Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-28T05:23:57.721Z Has data issue: false hasContentIssue false
  • English
  • Français

Metacognitive Therapy for Obsessive Compulsive Disorder By Videoconference: A Preliminary Study

Published online by Cambridge University Press:  09 January 2013

Samantha Fitt  and
Clare Rees
Samantha Fitt*
Affiliation:
School of Psychology and Speech Pathology and Curtin Health Innovation Research Institute (CHIRI), Curtin University, Perth, WA, Australia
Clare Rees
Affiliation:
School of Psychology and Speech Pathology and Curtin Health Innovation Research Institute (CHIRI), Curtin University, Perth, WA, Australia
*
Address for correspondence: Samantha Fitt, School of Psychology and Speech Pathology and Curtin Health Innovation Research Institute (CHIRI), Curtin University, GPO Box U1987, Bentley WA 6845, Australia. Email: [email protected]
Get access

Abstract

Evidence-supported therapy for obsessive-compulsive disorder (OCD) is often difficult to access, especially in rural and remote areas. Videoconferencing is gaining momentum as a means of improving access. Metacognitive therapy (MCT) has already been found to be effective for OCD when delivered face-to-face. This preliminary study explored whether videoconference-based MCT can be effective for OCD. Three participants completed a brief course of MCT using videoconferencing. Participants experienced clinically significant reductions in OCD symptoms, depression, anxiety, and stress, some of which were maintained after a 6- to 8-week follow-up period. Results suggest that videoconferencing MCT can be effective for OCD. Implications for clinicians are discussed.

