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Computerised cognitive behaviour therapy for obsessive-compulsive disorder: a systematic review.

Indra Tumur1, Eva Kaltenthaler, Michael Ferriter

  • 1School of Health and Related Research, University of Sheffield, Sheffield, UK. i.tumur@sheffield.ac.uk

Psychotherapy and Psychosomatics
|June 16, 2007
PubMed
Summary
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Computerised cognitive behaviour therapy (CCBT) shows promise for treating obsessive-compulsive disorder (OCD). One program, BTSteps, was as effective as therapist-led CBT for reducing symptoms and improving functioning.

Area of Science:

  • Psychiatry
  • Psychology
  • Digital Health

Background:

  • Computer-guided therapy represents an innovative approach to psychological treatment.
  • Computerised cognitive behaviour therapy (CCBT) is being explored as a treatment for obsessive-compulsive disorder (OCD).

Purpose of the Study:

  • To assess the effectiveness of computerised cognitive behaviour therapy (CCBT) for obsessive-compulsive disorder (OCD).

Main Methods:

  • A comprehensive search of 15 electronic databases was conducted in March 2004.
  • Studies included two randomized controlled trials (RCTs) and two single-arm studies, all utilizing the BTSteps software.

Main Results:

  • The BTSteps program demonstrated effect sizes comparable to therapist-led CBT for reducing OCD symptoms.

Related Experiment Videos

  • BTSteps was superior to relaxation therapy and showed persistent improvements beyond the treatment period.
  • Therapist-led CBT was more effective overall than CCBT, except for patients who engaged in self-exposure.

    • Conclusions:

    • Computerised cognitive behaviour therapy (CCBT), specifically the BTSteps program, is an effective treatment for obsessive-compulsive disorder (OCD).
    • CCBT offers a potential to increase access to cognitive behavioural therapy and reduce the duration of clinician-guided care.
    • Further research may explore optimal integration of CCBT with other therapeutic modalities.