@Article{info:doi/10.2196/52790,
author="Voderholzer, Ulrich
and Meule, Adrian
and Koch, Stefan
and Pfeuffer, Simone
and Netter, Anna-Lena
and Lehr, Dirk
and Zisler, Eva Maria",
title="Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study",
journal="JMIR Ment Health",
year="2024",
month="Mar",
day="13",
volume="11",
pages="e52790",
keywords="obsessive-compulsive disorder; videoconference-based treatment; therapy; exposure; response prevention; OCD; prevention; inpatient; video; videoconference; therapist; therapists; mood; positive mood; environment; clinical setting",
abstract="Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients' views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients' natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients' natural environment and foster the generalization of ERP conducted in clinical settings. ",
issn="2368-7959",
doi="10.2196/52790",
url="https://mental.jmir.org/2024/1/e52790",
url="https://doi.org/10.2196/52790",
url="http://www.ncbi.nlm.nih.gov/pubmed/38477970"
}