev. 2005;29(3):399-419.
15. Cuthbert BN, Insel TR. Toward the future of psychiatric diagnosis: the seven pillars of RDoC. BMC Med. 2013;11:126.
16. American Psychiatric Association. Practice guideline for the treatment of patients with obsessive-compulsive disorder. Arlington, VA: American Psychiatric Association; 2007.
17. Treatment of obsessive-compulsive disorder. The Expert Consensus Panel for obsessive-compulsive disorder. J Clin Psychiatry. 1997;58 Suppl 4:2-72.
18. National Institute for Health and Clinical Excellence. Obsessive-compulsive disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. London: British Psychological Society and Royal College of Psychiatrists; 2005.
19. Baer L, Minichiello WE. Behavioral treatment for obsessive-compulsive disorder. In: Noyes R, Roth M, Burrows GD, editors. Handbook of anxiety. Amsterdam, NY: Elsevier; 1990.
20. Warren R, Thomas JC. Cognitive-behavior therapy of obsessive-compulsive disorder in private practice: an effectiveness study. Anxiety Disorders. 2001;15:277-85.
21. Norton PJ, Price EC. A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders. J Nerv Ment Dis. 2007;195(6):521-31.
22. Hofmann SG, Smits JA. Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. J Clin Psychiatry. 2008;69(4):621-32.
23. Abramowitz JS. Variants of exposure and response prevention in the treatment of obsessive-compulsive disorder: a meta-analysis. Behavior Therapy. 1996;27(4):583-600.
24. Kobak KA, Greist JH, Jefferson JW, Katzelnick DJ, Henk HJ. Behavioral versus pharmacological treatments of obsessive compulsive disorder: a meta-analysis. Psychopharmacology (Berl). 1998;136(3):205-16.
25. Foa EB, Liebowitz MR, Kozak MJ, Davies S, Campeas R, Franklin ME, et al. Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessivecompulsive disorder. Am J Psychiatry. 2005;162(1):151-61.
26. Pato MT, Zohar-Kadouch R, Zohar J, Murphy DL. Return of symptoms after discontinuation of clomipramine in patients with obsessive-compulsive disorder. Am J Psychiatr. 1988;145:1521-5.
27. Dunbar G, Steiner M, Bushnell WD, Gergel IP, Wheadon DE. Long-term treatment and prevention of relapse of OCD with paroxetine. Eur Neuropsychopharmacol. 1995;5(3):372.
28. Chambless DL, Hollon SD. Defining empirically supported therapies. J Consult Clin Psychol. 1998;66(1):7-18.
29. Whaley AL, Davis KE. Cultural competence and evidence-based practice in mental health services: a complementary perspective. Am Psychol. 2007;62(6):563-74.
30. Clay RA. Treatment guideline development now under way. Mon Psychol. 2011;42(11):18-9.
31. APA Presidential Task Force on Evidence-Based Medicine. Evidence-based practice in psychology. Am Psychol. 2006;61(4):271-85.
32. Stewart RE, Chambless DL, Baron J. Theoretical and practical barriers to practitioners' willingness to seek training in empirically supported treatments. J Clin Psychol. 2012;68(1):8-23.
33. Stewart RE, Chambless DL. Does psychotherapy research inform treatment decisions in private practice? J Clin Psychol. 2007;63(3):267-81.
34. Torres AR, Prince MJ, Bebbington PE, Bhugra DK, Brugha TS, Farrell M, et al. Treatment seeking by individuals with obsessive-compulsive disorder from the British psychiatric morbidity survey of 2000. Psychiatr Serv. 2007;58(7):977-82.
35. Blanco C, Olfson M, Stein DJ, Simpson HB, GameroffMJ, Narrow WH. Treatment of obsessive-compulsive disorder by U.S. psychiatrists. J Clin Psychiatry. 2006;67(6):946-51.
36. Patel SR, Simpson HB. Patient preferences for obsessive-compulsive disorder treatment. J Clin Psychiatry. 2010;71(11):1434-9.
