Internet-Based Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder in Korea
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초록
ObjectiveaaCognitive 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. MethodsaaThe 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. ResultsaaThe 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. ConclusionaaICBT 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.
Abstract
ObjectiveaaCognitive 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. MethodsaaThe 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. ResultsaaThe 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. ConclusionaaICBT 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.
참고문헌 (57)
- Association Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders", American Psychiatric Association, ~ (1997)
- Mataix-Cols D, "Symptom stability in adult obsessive-compulsive disorder : data from a naturalistic two-year follow-up study", Am J Psychiatry, 159, pp.263~268 (2002)
- Olatunji BO, "Quality of life in the anxiety disorders : a meta-analytic review", Clin Psychol Rev, 27, pp.572~581 (2007)
- Foa EB, "Cognitive behavioral therapy of obsessive-compulsive disorder", Dialogues Clin Neurosci, 12, pp.199~207 (2010)
- Obsessive-Compulsive Disorder:Core Interventions in the Treatment of Obsessive-Compulsive Disorder and Body Dysmorphic Disorder, "National Institute for Clinical Excellence", National Institute for Clinical Excellence, ~ (2005)
- Blanco C, "Treatment of obsessive-compulsive disorder by U.S. psychiatrists", J Clin Psychiatry, 67, pp.946~951 (2006)
- Torres AR, "Treatment seeking by individuals with obsessive-compulsive disorder from the british psychiatric morbidity survey of 2000", Psychiatr Serv, 58, pp.977~982 (2007)
- Marques L, "Barriers to treatment and service utilization in an internet sample of individuals with obsessive-compulsive symptoms", Depress Anxiety, 27, pp.470~475 (2010)
- Collins KA, "Gaps in accessing treatment for anxiety and depression : challenges for the delivery of care", Clin Psychol Rev, 24, pp.583~616 (2004)
- Mataix-Cols D, "Self-help with minimal therapist contact for obsessive-compulsive disorder : a review", Eur Psychiatry, 21, pp.75~80 (2006)
- 양종철, "한국형 강박장애 치료 알고리듬 2007 (Ⅲ) : 인지행동치료 적용을 위한 예비 조사", 대한정신약물학회지, 18(6), pp.408~413 (2007), 대한정신약물학회
- Moritz S, "How to treat the untreated : effectiveness of a self-help metacognitive training program(myMCT)for obsessive-compulsive disorder", Dialogues Clin Neurosci, 12, pp.209~220 (2010)
- Tolin DF, "Stepped care versus standard cognitive-behavioral therapy for obsessive-compulsive disorder : a preliminary study of efficacy and costs", Depress Anxiety, 28, pp.314~323 (2011)
- Clark A, "A pilot study of computer-aided vicarious exposure for obsessive-compulsive disorder", Aust N Z J Psychiatry, 32, pp.268~275 (1998)
- Greist JH, "Behavior therapy for obsessive-compulsive disorder guided by a computer or by a clinician compared with relaxation as a control", J Clin Psychiatry, 63, pp.138~145 (2002)
- Lenhard F, "Internet-delivered cognitive behavior therapy for adolescents with obsessive-compulsive disorder: an open trial", PLoS One, 9, pp.e100773~ (2014)
- Wootton BM, "An internet administered treatment program for obsessive-compulsive disorder : a feasibility study", J Anxiety Disord, 25, pp.1102~1107 (2011)
- Andersson E, "Internet-based cognitive behaviour therapy for obsessive-compulsive disorder : a randomized controlled trial", Psychol Med, 42, pp.2193~2203 (2012)
- Goodman WK, "The Yale-Brown obsessive compulsive scale: I. Development, use, and reliability", Arch Gen Psychiatry, 46, pp.1006~1011 (1989)
- Kenwright M, "Brief scheduled phone support from a clinician to enhance computer-aided self-help for obsessive-compulsive disorder : randomized controlled trial", J Clin Psychol, 61, pp.1499~1508 (2005)
- Andersson E, "Internet-based cognitive behavior therapy for obsessive compulsive disorder : a pilot study", BMC Psychiatry, 11, pp.125~ (2011)
- Gilliam CM, "Stepped care for obsessive-compulsive disorder : an open trial", Behav Res Ther, 48, pp.1144~1149 (2010)
- The 2011 Epidemiological Survey of Mental Disorders among Korean Adults, "Cho MJ", Ministry of Health and Welfare, ~ (2011)
- Keeley ML, "Clinical predictors of response to cognitive-behavioral therapy for obsessive-compulsive disorder", Clin Psychol Rev, 28, pp.118~130 (2008)
