Evidence map›Paper›PMID 34193113›Full record

SynthesisBMC psychiatry2021

Low intensity technology-delivered cognitive behavioral therapy for obsessive-compulsive disorder: a meta-analysis.

Laura Marie Hoppen, Nora Kuck, Paul-Christian Bürkner, Eyal Karin, Bethany M Wootton, Ulrike Buhlmann

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Treatment of Obsessive-Compulsive Disorder via Mental Health Technology.The Psychiatric clinics of North America · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Digitalising mental health care: Practical recommendations from the European Psychiatric Association.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Review
  11. Clinical Advances in Treatment Strategies for Obsessive-compulsive Disorder in Adults.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Review
  12. Article
  13. Telephone-Administered Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Series.International journal of environmental research and public health · 2022
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laura Marie HoppenUniversity of Münster, Fliednerstr. 21, 48149, Münster, Germany.
Nora KuckUniversity of Münster, Fliednerstr. 21, 48149, Münster, Germany.
Paul-Christian BürknerCluster of Excellence SimTech, University of Stuttgart, Stuttgart, Germany.
Eyal KarinMacquarie University, Sydney, Australia.
Bethany M WoottonMacquarie University, Sydney, Australia.
Ulrike BuhlmannUniversity of Münster, Fliednerstr. 21, 48149, Münster, Germany. ulrike.buhlmann@wwu.de.ORCID 0000-0003-4997-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive behavioral therapy (CBT) is a well-established treatment for people suffering from obsessive-compulsive disorder (OCD) and technology-based CBT applications are an emerging treatment option for people with OCD. These applications involve treatment protocols with automated content delivery and relatively low clinical contact. Whilst such CBT applications are promising, however, further investigation is needed to establish the efficacy of this treatment approach for individuals with OCD. The aim of the present study was to review the efficacy of technology-delivered CBT with minimal clinician support for OCD using a meta-analytic approach.

methodsRandomized controlled trials (RCT) were identified through PsycINFO, Medline and Scopus resulting in 18 eligible studies (n = 1707). Control conditions comprised both passive (namely no treatment, other treatments and waitlist controls) and active. Measurement of OCD symptoms improvement was the outcome in each study.

resultsParticipants in the technology-delivered CBT group scored lower on Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) (g = - 0.59, 95% CI = [- 0.99, - 0.18], p = 0.01), Y-BOCS and Dimensional Obsessive-Compulsive Scale (DOCS) combined (g = - 0.55, 95% CI = [- 0.87, - 0.24], p = 0.003) and Obsessive-Compulsive-Inventory-Revised (OCI-R) (g = - 0.36, 95% CI = [- 0.62, - 0.09], p = 0.02) at post-treatment than passive control groups. There were no significant findings when compared to controls with other treatments.

conclusionsThis meta-analysis suggests that technology-delivered CBT with low personal contact intensity, relative to passive control groups, is an efficacious and promising treatment option for individuals with OCD. Further research is needed to allow for a comparison with control groups with other treatments.

Indexed as

Cognitive Behavioral TherapyObsessive-Compulsive DisorderPsychotherapy, GroupHumansTechnologyTreatment OutcomeWaiting ListsCBTMeta-analysisObsessive-compulsive disorderOCDTechnology-delivered cognitive behavioral therapy

Identifiers

PMID34193113
PMCPMC8243493

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.