37. Hollander E, Wong C. Psychosocial functions and economic costs of obsessive-compulsive disorder. CNS Spectrums. 1998;3(S1):48-58.
38. Fairburn CG, Cooper Z. Therapist competence, therapy quality, and therapist training. Behav Res Ther. 2011;49(6-7):373-8.
39. Andersson G, Carlbring P, Ljotsson B, Hedman E. Guided internet-based CBT for common mental disorders. J Contemp Psychother. 2013;43(4):223-33.
40. Cuijpers P, Donker T, van Straten A, Li J, Andersson G. Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychol Med. 2010;40(12):1943-57.
41. Grist R, Cavanagh K. Computerised cognitive behavioural therapy for common mental health disorders, what works, for whom under what circumstances? A systematic review and meta-analysis. J Contemp Psychother. 2013;43(4):243-51.
42. Marks IM, Cavanagh K, Gega L. Hands on help: computer-aided psychotherapy. New York: Psychology Press; 2007.
43. Andersson G, Hesser H, Veilord A, Svedling L, Andersson F, Sleman O, et al. Randomised controlled non-inferiority trial with 3-year follow-up of internetdelivered versus face-to-face group cognitive behavioural therapy for depression. J Affect Disord. 2013;151(3):986-94.
44. Wootton BM, Titov N, Dear BF, Spence J, Andrews G, Johnston L, et al. An Internet administered treatment program for obsessive-compulsive disorder: a feasibility study. J Anxiety Disord. 2011;25(8):1102-7.
45. Marks IM, Baer L, Greist JH, Park JH, Bachofen M, Nakagawa A, et al. Home self-assessment of obsessive-compulsive disorder. Br J Psychiatr. 1998;172:406-12.
46. Greist JH, Marks IM, Baer L, Kobak KA, Wenzel KW, Hirsch JM, et al. Behavior therapy for obsessive-compulsive disorder guided by a computer or by a clinician compared with relaxation as a control. J Clin Psychiatry. 2002;63(2):138-45.
47. Andersson E, Enander J, Andren P, Hedman E, Ljotsson B, Hursti T, et al. Internet-based cognitive behaviour therapy for obsessive-compulsive disorder: a randomized controlled trial. Psychol Med. 2012;42(10):2193-203.
48. Wootton BM, Dear BF, Johnston L, Terides MD, Titov N. Remote treatment of obsessive-compulsive disorder: a randomized controlled trials. J Obsessive Compuls Relat Disord. 2013;2(4):375-84.
49. Lovell K, Bee P. Optimising treatment resources for OCD: a review of the evidence base for technology-enhanced delivery. J Ment Health. 2011;20(6):525-42.
50. Pozza A, Andersson G, Antonelli P, Dettore D. Computer-delivered cognitive-behavioural treatments for obsessive compulsive disorder: preliminary meta-analysis of randomized and non-randomized effectiveness trials. The Cognitive Behaviour Therapist. 2014;7(e16).
51. Mojtabai R. Unmet need for treatment of major depression in the United States. Psychiatr Serv. 2009;60(3):297-305.
52. Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5(10):e13196.
53. Marks IM, Cavanagh K, Gega L. Computer-aided psychotherapy: revolution or bubble? Br J Psychiatry. 2007;191:471-3.
54. Marks I, Cavanagh K. Computer-aided psychological treatments: evolving issues. Annu Rev Clin Psychol. 2009;5:121-41.
55. Wootton BM, Titov N, Dear BF, Spence J, Kemp A. The acceptability of Internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: an Internet survey. PLoS One. 2011;6(6):e20548.
56. Kaltenthaler E, Brazier J, De Nigris E, Tumur I, Ferriter M, Beverley C, et al. Computerised cognitive behaviour therapy for depression and anxiety update: a systematic review and economic evaluation. Health Technol Assess. 2006;10(33):iii, xi-xiv, 1-168.
57. McCrone P, Marks IM, Greist JH, Baer L, Kobak KA, Wenzel KW, et al. Cost-effectiveness of computer-aided behaviour therapy for obsessivecompulsive disorder. Psychother Psychosom. 2007;76(4):249-50.