- Abramovitch A, "The neuropsychology of adult obsessive-compulsive disorder : a meta-analysis", Clin Psychol Rev, 33, pp.1163~1171 (2013)
- Cavedini P, "Decision-making heterogeneity in obsessive-compulsive disorder : ventromedial prefrontal cortex function predicts different treatment outcomes", Neuropsychologia, 40, pp.205~211 (2002)
- Spitzer RL, ": Clinician Version" (1997), American Psychiatric Press
- Shin MS, "Cognitive-behavior therapy for obsessive-compulsive disorder", Cognitive Behavior Therapy in Korea, 7, pp.17~40 (2007)
- Yoon HY, "Group cognitive behavioral treatment of obsessive-compulsive disorder", Korean J Psychopathol, 9, pp.142~156 (2000)
- Foa EB, "Mastery of Obsessive-Compulsive Disorder: a Cognitive-Behavioral Approach Therapist Guide" (2004), Oxford University Press
- Salkovskis PM, "Science and Practice of Cognitive Behaviour Therapy", pp.179~208 (1997), Oxford University Press
- 설순호, "Korean Self-Report Version of the Yale-Brown Obsessive-Compulsive Scale: Factor Structure, Reliability, and Validity", PSYCHIATRY INVESTIGATION, 10(1), pp.17~25 (2013), 대한신경정신의학회[DOI]
- Beck AT, "Psychometric properties of the Beck Depression Inventory : twenty-five years of evaluation", Clin Psychol Rev, 8, pp.77~100 (1988)
- Beck A, "Beck Anxiety Inventory Manual" (1993), The Psychological Corporation
- Mundt JC, "The Work and Social Adjustment Scale : a simple measure of impairment in functioning", Br J Psychiatry, 180, pp.461~464 (2002)
- Olley A, "Memory and executive functioning in obsessive-compulsive disorder : a selective review", J Affect Disord, 104, pp.15~23 (2007)
- Reitan RM, "The Halstead-Reitan Neuropsychological Test Battery: Theory and Clinical Interpretation" (1985), Neuropsychology Press
- Kim JK, "Korean-California Verbal Learning Test" (1997), The Psychological Company
- Kim HK, "Rey-Kim Memory Test" (1999), Korea Neuropsychology Press
- Kim HK, "Kims Frontal-Executive Neuropsychological Test" (2001), Korea Neuropsychology Press
- Freedman M, "Orbitofrontal function, object alternation and perseveration", Cereb Cortex, 8, pp.18~27 (1998)
- Heaton RK, "Wisconsin Card Sorting Test: Computer Version 2", Psychological Assessment Resources, ~ (1993)
- Yum TH, "The manual of Korean-Wechsler Adult Intelligence Scale" (1992), Korean Guidance Press
- Fisher PL, "How effective are cognitive and behavioral treatments for obsessive-compulsive disorder? A clinical significance analysis", Behav Res Ther, 43, pp.1543~1558 (2005)
- Farris SG, "Treatment response, symptom remission, and wellness in obsessive-compulsive disorder", J Clin Psychiatry, 74, pp.685~690 (2013)
- Marks IM, "Hands-on Help: Computer-Aided Psychotherapy", pp.61~72 (2007), Psychology Press
- Steketee G, "Anxiety and its Disorders: the Nature and Treatment of Anxiety and Panic", pp.516~550 (2004), The Guilford Press
- Leyfer OT, "Examination of the utility of the Beck Anxiety Inventory and its factors as a screener for anxiety disorders", J Anxiety Disord, 20, pp.444~458 (2006)
- Novara C, "Longitudinal aspects of obsessive compulsive cognitions in a non-clinical sample : a five-year follow-up study", J Behav Ther Exp Psychiatry, 42, pp.317~324 (2011)
- 한은경, "한국판 Beck Anxiety Inventory의 요인구조: 정신과 환자를 대상으로 한 확인적 요인분석의 적용", Korean Journal of Clinical Psychology, 22(1), pp.261~270 (2003), 한국임상심리학회
- Lenhard F, "Internet-delivered cognitivie behavior therapy for adolescents with obsessive-copulsive disorder: an open trial", PLoS One, 9, pp.e100773~ (2014)
- Simpson HB, "Patient adherence predicts outcome from cognitive behavioral therapy in obsessive-compulsive disorder", J Consult Clin Psychol, 79, pp.247~252 (2011)
- Olatunji BO, "Cognitive-behavioral therapy for obsessive-compulsive disorder : a meta-analysis of treatment outcome and moderators", J Psychiatr Res, 47, pp.33~41 (2013)
- Huppert JD, "Cognitive behavioral therapy for obsessivecompulsive disorder : an update", Curr Psychiatry Rep, 7, pp.268~273 (2005)
- Mewton L, "A naturalistic study of the acceptability and effectiveness of internet-delivered cognitive behavioural therapy for psychiatric disorders in older australians", PLoS One, 8, pp.e71825~ (2013)
- Moritz S, "Neurocognitive impairment does not predict treatment outcome in obsessive-compulsive disorder", Behav Res Ther, 43, pp.811~819 (2005)
- D’Alcante CC, "Neuropsychological predictors of response to randomized treatment in obsessive-compulsive disorder", Prog Neuropsychopharmacol Biol Psychiatry, 39, pp.310~317 (2012)
