Terapia cognitivo-conductual grupal por videoconferencia para el trastorno obsesivo-compulsivoEstudio piloto

  1. Inés Gil Delgado 1
  2. Laura Zaragoza 2
  3. Pablo Pelayo 3
  4. Lorena García Fernández 2
  5. Elena Cabedo 4
  6. María Roncero 4
  7. Gemma García Soriano 4
  1. 1 Centro de Salud Mental Alicante Santa Faz, Hospital Universitario San Juan de Alicante, Alicante, España
  2. 2 Servicio de Psiquiatría, Hospital Universitario San Juan de Alicante, Alicante, España
  3. 3 Centro de Salud Mental Campoamor, Hospital General Universitario Dr. Balmis, Alicante, España
  4. 4 Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universidad de Valencia, Valencia, España
Aldizkaria:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Argitalpen urtea: 2023

Alea: 28

Zenbakia: 1

Orrialdeak: 1-11

Mota: Artikulua

DOI: 10.5944/RPPC.33872 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Revista de psicopatología y psicología clínica

Laburpena

The purpose of this paper was to explore the feasibility, acceptance and efficacy of cognitive behavioral group therapy (GCBT) for obsessivecompulsive disorder (OCD) applied via videoconference. Eight OCD patients received GCBT via videoconference. Symptom severity, anxiety, depression, quality of life and opinion about treatment were assessed. Patients attended more than 90 % of the sessions and were satisfied with the treatment. The severity of obsessivecompulsive symptoms decreased significantly (p = .025; g = 1.56). Likewise, depression (p = .025; g = 1.5) and quality of life (p = .017; g = 1.52) improved. This study suggests that videoconferencebased GCBT is a feasible treatment, well accepted by patients, and which might improve obsessivecompulsive symptoms. More studies are warranted to further investigate the efficacy of GCBT via videoconferencing for OCD

