Acceptability and Feasibility of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in Brazil.
• 85.7% of participants completed the ICBT treatment for obsessive-compulsive disorder. • At the 6-month follow-up, 60% were treatment responders and 30% were in remission. • Participants also showed significant improvement in depressive symptoms. • After treatment, 54.5% were responders and 27.3% w...
| Publicado en: | Behavior Therapy Vol. 57; no. 1; pp. 176 - 188 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Elsevier B.V.
Jan2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=191267621&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 191267621 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00057894 BTH jtl: Behavior Therapy issn: 00057894 maglogo: N pubinfo: dt: Jan2026 vid: 57 iid: 1 pid: 467 pub: Elsevier B.V. artinfo: ui: 191267621 10.1016/j.beth.2025.08.001 ppf: 176 ppct: 12 formats: tig: atl: Acceptability and Feasibility of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in Brazil. aug: au: de Mathis, Maria Alice Flygare, Oskar Costa, Daniel L.C. Morais, Ivanil Rocha, Jamila Borcato, Sonia Shavitt, Roseli G. Miguel, Euripedes Constantino Batistuzzo, Marcelo C. Rück, Christian affil: Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo Centre for Psychiatry Research, Karolinska Institutet, and Stockholm Health Care Services, Sweden Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders su: São Paulo (Brazil : State) Brazil Obsessive-compulsive disorder Emotions Treatment effectiveness Disease remission Middle-income countries Telemedicine Evidence-based medicine sug: subj: Obsessive-compulsive disorder Emotions São Paulo (Brazil : State) Brazil Treatment effectiveness Disease remission Middle-income countries Telemedicine Evidence-based medicine keyword: cognitive-behavior therapy internet-delivered obsessive-compulsive disorder treatment cognitive-behavior therapy internet-delivered obsessive-compulsive disorder treatment ab: • 85.7% of participants completed the ICBT treatment for obsessive-compulsive disorder. • At the 6-month follow-up, 60% were treatment responders and 30% were in remission. • Participants also showed significant improvement in depressive symptoms. • After treatment, 54.5% were responders and 27.3% were in remission. • The study shows that ICBT for OCD is effective and feasible in a Brazilian population. This study describes the implementation of an Internet-based cognitive-behavior therapy program (ICBT) developed in Sweden for individuals seeking OCD treatment in Sao Paulo, Brazil. After translating and adapting the treatment manual (OCD-NET), we conducted an open-label trial including 35 adults with OCD. The ICBT treatment was conducted in 10 modules and was based on Exposure and Response Prevention (EPR). The RE-AIM implementation science framework was used to evaluate Reach, Effectiveness, Adoption, Implementation, and Maintenance. Our primary outcome was the reduction of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) total score. The study enrolled 35 participants, with 30 completing all of the ICBT protocol (85.7%). OCD severity decreased significantly over time, with 60% of participants showing a treatment response, and 30% were in remission at the 6-month follow-up. At posttreatment, 54.5% of the participants (95% CI, 37.8–70.4) were classified as treatment responders, and 27.3% (95% CI, 14.8–44.7) were in remission. At the 6-month follow-up, 60% (95% CI, 41.9–75.7) were responders, and 30% (95% CI, 16.4–48.3) were in remission. Depressive symptoms measured by PHQ-9 (SE = 1.68, [95% CI 15.2 to 21.9], p <.001) also improved. Our results provide preliminary evidence that ICBT is effective and feasible to be implemented in an upper-middle-income country. Further research investigating the acceptability and feasibility of ICBT in marginalized populations living in underserved areas is necessary. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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