A pilot open trial of video telehealth-delivered exposure and response prevention for obsessive-compulsive disorder in rural Veterans.
Mil Psychol
; 34(1): 83-90, 2022.
Article
en En
| MEDLINE
| ID: mdl-38536285
ABSTRACT
Exposure and response prevention (ERP) is the gold-standard, evidence-based psychotherapy for obsessive-compulsive disorder (OCD), but few receive it. Video telehealth can increase access to ERP for OCD and may enhance the salience of exposures. This study examined the feasibility, acceptability, and preliminary effectiveness of video telehealth-delivered ERP. We conducted a pilot open trial with 11 Veterans, using mixed quantitative and qualitative methods. Treatment completers (n = 9) had significantly reduced OCD and posttraumatic stress disorder symptoms posttreatment. Patients expressed greater comfort in engaging in ERP at home than in clinics. Therapists reported that seeing patients' home environments helped them understand their symptoms and identify relevant OCD exposures. Results suggest that video telehealth-delivered ERP is feasible and acceptable to patients and therapists and promising for reducing OCD symptoms. Future research should compare its effectiveness to usual care and evaluate patients' preferences for treatment delivery. Abbreviations ERP exposure and response prevention; GAD-7 Generalized Anxiety Disorder-7 scale; OCD obsessive-compulsive disorder; OCI-R Obsessive-Compulsive Inventory, Revised; PCL-5 PTSD Checklist; PHQ-9 Patient Health Questionnaire; PTSD posttraumatic stress disorder; VA epartment of Veterans Affairs; Y-BOCS Yale-Brown Obsessive Compulsive Scale, self report form.
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1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Mil Psychol
Año:
2022
Tipo del documento:
Article
Pais de publicación:
Estados Unidos