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Long-term efficacy ...
Long-term efficacy of Internet-based cognitive behavior therapy for obsessive-compulsive disorder with or without booster : a randomized controlled trial
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- Andersson, Erik (författare)
- Karolinska Institutet
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- Steneby, S. (författare)
- Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden
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- Karlsson, K. (författare)
- Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden
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- Ljotsson, Brjann (författare)
- Karolinska Institutet
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- Hedman, Erik (författare)
- Karolinska Institutet
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- Enander, Jesper (författare)
- Karolinska Institutet
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- Kaldo, Viktor (författare)
- Karolinska Institutet
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- Andersson, Gerhard, 1966- (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden,Internet, health and clinical psychology research group
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- Lindefors, Nils (författare)
- Karolinska Institutet
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- Ruck, Christian (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Cambridge University Press, 2014
- 2014
- Engelska.
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Ingår i: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 44:13, s. 2877-2887
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
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- Background. As relapse after completed cognitive behavior therapy (CBT) for obsessive-compulsive disorder (OCD) is common, many treatment protocols include booster programs to improve the long-term effects. However, the effects of booster programs are not well studied. In this study, we investigated the long-term efficacy of Internet-based CBT (ICBT) with therapist support for OCD with or without an Internet-based booster program. Method. A total of 101 participants were included in the long-term follow-up analysis of ICBT. Of these, 93 were randomized to a booster program or no booster program. Outcome assessments were collected at 4, 7, 12 and 24 months after receiving ICBT. Results. The entire sample had sustained long-term effects from pre-treatment to all follow-up assessments, with large within-group effect sizes (Cohen's d=1.58-2.09). The booster group had a significant mean reduction in OCD symptoms compared to the control condition from booster baseline (4 months) to 7 months, but not at 12 or 24 months. Participants in the booster group improved significantly in terms of general functioning at 7, 12 and 24 months, and had fewer relapses. Kaplan-Meier analysis also indicated a significantly slower relapse rate in the booster group. Conclusions. The results suggest that ICBT has sustained long-term effects and that adding an Internet-based booster program can further improve long-term outcome and prevent relapse for some OCD patients.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- Cognitive behavior therapy
- booster
- Internet
- long-term outcome
- obsessive-compulsive disorder
- relapse prevention
- Psychology
- Psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Andersson, Erik
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Steneby, S.
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Karlsson, K.
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Ljotsson, Brjann
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Hedman, Erik
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Enander, Jesper
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visa fler...
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Kaldo, Viktor
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Andersson, Gerha ...
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Lindefors, Nils
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Ruck, Christian
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visa färre...
- Om ämnet
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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Psychological Me ...
- Av lärosätet
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Linnéuniversitetet
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Linköpings universitet
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Karolinska Institutet