A clinical case study of the use of ecological momentary assessment in obsessive compulsive disorder

Tilley, P. J. Matt; Rees, Clare S.

doi:10.3389/fpsyg.2014.00339

Cited by 14 publications

(8 citation statements)

References 32 publications

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“…The use of dedicated smartphone apps allows patients to keep an accurate diary of their symptoms and behaviors. In a clinical case study of EMA use in 3 adults diagnosed with OCD, Tilley and Rees [21] compared the numbers and types of obsessions and compulsions captured using the Y-BOCS, compared with an SMS-based EMA. Participants were told to record their experiences across a 12-hour period, in reply to text message prompts.…”

Section: Resultsmentioning

confidence: 99%

How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

Ferreri¹,

Bourla²,

Peretti³

et al. 2019

JMIR Ment Health

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BackgroundNew technologies are set to profoundly change the way we understand and manage psychiatric disorders, including obsessive-compulsive disorder (OCD). Developments in imaging and biomarkers, along with medical informatics, may well allow for better assessments and interventions in the future. Recent advances in the concept of digital phenotype, which involves using computerized measurement tools to capture the characteristics of a given psychiatric disorder, is one paradigmatic example.ObjectiveThe impact of new technologies on health professionals’ practice in OCD care remains to be determined. Recent developments could disrupt not just their clinical practices, but also their beliefs, ethics, and representations, even going so far as to question their professional culture. This study aimed to conduct an extensive review of new technologies in OCD.MethodsWe conducted the review by looking for titles in the PubMed database up to December 2017 that contained the following terms: [Obsessive] AND [Smartphone] OR [phone] OR [Internet] OR [Device] OR [Wearable] OR [Mobile] OR [Machine learning] OR [Artificial] OR [Biofeedback] OR [Neurofeedback] OR [Momentary] OR [Computerized] OR [Heart rate variability] OR [actigraphy] OR [actimetry] OR [digital] OR [virtual reality] OR [Tele] OR [video].ResultsWe analyzed 364 articles, of which 62 were included. Our review was divided into 3 parts: prediction, assessment (including diagnosis, screening, and monitoring), and intervention.ConclusionsThe review showed that the place of connected objects, machine learning, and remote monitoring has yet to be defined in OCD. Smartphone assessment apps and the Web Screening Questionnaire demonstrated good sensitivity and adequate specificity for detecting OCD symptoms when compared with a full-length structured clinical interview. The ecological momentary assessment procedure may also represent a worthy addition to the current suite of assessment tools. In the field of intervention, CBT supported by smartphone, internet, or computer may not be more effective than that delivered by a qualified practitioner, but it is easy to use, well accepted by patients, reproducible, and cost-effective. Finally, new technologies are enabling the development of new therapies, including biofeedback and virtual reality, which focus on the learning of coping skills. For them to be used, these tools must be properly explained and tailored to individual physician and patient profiles.

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Section: Resultsmentioning

confidence: 99%

How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

Ferreri¹,

Bourla²,

Peretti³

et al. 2019

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…These results are supported by Tilley and Rees (2014) who used mobile phones to prompt patients with Obsessive Compulsive Disorder (OCD) to engage in EMA activities. The EMA intervention produced a lower number of obsessions and compulsions than reported on the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), but produced additional types that were not identified on the Y-BOCS.…”

Section: The Smart Therapist and Mhealth Technologiesmentioning

confidence: 87%

The smart therapist: A look to the future of smartphones and mHealth technologies in psychotherapy.

Clough

Casey

2015

Professional Psychology: Research and Practice

103

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mHealth refers to the use of mobile technologies in the provision of healthcare, and is an expanding field within psychotherapy research. Mobile technologies have the capacity to greatly enhance patient access, uptake, and engagement in psychological treatment. The purpose of the present paper was to define mHealth within clinical psychology, provide a review and discussion of the functionality of mHealth devices, current trends within the field of psychological mHealth, the challenges faced by researchers and clinicians in this field, and examine directions for future research. The main areas of research identified included the use of SMS technologies, ecological momentary assessment (EMA), online and App based interventions, and the recent integration of sensor and data mining technologies. Much of the research to date is lacking in methodological rigor, and reliance on standard research designs often employed in other areas of psychological research may constrain development of interventions. Research indicates that consumers want to engage in mHealth interventions, although only a limited number of empirically supported options currently exist. Future research incorporating innovative trial designs is required to meet consumer demand and provide users with evidence based treatment options.

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“…An additional extension is also the especially developed app for recording the extent of obsessive–compulsive symptoms, daily problems and mood through self- and parent-report. One advantage of this is that the experience of the symptoms is recorded directly in the natural environment, potentially improving the assessment’s ecological validity (Tilley and Rees 2014 ). Getting information about the OCD symptoms from several persons (multiple-informant assessment) offers the possibility to get a comprehensive clinical impression of the OCD and to adapt the therapy according to the needs of the patients.…”

Section: Introductionmentioning

confidence: 99%

Internet-based cognitive behavioral therapy in children and adolescents with obsessive compulsive disorder: a feasibility study

et al. 2021

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Cognitive behavioral therapy (CBT) is the first choice of treatment of obsessive–compulsive disorder (OCD) in children and adolescents. However, there is often a lack of access to appropriate treatment close to the home of the patients. An internet-based CBT via videoconferencing could facilitate access to state-of-the-art treatment even in remote areas. The aim of this study was to investigate feasibility and acceptability of this telemedical approach. A total of nine children received 14 sessions of CBT. The first session took place face-to-face, the remaining 13 sessions via videoconference. OCD symptoms were recorded with a smartphone app and therapy materials were made accessible in a data cloud. We assessed diagnostic data before and after treatment and obtained measures to feasibility, treatment satisfaction and acceptability. Outcomes showed high acceptance and satisfaction on the part of patients with online treatment (89%) and that face-to-face therapy was not preferred over an internet-based approach (67%). The majority of patients and their parents classified the quality of treatment as high. They emphasized the usefulness of exposures with response prevention (E/RP) in triggering situations at home. The app itself was rated as easy to operate and useful. In addition to feasibility, a significant decrease in obsessive–compulsive symptoms was also achieved. Internet-based CBT for pediatric OCD is feasible and well received by the patients and their parents. Furthermore, obsessive–compulsive symptomatology decreased in all patients. The results of this study are encouraging and suggest the significance of further research regarding this technology-supported approach, with a specific focus on efficacy.Trial registration number: Clinical trials AZ53-5400.1-004/44.

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A clinical case study of the use of ecological momentary assessment in obsessive compulsive disorder

Cited by 14 publications

References 32 publications

How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

The smart therapist: A look to the future of smartphones and mHealth technologies in psychotherapy.

Internet-based cognitive behavioral therapy in children and adolescents with obsessive compulsive disorder: a feasibility study

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