Erreferentzia bibliografikoak

  • Ackerman, D. L., & Greenland, S. (2002). Multivariate meta­ analysis of controlled drug studies for obsessive­compulsive disorder. Journal of Clinical Psychopharmacology, 22(3), 309­317. http://dx.doi.org/10.1097/00004714­200206000­ 00012
  • American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). https://doi. org/10.1176/appi.books.9780890425596
  • Arnáez, S., García­-Soriano, G., y Belloch, A. (2015). Contenidos obsesivos, miedo a la enfermedad y asco. Revista de Psicopatología y Psicología Clínica, 20, 33­40. https://doi. org/10.5944/rppc.vol.1.num.1.2015.14406
  • Banbury, A., Nancarrw, S., Dart, J., Gray, L., & Parkinson, L. (2018). Telehealth interventions delivering home­based support group videoconferencing: Systematic review. Journal of Medical Internet Research, 20(2), e8090. http://dx.doi. org/10.2196/jmir.8090
  • Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich­May, J. (2016). Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales. Alianza Editorial.
  • Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2020). Are videoconferenced mental and behavioral health services just as good as in­person? A meta­analysis of a fast­ growing practice. Clinical Psychology Review, 83, 101944. http://dx.doi.org/10.1016/j.cpr.2020.101944
  • Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory: BAI. Psychological Corporation.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. The Psychological Corporation.
  • Belloch, A., Cabedo, E., y Carrió, C. (2011). TOC. Obsesiones y compulsiones: tratamiento cognitivo. Alianza Editorial.
  • Belloch, A., Cabedo, E., Carrió, C., Fernández­Alvarez, H., García, F., & Larsson, C. (2011). Group versus individual cognitive treatment for obsessive­compulsive disorder: Changes in non­ OCD symptoms and cognitions at post­treatment and one­year follow­up. Psychiatry Research, 187(1­2), 174­179. http:// dx.doi.org/10.1016/j.psychres.2010.10.015
  • Belloch, A., Fornés, G., Carrasco, A., López­Solá, C., Alonso, P., & Menchón, J. M. (2016). Incompleteness and not just right experiences in the explanation of obsessive­compulsive disorder. Psychiatry Research, 236, 1­8. https://doi. org/10.1016/j.psychres.2016.01.012
  • Belloch, A., Valle, G., Morillo, C., Carrió, C., & Cabedo, E. (2009). To seek advice or not to seek advice about the problem: The help­seeking dilemma for obsessive–compulsive disorder. Social Psychiatry and Psychiatric Epidemiology, 44(4), 257– 264. http://dx.doi.org/10.1007/s00127­008­0423­0
  • Belotto­Silva, C., Diniz, J. B., Malavazzi, D. M., Valério, C., Fossaluza, V., Borcato, S., Seixas, A. A., Morelli, D., Miguel, E. C., & Shavitt, R. G. (2012). Group cognitive­behavioral therapy versus selective serotonin reuptake inhibitors for obsessive­compulsive disorder: A practical clinical trial. Journal of Anxiety Disorders, 26(1), 25­31. http://dx.doi. org/10.1016/j.janxdis.2011.08.008
  • Bobes, J., Gonzalez, M. P., Bascaran, M. T., Arango, C., Saiz, P. A., & Bousono, M. (2001). Quality of life and disability in patients with obsessive­compulsive disorder. European Psychiatry, 16(4), 239­245. http://dx.doi.org/10.1016/S0924­ 9338(01)00571­5
  • Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3(4), 257­260. http://dx.doi. org/10.1016/0005­7916(72)90045­6
  • Cabedo, E., Belloch, A., Carrió, C., Larsson, C., Fernández­ Alvarez, H., & García, F. (2010). Group versus individual cognitive treatment for obsessive­compulsive disorder: Changes in severity at post­treatment and one­year follow­up. Behavioural and Cognitive Psychotherapy, 38(2), 227­232. http://dx.doi.org/10.1017/S135246580999066X
  • Comeche, M. I., Díaz, M. I., y Vallejo, M. A. (1995). Cuestionarios, Inventarios y Escalas. Ansiedad, Depresión y Habilidades Sociales. UNED Fundación Universidad­Empresa.
  • Cordioli, A. V., Heldt, E., Bochi, D. B., Margis, R., de Sousa, M. B., Tonello, J. F., & Kapczinski, F. (2002). Cognitive­ behavioral group therapy in obsessive­compulsive disorder: A clinical trial. Revista Brasileira de Psiquiatria, 24(3), 113­ 120. https://doi.org/10.1590/S1516­44462002000300004
