Search: onr:"swepub:oai:DiVA.org:lnu-73999" >
Long-term efficacy ...
Long-term efficacy of Internet-based cognitive behavior therapy for obsessive-compulsive disorder with or without booster : a randomized controlled trial
-
- Andersson, Erik (author)
- Karolinska Institutet
-
- Steneby, S. (author)
- Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden
-
- Karlsson, K. (author)
- Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden
-
show more...
-
- Ljotsson, Brjann (author)
- Karolinska Institutet
-
- Hedman, Erik (author)
- Karolinska Institutet
-
- Enander, Jesper (author)
- Karolinska Institutet
-
- Kaldo, Viktor (author)
- Karolinska Institutet
-
- Andersson, Gerhard, 1966- (author)
- 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
-
- Lindefors, Nils (author)
- Karolinska Institutet
-
- Ruck, Christian (author)
- Karolinska Institutet
-
show less...
-
(creator_code:org_t)
- Cambridge University Press, 2014
- 2014
- English.
-
In: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 44:13, s. 2877-2887
- Related links:
-
https://urn.kb.se/re...
-
show more...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
http://kipublication...
-
show less...
Abstract
Subject headings
Close
- 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.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Cognitive behavior therapy
- booster
- Internet
- long-term outcome
- obsessive-compulsive disorder
- relapse prevention
- Psychology
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Andersson, Erik
-
Steneby, S.
-
Karlsson, K.
-
Ljotsson, Brjann
-
Hedman, Erik
-
Enander, Jesper
-
show more...
-
Kaldo, Viktor
-
Andersson, Gerha ...
-
Lindefors, Nils
-
Ruck, Christian
-
show less...
- About the subject
-
- SOCIAL SCIENCES
-
SOCIAL SCIENCES
-
and Psychology
-
and Applied Psycholo ...
- Articles in the publication
-
Psychological Me ...
- By the university
-
Linnaeus University
-
Linköping University
-
Karolinska Institutet