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Related Concept Videos

Obsessive-Compulsive Disorder01:28

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Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
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Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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Internet-based acceptance and commitment therapy for obsessive-compulsive symptoms: A randomized controlled trial.

Emma M Thompson1, Lucy Albertella1, Shelley Viskovich2

  • 1BrainPark, Turner Institute for Brain and Mental Health, Monash University, 770 Blackburn Road, Clayton, Victoria, 3168, Australia.

Behaviour Research and Therapy
|June 17, 2024
PubMed
Summary

Internet-based acceptance and commitment therapy (iACT) and progressive relaxation training (iPRT) significantly improved subthreshold obsessive-compulsive symptoms (OCS) in adults. Both therapies were effective, but iACT was rated more favorably by participants.

Keywords:
Acceptance and commitment therapyObsessive-compulsive disorderSelf-helpWeb-based

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Area of Science:

  • Psychiatry
  • Psychology
  • Digital Health

Background:

  • Subthreshold obsessive-compulsive symptoms (OCS) are linked to significant distress and functional impairment.
  • These symptoms may indicate a risk for developing more severe mental health conditions.
  • Effective, accessible interventions are needed for adults experiencing subthreshold OCS.

Purpose of the Study:

  • To evaluate the effectiveness of a four-module internet-based acceptance and commitment therapy (iACT) for adults with subthreshold OCS.
  • To compare iACT with internet-based progressive relaxation training (iPRT).
  • To assess changes in OCS, psychological flexibility, and quality of life.

Main Methods:

  • A single-blinded randomized controlled trial involving 89 adults with subthreshold OCS.
  • Participants were assigned to either iACT or iPRT.
  • Assessments of OCS, psychological flexibility, and quality of life were conducted at baseline, post-treatment, and three-month follow-up.

Main Results:

  • Both iACT and iPRT demonstrated significant pre-post improvements in OCS, psychological flexibility, and quality of life.
  • No significant differences in treatment effects were observed between the iACT and iPRT groups.
  • All improvements were sustained at the three-month follow-up, with no differences in attrition or adherence.

Conclusions:

  • Both internet-based progressive relaxation training and internet-based acceptance and commitment therapy are effective interventions for adults with subthreshold obsessive-compulsive symptoms.
  • Internet-based acceptance and commitment therapy may offer higher participant acceptability.
  • These digital interventions show promise for improving mental health outcomes in this population.