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Assisting relapse prevention in OCD using a novel mobile app-based intervention: A case report.
Belén Pascual-Vera1, María Roncero1, Guy Doron2
1Department of Personality, Faculty of Psychology, and the Research and Treatment Unit for Obsessive-Compulsive and Related Disorders, I'TOC, University of Valencia, Spain.
GGOC, a mobile app, effectively prevents relapse in obsessive-compulsive disorder (OCD) by challenging maladaptive beliefs. This tool helps maintain treatment gains after cognitive-behavioral therapy (CBT).
Area of Science:
- Psychiatry and Behavioral Science
- Digital Health Interventions
- Cognitive Behavioral Therapy (CBT)
Background:
- Mobile health (mHealth) apps enhance accessibility of cognitive-behavioral-based interventions.
- GGOC is a novel mHealth application specifically designed to challenge maladaptive beliefs in obsessive-compulsive disorder (OCD).
- This study evaluates GGOC's utility as a relapse prevention strategy for OCD patients post-CBT.
Observation:
- A single-case study involved a 26-year-old female patient with severe contamination and washing/cleaning OCD symptoms (Y-BOCS = 33).
- The patient utilized the GGOC app for relapse prevention after completing CBT, engaging with 47 levels targeting OCD-related maladaptive beliefs.
- Standardized assessments including the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive-Compulsive Inventory-Revised (OCI-R), and Obsessive Beliefs Questionnaire (OBQ-20) were administered pre- and post-intervention.
Findings:
- Significant reductions were observed in scores for the OBQ-20 and OCI-R from pre- to post-GGOC usage.
- The patient's Y-BOCS score decreased substantially from 7 (pre-GGOC) to 2 (post-GGOC), indicating a marked improvement in OCD symptom severity.
- GGOC demonstrated efficacy in reducing maladaptive beliefs and overall OCD symptomology.
Implications:
- The findings suggest GGOC is a valuable tool for relapse prevention in individuals with OCD.
- GGOC contributes to the maintenance of therapeutic gains achieved through traditional CBT.
- This mHealth intervention shows promise for accessible and effective OCD management and relapse prevention.
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