  • Fernández­-Álvarez, J., & Fernández­Álvarez, H. (2021). Videoconferencing psychotherapy during the pandemic: Exceptional times with enduring effects?. Frontiers in Psychology, 12, 589536. http://dx.doi.org/10.3389/ fpsyg.2021.589536
  • Ferrando, L., Bobes, J., Gibert, J., Soto, M., y Soto, O. (2000). MINI Entrevista Neuropsiquiátrica Internacional. Instituto IAP. www.fundacionforo.com/pdfs/mini.pdf
  • Fonseca-­Pedrero, E., Pérez­-Álvarez, M., Al­-Halabí, S., Inchausti, F., Muñiz, J., López-­Navarro, E., Pérez de Albéniz, A., Lucas Molina, B., Debbané, M., Bobes-­Bascarán, M. T., Gimeno­ Peón, A., Prado-­Abril, J., Fernández-­Álvarez, J., Rodriguez­ Testal., J. F., González, D., Díez-­Gómez, A., García Montes, J. M, García Cerdán, L., Osma, J., … Marrero, R. J. (2021). Tratamientos psicológicos empíricamente apoyados para adultos: Una revisión selectiva. Psicothema, 33(2), 188­197. http://dx.doi.org/10.7334/psicothema2020.426
  • Franklin, M. E., Abramowitz, J. S., Kozak, M. J., Levitt, J. T., & Foa, E. B. (2000). Effectiveness of exposure and ritual prevention for obsessive­compulsive disorder: Randomized compared with nonrandomized samples. Journal of Consulting and Clinical Psychology, 68(4), 594­602. http://dx.doi. org/10.1037/0022­006X.68.4.594
  • García­-Soriano, G., Rufer, M., Delsignore, A., & Weidt, S. (2014). Factors associated with non­treatment or delayed treatment seeking in OCD sufferers: A review of the literature. Psychiatry Research, 220, 1–10. http://dx.doi.org/10.1016/j. psychres.2014.07.009
  • Gentry, M. T., Lapid, M. I., Clark, M. M., & Rummans, T. A. (2018). Evidence for telehealth group­based treatment: A systematic review. Journal of Telemedicine and Telecare, 25(6), 327­342. http://dx.doi.org/10.1177/1357633X18775855
  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Delgado, P., Heninger, G. R., & Charney, D. S. (1989). The Yale­Brown Obsessive­Compulsive Scale: II. Validity. Archives of General Psychiatry, 46(11), 1012­1016. http:// dx.doi.org/10.1001/archpsyc.1989.01810110048007
  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G.R., & Charney, D. S. (1989). The Yale­Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006­1011. http://dx.doi.org/10.1001/ archpsyc.1989.01810110048007
  • Himle, J. A., Van Etten, M., & Fischer, D. J. (2003). Group cognitive behavioral therapy for obsessive­compulsive disorder: A review. Brief Treatment and Crisis Intervention, 3(2), 217­229. http://dx.doi.org/10.1093/brief­treatment/ mhg016
  • Hirschtritt, M. E., Bloch, M. H., & Mathews, C. A. (2017). Obsessive­compulsive disorder: Advances in diagnosis and treatment. JAMA, 317(13), 1358­1367. http://dx.doi. org/10.1001/jama.2017.2200
  • Hollander, E., Stein, D. J., Kwon, J. H., Rowland, C., Wong, C. M., Broatch, J., & Himelein, C. (1997). Psychosocial function and economic costs of obsessive­compulsive disorder. CNS spectrums, 2(10), 16­25. http://dx.doi.org/10.1017/ S1092852900011068
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12­19. http://dx.doi.org/10.1037/10109­ 042
  • Jónsson, H., & Hougaard, E. (2009). Group cognitive behavioural therapy for obsessive–compulsive disorder: A systematic review and meta­analysis. Acta Psychiatrica Scandinavica, 119(2), 98­106. https://doi.org/10.1111/j.1600­0447.2008. 01270.x10.1111/j.1600­0447.2008.01270.x
  • Kayser, R. R., Gershkovich, M., Patel, S., & Simpson, H. B. (2021). Integrating videoconferencing into treatment for obsessive­compulsive disorder: Practical strategies with case examples. Psychiatric Services, 72(7), 840­844. http://dx.doi. org/10.1176/appi.ps.202000558
  • Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82, 858­866. https://apps.who.int/iris/ handle/10665/269274
  • Lantarón-­Imedio, P., Pina-­Camacho, M. R., Moya­-Diago, M. L., Pascual­-Vera, B., Mateu, C., García­-Trilles, E., & Carrió, C. (2021). Efficacy of cognitive­behavioral therapy for insomnia: Implementation of a group format in the Spanish National Health System. Revista de Psicopatología y Psicología Clínica, 26(3), 173–180. https://doi.org/10.5944/rppc.29423
