6533b872fe1ef96bd12d3b49

RESEARCH PRODUCT

A novel approach to challenging OCD related beliefs using a mobile-app: An exploratory study

Amparo BellochMaría RonceroGuy Doron

subject

AdultMaleObsessive-Compulsive Disorder050103 clinical psychologymedicine.medical_treatmentExperimental and Cognitive Psychologymedicine.disease_causeRelapse preventionbehavioral disciplines and activitiesYoung Adult03 medical and health sciences0302 clinical medicineArts and Humanities (miscellaneous)Outcome Assessment Health Caremental disordersmedicineHumans0501 psychology and cognitive sciencesObsessive-compulsive disorder (OCD)Cognitive Behavioral Therapy05 social sciencesBehavior changeCognitionPerfectionism (psychology)medicine.diseaseMobile ApplicationsTelemedicinehumanitiesCognitive training030227 psychiatryPsychiatry and Mental healthClinical PsychologyMoodCognitive therapyFemalePsychologyClinical psychology

description

Abstract Background and objectives According to cognitive models, obsessive compulsive symptoms result from catastrophic misinterpretations of commonly occurring intrusive experiences and the use of counterproductive strategies to manage them. Obsessive Compulsive Disorder (OCD) related beliefs such as inflated responsibility, importance of thoughts and perfectionism increases the likelihood of such misinterpretations. Consistent with a growing body of literature supporting the usefulness of mobile delivered technologies in fostering cognitive behavior change, the present study assessed the effectiveness of a novel cognitive training exercise designed to challenge OCD-related beliefs. This mobile app training exercise consists of users having to pull statements challenging OCD beliefs towards themselves (downwards) and to throw away (push upwards) contra-productive self-statements. Methods 36 third-year BA students started the trial. Twenty completed pre and post measures of OCD-beliefs, mood and OCD symptoms including relationship-obsessions. Participants were instructed to complete 3 min of daily training for a period of 15 days. Results No significant differences were found between completers and non-completers on demographic and most symptom related measures at Time 1. Repeated-measures MANOVA of the 20 completers showed a significant reduction on all OCD symptoms measures and on OCD-beliefs. No significant reduction was found in depression symptoms. Regression analysis showed change in levels of OCD-beliefs was associated with reduction in OCD symptoms at Time 2 over and above OCD symptoms at Time 1. Limitations The study is an open trial with non-clinical participants. Conclusions This mobile delivered training exercise may be useful for the reduction and relapse prevention of OCD-related beliefs and symptoms.

https://doi.org/10.1016/j.jbtep.2018.01.008