58. Kenwright M, Marks I, Graham C, Franses A, Mataix-Cols D. Brief scheduled phone support from a clinician to enhance computer-aided self-help for obsessive-compulsive disorder: randomized controlled trial. J Clin Psychol. 2005;61(12):1499-508.
59. Spek V, Cuijpers P, Nyklicek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007;37(3):319-28.
60. National Institute for Health and Clinical Excellence, Guidance on the use of computerised cognitive behavioural therapy for anxiety and depression. London; 2006: National Institute for Clinical Excellence.
61. Franx G, Oud M, de Lange J, Wensing M, Grol R. Implementing a steppedcare approach in primary care: results of a qualitative study. Implement Sci. 2012;7:8.
62. van Straten A, Seekles W, van't Veer-Tazelaar NJ, Beekman AT, Cuijpers P. Stepped care for depression in primary care: what should be offered and how? Med J Aust. 2010;192(11 Suppl):S36-9.
63. NICE. The treatment and management of depression in adults. London: National Institute of Health and Clinical Excellence; 2009.
64. Seekles W, van Straten A, Beekman A, van Marwijk H, Cuijpers P. Stepped care treatment for depression and anxiety in primary care. A randomized controlled trial. Trials. 2011;12:171.
65. Tolin DF, Diefenbach GJ, Gilliam CM. Stepped care versus standard cognitive-behavioral therapy for obsessive-compulsive disorder: a preliminary study of efficacy and costs. Depress Anxiety. 2011;28(4):314-23.
66. Diefenbach GJ, Tolin DF. The cost of illness associated with stepped care for obsessive-compulsive disorder. J Obsessive Compuls Relat Disord. 2013;2(2):144-8.
67. Gilliam CM, Diefenbach GJ, Whiting SE, Tolin DR. Stepped care for obsessive-compulsive disorder: an open trial. Behav Res Ther. 2010;48(11):1144-9.
68. Goodman WK, Price LH, Rasmussen SA, Mazure C, Delgado P, Heninger GR, et al. The Yale-Brown Obsessive Compulsive Scale. II. Validity. Arch Gen Psychiatr. 1989;46:1012-6.
69. Kobak KA, Reynolds WM, Rosenfeld R, Greist JH. Development and validation of a computer-administered version of the Hamilton depression rating scale. Psychol Assess. 1990;2:56-63.
70. Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266-77.
71. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition. (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute; 2002.
72. Rosenfeld R, Dar R, Anderson D, Kobak KA, Greist JH. A computer administered version of the Yale-Brown Obsessive Compulsive Scale. Psychol Assess. 1992;4:329-32.
73. Mundt JC, Marks IM, Shear MK, Greist JH. The work and social adjustment scale: a simple measure of impairment in functioning. Br J Psychiatry. 2002;180:461-4.
74. Selmi PM, Klein MH, Greist JH, Sorrell SP, Erdman HP. Computeradministered cognitive-behavioral therapy for depression. Am J Psychiatr. 1990;147(1):51-6.
75. Bangor A, Kortum P, Miller J. Determining what individual SUS scores mean: adding an adjective rating scale. Journal of Usability Studies. 2009;4(3):114-23.
76. Brooke J. SUS: a 'quick and dirty' usability scale, in Usability evaluation in industry. eds. Jordan PW, et al.: Taylor and Francis: London 1996;189-94
77. Cohen J. Effect size index D, in Statistical power analysis of the behavioral sciences. Hillside, NJ: Lawrence Erlbaum and Associates; 1977.
78. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillside, N.J.: Erlbaum; 1988.
79. Andersson G, Carlbring P, Berger T, Almlov J, Cuijpers P. What makes Internet therapy work? Cogn Behav Ther. 2009;38 Suppl 1:55-60.
80. United States Census Bureau. State & County Quick Facts. January 7, 2015]; Available from: quickfacts.census.gov/qfd/states/00000.html.
81. Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review. Br J Psychiatry. 2005;186:11-7.