“On My Own, but Not Alone” - Adolescents’ Experiences of Internet-Delivered Cognitive Behavior Therapy for Obsessive-Compulsive Disorder

Abstract

IntroductionChildhood Obsessive-Compulsive Disorder (OCD) is a prevalent and impairing condition that can be effectively treated with Cognitive Behavior Therapy (CBT). However, a majority of children and adolescents do not have access to CBT. Internet-delivered CBT (ICBT) has been suggested as a way to increase availability to effective psychological treatments. Yet, the research on ICBT in children and adolescents has been lagging behind significantly both when it comes to quantitative as well as qualitative studies. The aim of the current study was to describe the experience of ICBT in adolescents with OCD.MethodEight adolescents with OCD that had received ICBT were interviewed with qualitative methodology regarding their experiences of the intervention. Data was summarized into thematic categories.ResultsTwo overarching themes were identified, autonomy and support, each consisting of three primary themes (self-efficacy, flexibility, secure self-disclosure and clinician support, parental support, identification/normalization, respectively).ConclusionsThe experiential hierarchical model that was identified in this study is, in part, transferrable to previous research. In addition, it highlights the need of further study of important process variables of ICBT in young patient populations.

eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes

“…Details on the quality of the studies are provided in Multimedia Appendix 2 . In total, 11 studies on eMental healthcare technologies for anxiety were of excellent quality with a score of 100 [ 37 , 46 - 50 , 52 , 55 , 78 - 80 ], 6 were of very good quality with a score of 75 [ 36 , 38 , 39 , 44 , 51 , 53 ], 4 were of moderate quality with a score of 50 [ 42 , 43 , 45 , 54 ], and 2 were of poor quality with a MMAT score of 25 [ 40 , 41 ]. Studies on technologies for depression also varied in quality: 10 studies were of excellent quality [ 56 , 57 , 59 , 63 - 67 , 71 , 81 ], 2 were of very good quality [ 60 , 68 ], 4 were of moderate quality [ 58 , 61 , 69 , 72 ], and 2 were of low quality and received a score of 25 [ 62 ] and 0 [ 70 ].…”

Prediction of outcome in internet‐delivered cognitive behaviour therapy for paediatric obsessive‐compulsive disorder: A machine learning approach

“…The ICBT intervention, “BiP OCD”, is a 12 week, web‐based, parent‐supported and therapist‐guided CBT protocol. The feasibility and efficacy of BiP OCD has previously been established in an open trial, a RCT and a qualitative interview study (Lenhard et al, , , ). BiP OCD is delivered via an online portal that patients access via a personal username and password.…”

Extending research on Emotion Regulation Individual Therapy for Adolescents (ERITA) with nonsuicidal self-injury disorder: open pilot trial and mediation analysis of a novel online version

“…The high treatment completion rates and overall positive findings obtained in this study may be due, in part, to some of the advantages of online interventions in general, such as the structured treatment format, lesser impact of therapist drift, lack of a need to schedule appointments, and greater access to the treatment material. It may also reflect the particular utility of the method of communication inherent to online treatment for individuals with stigmatizing behaviors (e.g., secure self-disclosure [ 68 ]). In order to further develop and refine online treatments, future research should include qualitative interviews exploring the experience of participating in online treatments for NSSI.…”