The timing of symptom change and early treatment response in a self‐guided digital treatment for obsessive–compulsive disorder.

Objective: Self‐guided digital treatment is effective for many people with OCD—however, little is known about when during treatment people experience significant symptom reductions. In addition, there is substantial variability in the literature regarding what factors predict treatment responding in...

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Publicado en:British Journal of Clinical Psychology Vol. 64; no. 4; pp. 844 - 857
Autores principales: Bisby, Madelyne A., Wootton, Bethany, Dear, Blake F.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 64
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/bjc.12543
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        atl: The timing of symptom change and early treatment response in a self‐guided digital treatment for obsessive–compulsive disorder.
      aug:
        au:
          Bisby, Madelyne A.
          Wootton, Bethany
          Dear, Blake F.
        affil: eCentreClinic, School of Psychological Sciences, Macquarie University, Sydney New South Wales,, Australia
      sug:
        subj:
          Obsessive-Compulsive Disorder Symptoms
          Obsessive-Compulsive Disorder Therapy
          Early Intervention
          Self-Management
          Therapy, Computer Assisted
          Time Factors
          Treatment Outcomes
          Cognitive Therapy
          Digital Health
          Human
          New South Wales
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Secondary Analysis
          Odds Ratio
          Confidence Intervals
          Logistic Regression
          Scales
          Depression Symptoms
          Psychoeducation
          Obsessive-Compulsive Disorder Prevention and Control
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: Self‐guided digital treatment is effective for many people with OCD—however, little is known about when during treatment people experience significant symptom reductions. In addition, there is substantial variability in the literature regarding what factors predict treatment responding in self‐guided digital treatment for OCD. There is preliminary evidence to suggest that adults with OCD may show early treatment responding (i.e., significant symptom reductions within the first month of treatment) and that this early response could be associated with better post‐treatment outcomes. Methods: In a secondary analysis (n = 123), the current study examined the timing and magnitude of symptom change during self‐guided digital CBT, the incidence of early response (at 4‐weeks), and whether early treatment response predicted post‐treatment response (at 8‐weeks). These analyses were conducted for OCD symptoms (primary) and depression symptoms (secondary). Results: Results indicated a gradual reduction in OCD and depression symptoms across treatment. Although fewer participants experienced an early response in OCD symptoms (22%) compared to depression symptoms (45%), early response was significantly associated with an increased likelihood of post‐treatment response in both symptom domains. Conclusions: These findings highlight that individuals with OCD symptoms may experience reductions in different symptom types at different points during treatment and that early response may be a prognostic factor for overall treatment response in this population across outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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