Expected increase in health competence improves over modules of an unguided internet-based cognitive-behavioural therapy for obsessive-compulsive disorder
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Expected increase in health competence improves over modules of an unguided internet-based cognitive-behavioural therapy for obsessive-compulsive disorder. / Miegel, Franziska Sophia; Schröder, Johanna; Schultz, Josephine; Müller, Jana Christina; Jelinek, Lena.
In: INT J PSYCHOL, Vol. 58, No. 5, 10.2023, p. 443-448.Research output: SCORING: Contribution to journal › Short publication › Research › peer-review
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TY - JOUR
T1 - Expected increase in health competence improves over modules of an unguided internet-based cognitive-behavioural therapy for obsessive-compulsive disorder
AU - Miegel, Franziska Sophia
AU - Schröder, Johanna
AU - Schultz, Josephine
AU - Müller, Jana Christina
AU - Jelinek, Lena
N1 - © 2023 International Union of Psychological Science.
PY - 2023/10
Y1 - 2023/10
N2 - Internet-based cognitive-behavioural interventions (iCBT) are a valuable alternative to face-to-face psychotherapy. An unguided iCBT program has shown to be efficacious for patients with obsessive-compulsive disorder (OCD). However, the modules' mode of action is not well understood, which is the objective of the present study. Twenty-five patients with OCD who participated at the iCBT program for 8 weeks answered a questionnaire on their self-efficacy, motivation, expected increase in health competence and experiential avoidance before and after each module and were included in the present analyses. Linear mixed-effects models demonstrated that patients' expected increase in health competence improved over the course of the treatment. No within-module-specific effect was found. The iCBT program was able to improve patients' expected health competence. However, all other variables did not change. The iCBT program should be revised by focusing more strongly on the integration of the content to reduce experiential avoidance and to improve motivation.
AB - Internet-based cognitive-behavioural interventions (iCBT) are a valuable alternative to face-to-face psychotherapy. An unguided iCBT program has shown to be efficacious for patients with obsessive-compulsive disorder (OCD). However, the modules' mode of action is not well understood, which is the objective of the present study. Twenty-five patients with OCD who participated at the iCBT program for 8 weeks answered a questionnaire on their self-efficacy, motivation, expected increase in health competence and experiential avoidance before and after each module and were included in the present analyses. Linear mixed-effects models demonstrated that patients' expected increase in health competence improved over the course of the treatment. No within-module-specific effect was found. The iCBT program was able to improve patients' expected health competence. However, all other variables did not change. The iCBT program should be revised by focusing more strongly on the integration of the content to reduce experiential avoidance and to improve motivation.
KW - Humans
KW - Obsessive-Compulsive Disorder/therapy
KW - Cognitive Behavioral Therapy
KW - Surveys and Questionnaires
KW - Self Efficacy
KW - Internet
KW - Treatment Outcome
U2 - 10.1002/ijop.12919
DO - 10.1002/ijop.12919
M3 - Short publication
C2 - 37287126
VL - 58
SP - 443
EP - 448
JO - INT J PSYCHOL
JF - INT J PSYCHOL
SN - 0020-7594
IS - 5
ER -