  • Leeuwerik, T., Cavanagh, K., & Strauss, C. (2019). Patient adherence to cognitive behavioural therapy for obsessive­ compulsive disorder: A systematic review and meta­analysis. Journal of Anxiety Disorders, 68, 102135. http://dx.doi. org/10.1016/j.janxdis.2019.102135
  • Marques, L., LeBlanc, N. J., Wegarden, H. M., Timpano, K. R., Jenike, M., & Wilhelm, S. (2010). Barriers to treatment and service utilization in an internet sample of individuals with obsessive–compulsive symptoms. Depression and Anxiety, 27(5), 470–475. http://dx.doi.org/10.1002/da.20694
  • Mataix-­Cols, D., de la Cruz, L. F., & Rück, C. (2020). When improving symptoms is not enough - Is it time for next­ generation interventions for obsessive­compulsive disorder? JAMA Psychiatry, 77(1), 9­10. http://dx.doi.org/10.1001/ jamapsychiatry.2019.2335
  • Mataix­-Cols, D., Rauch, S., Baer, L., Eisen, J., Shera, D., & Goodman, W. (2002). Symptom stability in adult obsessive­ compulsive disorder: Data from a naturalistic two­year follow­up study. American Journal of Psychiatry, 159(2), 263–268. http://dx.doi.org/10.1176/appi.ajp.159.2.263
  • Mezzich, G., Juan, E., Cohen, N., & Ruipérez, M. A. (1999). An efficient and culturally informed Quality of Life Index: Preliminary presentation and validation. [Ponencia de congreso]. XI World Congress of Psychiatry, Hamburg.
  • Milosevic, I., Cameron, D. H., Milanovic, M., McCabe, R. E., & Rowa, K. (2021). Face­to­face versus video teleconference group cognitive behavioural therapy for anxiety and related disorders: A preliminary comparison. The Canadian Journal of Psychiatry, 07067437211027319. http://dx.doi. org/10.1177/07067437211027319
  • National Institute for Health and Clinical Excellence (2005). Obsessive–compulsive disorder: Core interventions in the treatment of obsessive–compulsive disorder and body dysmorphic disorder CG31. National Institute for Health and Clinical Excellence.
  • Nicolini, H., Herrera, K., Paez, F., Sánchez de Carmona, M., Orozco, B., y Lodeiro, G. (1996). Traducción al español y confiabilidad de la Escala Yale­Brown para el trastorno obsesivo­compulsivo. Salud Mental, 5(19), 1316.
  • Olatunji, B. O., Davis, M. L., Powers, M. B., & Smits, J. A. (2013). Cognitive­behavioral therapy for obsessive­ compulsive disorder: A meta­analysis of treatment outcome and moderators. Journal of Psychiatric Research, 47(1), 33­ 41. http://dx.doi.org/10.1016/j.jpsychires.2012.08.020
  • Osma, J., Suso­-Ribera, C., García-­Palacios, A., Crespo-­Delgado, E., Robert-­Flor, C., Sánchez-­Guerrero, A., Ferreres-­Galan, V., Pérez-­Ayerra, L., Malea-­Fernández, A., & Torres-­Alfosea, M. Á. (2018). Efficacy of the unified protocol for the treatment of emotional disorders in the Spanish public mental health system using a group format: Study protocol for a multicenter, randomized, non­inferiority controlled trial. Health and Quality of Life Outcomes, 16, 46. https://doi.org/10.1186/ s12955­018­0866­2
  • Öst, L. G., Havnen, A., Hansen, B., & Kvale, G. (2015). Cognitive behavioral treatments of obsessive–compulsive disorder. A systematic review and meta­analysis of studies published 1993­2014. Clinical Psychology Review, 40, 156­169. http:// dx.doi.org/10.1016/j.cpr.2015.06.003
  • Pascual-­Vera, B., y Belloch, A. (2018). El carácter transdiagnóstico de las intrusiones mentales: Una revisión y una propuesta basada en datos. Revista de Psicopatología y Psicología Clínica, 23(2), 135–147. https://doi.org/10.5944/rppc.vol.23. num.2.2018.20738
  • Pinto, A., Mancebo, M. C., Eisen, J. L., Pagano, M. E., & Rasmussen, S. A. (2006). The Brown longitudinal obsessive­ compulsive study: Clinical features and symptoms of the sample at intake. Journal of Clinical Psychiatry, 67(5), 703– 711. http://dx.doi.org/10.4088/JCP.v67n0503
  • Pozza, A., & Dettore, D. (2017). Drop­out and efficacy of group versus individual cognitive behavioural therapy: What works best for obsessive­compulsive disorder? A systematic review and meta­analysis of direct comparisons. Psychiatry Research, 258, 24­36. http://dx.doi.org/10.1016/j.psychres.2017.09.056
  • Rosa-­Alcázar, A. I., Sánchez­-Meca, J., Gómez­-Conesa, A., & Marín-­Martínez, F. (2008). Psychological treatment of obsessive­compulsive disorder: A meta­analysis. Clinical Psychology Review, 28(8), 1310­1325. http://dx.doi. org/10.1016/j.cpr.2008.07.001
  • Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive­compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry, 15(1), 53­63. http://dx.doi.org/10.1038/ mp.2008.94
  • Sammons, M. T., VandenBos, G. R., & Martin, J. N. (2020). Psychological practice and the COVID­19 crisis: A rapid response survey. Journal of Health Service Psychology, 46, 51–57. http://dx.doi.org/10.1007/s42843­020­00013­2
  • Sanz, J., Perdigón, A. L., y Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck II (BDI­II): 2. Propiedades psicométricas en población general. Clínica y Salud, 14, 249–280. https://www.redalyc.org/articulo. oa?id=180617972001
  • Scholl, J., Kohls, E., Görges, F., Steinbrecher, M., Baldofski, S., Moessner, M., & Rummel­-Kluge, C. (2021). Acceptability and feasibility of the transfer of face­to­face group therapy to online group chats in a psychiatric outpatient setting during the COVID­19 pandemic: Longitudinal observational study. JMIR Formative Research, 5(7), e27865. http://dx.doi. org/10.2196/27865
  • Schwartze, D., Barkowski, S., Burlingame, G. M., Strauss, B., & Rosendahl, J. (2016). Efficacy of group psychotherapy for obsessive­compulsive disorder: A meta­analysis of randomized controlled trials. Journal of ObsessiveCompulsive and Related Disorders, 10, 49­61. http://dx.doi. org/10.1016/j.jocrd.2016.05.001
  • Sheehan, D., Janavs, J., Baker, R., Harnett­-Sheehan, K., Knapp, E., Sheehan, M., Lecrubier, Y., Weiller, E., Hergueta, T., Amorim, P., Bonora, L. I., & Lépine, J. P. (1999). The Mini­ International Neuropsychiatric Interview (MINI). English version 5.0.0. DSM­IV. Journal of Clinical Psychiatry, 60(18), 39­62.
  • Sousa, M. B., Isolan, L. R., Oliveira, R. R., Manfro, G. G., & Cordioli, A. V. (2006). A randomized clinical trial of cognitive­ behavioral group therapy and sertraline in the treatment of obsessive­compulsive disorder. Journal of Clinical Psychiatry, 67(7), 1133­1139. http://dx.doi.org/10.4088/jcp.v67n0717
  • Stobie, B., Taylor, T., Quigley, A., Ewing, S., & Salkovskis, P. M. (2007). “Contents may vary”: A pilot study of treatment histories of OCD patients. Behavioural and Cognitive Psychotherapy, 35(3), 273­282. http://dx.doi.org/10.1017/ S135246580700358X
  • Storch, E. A., Caporino, N. E., Morgan, J. R., Lewin, A. B., Rojas, A., Brauer, L., & Murphy, T. K. (2011). Preliminary investigation of web­camera delivered cognitive–behavioral therapy for youth with obsessive–compulsive disorder. Psychiatry Research, 189 (3), 407–412. http://dx.doi. org/10.1016/j.psychres.2011.05.047
  • Thomas, N., McDonald, C., de Boer, K., Brand, R. M., Nedeljkovic, M., & Seabrook, L. (2021). Review of the current empirical literature on using videoconferencing to deliver individual psychotherapies to adults with mental health problems. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 854­883. http://dx.doi. org/10.1111/papt.12332
  • Torres, A. R., Prince, M. J., Bebbington, P. E., Bhugra, D. K., Brugha, T. S., Farrell, M., Jenkins, R., Lewis, G., Meltzer, H., & Singleton, N. (2007). Treatment seeking by individuals with obsessive­compulsive disorder from the British Psychiatric Morbidity Survey of 2000. Psychiatric Services, 58(7), 977­982. http://dx.doi.org/10.1176/ps.2007.58.7.977
  • Vogel, P. A., Solem, S., Hagen, K., Moen, E. M., Launes, G., Håland, Å. T., Hansen, B., & Himle, J. A. (2014). A pilot randomized controlled trial of videoconference­assisted treatment for obsessive­compulsive disorder. Behaviour Research and Therapy, 63, 162­168. http://dx.doi. org/10.1016/j.brat.2014.10.007
  • Wind, T. R., Rijkeboer, M., Andersson, G., & Riper, H. (2020). The COVID­19 pandemic: The “black swan” for mental health care and a turning point for e­health. Internet Interventions, 20,100317. http://dx.doi.org/10.1016/j. invent.2020.100317
  • Wootton, B. M. (2016). Remote cognitive­behavior therapy for obsessive–compulsive symptoms: A meta­analysis. Clinical Psychology Review, 43, 103­113. http://dx.doi.org/10.1016/j. cpr.2015.10.001
  • Yalom, I. (1975). Theory and practice of group psychotherapy. Basic Books.