Psychiatry Investig.  2016 Jul;13(4):373-382. 10.4306/pi.2016.13.4.373.

Internet-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Korea

• Seol SH
• Kwon JS
• Kim YY
• Kim SN
• Shin MS

• KMID: 2344734
• DOI: http://doi.org/10.4306/pi.2016.13.4.373

Abstract

OBJECTIVE
Cognitive behavioral therapy (CBT) is regarded as one of the most effective intervention for obsessive-compulsive disorder (OCD). However, many patients remain untreated or inadequately treated due to time or geographical constraints. The purpose of this study was to develop an internet-based CBT (ICBT) for OCD, and to examine its efficacy in the Korean clinical setting.
METHODS
The ICBT program ('COT') was developed from the same OCD manual in the standard CBT intervention. Twenty-seven participants of the total 42 patients completed all training sessions of the ICBT and the remainder (n=15) were classified as non-completers. Self-report measures of OCD, depression, anxiety, and work/social functioning, in addition to a neurocognitive test battery, were administered by face-to-face before and after treatment.
RESULTS
The participants showed significant improvements in OCD and depressive symptoms, and in work/social functioning after ICBT completion. The presence of combined medication had no significant impact on treatment effect. The non-completers displayed more severe depressive and anxiety symptoms, and ICBT responders were younger and performed better in the Wisconsin Card Sorting Test.
CONCLUSION
ICBT was found to be as effective for patients with moderate OC symptoms and little treatment experience. Considering the high accessibility and convenience of ICBT, it could be a helpful first treatment step for OCD patients when face-to-face treatment is unavailable. In the future a randomized controlled study will be necessary for verification and generalization of these results.

Keyword

Obsessive-compulsive disorder; Cognitive behavioral therapy; Internet; Computer; Treatment efficacy

MeSH Terms

Anxiety
Cognitive Therapy*
Depression
Generalization (Psychology)
Humans
Internet
Korea*
Obsessive-Compulsive Disorder*
Treatment Outcome
Wisconsin