A systematic review and meta-analysis of self-help therapeutic interventions for obsessive-compulsive disorder: Is therapeutic contact key to overall improvement?

Journal of Behavior Therapy and Experimental Psychiatry
Caitlin P PearcyClare S Rees

Abstract

The presence of obsessive-compulsive disorder (OCD) can result in low quality of life, with significant impairments in social and occupational functioning. An increase in the dissemination of self-help programs has been observed in the treatment of OCD, and has provided improved accessibility to treatment. The present study examined the efficacy of self-help interventions for OCD in the context of therapeutic contact. Randomised controlled trials and quasi-experimental studies were identified through computerised database searches. Self-help format (bibliotherapy, internet-based, computerised), and therapeutic contact were examined for their effect on treatment outcomes. Eighteen studies targeting self-help for OCD met inclusion criteria with 1570 participants. The average post-treatment effect size (Hedges' g) of self-help interventions on primary outcomes was .51 (95% CI: .41 to 0.61). Subgroup analysis revealed large effect sizes for minimal-contact self-help (g = 0.91, 95% CI: 0.66 to 1.17), moderate effect sizes for predominantly self-help (g = 0.68, 95% CI: 0.40 to 0.96), and small effect sizes for self-administered self-help (g = 0.33, 95% CI: .18 to 0.47). A large variation of treatment approaches, amount of therapeutic...Continue Reading

References

Nov 1, 1989·Archives of General Psychiatry·W K GoodmanD S Charney
Dec 1, 1995·American Journal of Community Psychology·R W Marrs
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
May 20, 1998·The Australian and New Zealand Journal of Psychiatry·A ClarkI M Marks
May 29, 2000·Journal of Telemedicine and Telecare·A NakagawaJ H Greist
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Nov 10, 2005·Menopause : the Journal of the North American Menopause Society·Nirav R ShahRobert W Dubois
Dec 20, 2005·European Psychiatry : the Journal of the Association of European Psychiatrists·David Mataix-Cols, Isaac M Marks
Jul 15, 2006·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Jonathan S Abramowitz
Jun 5, 2007·Journal of Anxiety Disorders·Stephen P WhitesideJonathan S Abramowitz
Aug 15, 2008·Clinical Psychology Review·Ana I Rosa-AlcázarFulgencio Marín-Martínez
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Aug 14, 2010·Journal of Behavior Therapy and Experimental Psychiatry·Steffen MoritzLena Jelinek
Aug 24, 2010·Behaviour Research and Therapy·Christina M GilliamDavid F Tolin
Sep 29, 2011·Patient Preference and Adherence·Lívia Santana, Leonardo F Fontenelle
Dec 3, 2011·Behaviour Research and Therapy·T NordgreenG Andersson
Jun 19, 2012·Clinical Psychology Review·Nirmal HerbstAnne Katrin Külz
Oct 3, 2014·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Gerhard AnderssonErik Hedman
Oct 16, 2014·Journal of Medical Internet Research·Ali M Al-AsadiDenny Meyer
Nov 26, 2014·Cognitive Behaviour Therapy·Brooke C SchneiderSteffen Moritz
Dec 3, 2014·Behaviour Research and Therapy·Alison E J MahoneyGavin Andrews
Dec 3, 2014·Behaviour Research and Therapy·Patrick A VogelJoseph A Himle

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Citations

Jul 6, 2016·Scientific Reports·Avi AvitalSalman Zubedat
Apr 28, 2018·Journal of Medical Internet Research·Alexander RozentalGerhard Andersson
Jan 6, 2018·Current Medicinal Chemistry·Leonardo F FontenelleMurat Yücel
Aug 23, 2017·Journal of Affective Disorders·Upasana BaruahY C Janardhan Reddy
Jul 23, 2021·Current Opinion in Psychiatry·Y C Janardhan ReddySrinivas Balachander

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