Keywords

Obsessive-compulsive disordervideoconferencingmetacognitive therapy
Type
Standard Papers
Information
Behaviour Change , Volume 29 , Issue 4 , December 2012 , pp. 213 - 229
Copyright
Copyright © The Authors 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, G., Henderson, S., & Hall, W. (2001). Prevalence, comorbidity, disability and service utilisation: Overview of the Australian National Mental Health Survey. British Journal of Psychiatry, 178, 145–153.Google Scholar
Antonacci, D.J., Bloch, R.M., Saeed, S.A., Yildirim, Y., & Talley, J. (2008). Empirical evidence on the use and effectiveness of telepsychiatry via videoconferencing: Implications for forensic and correctional psychiatry. Behavioral Sciences and the Law, 26, 253–269.CrossRefGoogle ScholarPubMed
Antony, M.M., Bieling, P.J., Cox, B.J., Enns, M.W., & Swinson, R.P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10, 176–181.Google Scholar
Brown, T.A., Chorpita, B.F., Korotitsch, W., & Barlow, D.H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.Google Scholar
Busseri, M.A., & Tyler, J.D. (2003). Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, Short Form. Psychological Assessment, 15, 193–197.CrossRefGoogle ScholarPubMed
Eddy, K.T., Dutra, L., Bradley, R., & Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24, 1011–1030.CrossRefGoogle ScholarPubMed
Elliott, J., Chapman, J., & Clark, D.J. (2007). Videoconferencing for a veteran's pain management follow-up clinic. Pain Management Nursing, 8, 35–46.Google Scholar
First, M.B., Spitzer, R., Gibbon, M., & Williams, J.B.W. (1995). Structured clinical interview for DSM-IV axis I disorders. Patient edition (SCID-IP, Version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
Fisher, P.L., & Wells, A. (2005). How effective are cognitive and behavioural treatments for obsessive-compulsive disorder? A clinical significance analysis. Behaviour Research and Therapy, 43, 1543–1558.CrossRefGoogle ScholarPubMed
Fisher, P.L., & Wells, A. (2007). Metacognitive therapy for obsessive-compulsive disorder: A case series. Journal of Behavior Therapy and Experimental Psychiatry, 39, 117–132.Google Scholar
Foa, E.B., Abramowitz, J.S., Franklin, M.E., & Kozak, M.J. (1999). Feared consequences, fixity of belief, and treatment outcome in patients with obsessive-compulsive disorder. Behavior Therapy, 30, 717–724.Google Scholar
Franklin, M.E., & Foa, E.B. (2008). Obsessive-compulsive disorder. In Barlow, D.H. (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (4th ed., pp. 209–263). New York: Guilford Press.Google Scholar
Glueckauf, R.L., Fritz, S.P., Ecklund-Johnson, E.P., Liss, H.L., Dages, P., & Carney, P. (2002). Videoconferencing-based family counselling for rural teenagers with epilepsy: Phase 1 findings. Rehabilitation Psychology, 47, 49–72.Google Scholar
Goodman, W.K., Price, L.H., Rasmussen, S.A., Mazure, C., Fleischmann, R.L., Hill, C.L., . . . Charney, D.S. (1989). The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.Google Scholar
Hageman, W.J.J.M. & Arrindell, W.A. (1999). Establishing clinically significant change: Increment of precision and the distinction between individual and group level of analysis. Behaviour Research and Therapy, 37, 1169–1193.Google ScholarPubMed
Himle, J.A., Fischer, D.J., Muroff, J.R., Van Etten, M.L., Lokers, L.M., Abelson, J.L., & Hanna, G.L. (2006). Videoconferencing-based cognitive-behavioural therapy for obsessive-compulsive disorder. Behaviour Research and Therapy, 44, 1821–1829.Google Scholar
Horvath, A.O., & Greenberg, L.S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233.CrossRefGoogle Scholar
Hufford, B.J., Glueckauf, R.L., & Webb, P. M., (1999). Home-based, interactive videoconferencing for adolescents with epilepsy and their families. Rehabilitation Psychology, 44, 176–193.CrossRefGoogle Scholar
Jacobson, N.S., Follette, W.C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and assessing clinical significance. Behavior Therapy, 15, 336–352.Google Scholar
Jacobson, N.S., & Traux, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.Google Scholar
Lee, H.J., Cougle, J.R., & Telch, M.J. (2005). Thought-action fusion and its relationship to schizotypy and OCD symptoms. Behaviour Research and Therapy, 43, 29–41.Google Scholar
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney, Australia: Psychology Foundation.Google Scholar
McLean, P.D., Whittal, M.L., Thordarson, D.S., Taylor, S., Söchting, I., Koch, W.J., . . . Anderson, K.W. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 69, 205–214.Google Scholar
Oakes, J., Battersby, M.W., Pols, R.G., & Cromarty, P. (2008). Exposure therapy for problem gambling via videoconferencing: A case report. Journal of Gambling Studies, 24, 107–118.Google Scholar
Polycom, Inc. (2006). Polycom PVX (Version 8.0.2:8.0.2.0235) [Computer software]. San Jose, CA: Author.Google Scholar
Rees, C.S., & Haythornthwaite, S. (2004). Telepsychology and videoconferencing: Issues, opportunities and guidelines for psychologists. Australian Psychologist, 39, 212–219.CrossRefGoogle Scholar
Rees, C.S., & van Koesveld, K.E. (2008). An open trial of group metacognitive therapy for obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 39, 451–458.Google Scholar
Rees, C., & van Koesveld, K. (2009). Metacognitive therapy treatment manual: Group and individual protocol. In Rees, C. S., Obsessive-Compulsive Disorder: A practical guide to treatment (pp. 120–136). Melbourne, Australia: IP Communications.Google Scholar
Salkovskis, P.M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571–583.Google Scholar
Schopp, L., Johnstone, B., & Merrell, D. (2000). Telehealth and neuropsychological assessment: New opportunities for pscychologists. Professional Psychology: Research and Practice, 31, 179–183.Google Scholar
Spada, M.M., Mohiyeddini, C., & Wells, A. (2008). Measuring metacognitions associated with emotional distress: Factor structure and predictive validity of the Metacognitions Questionnaire 30. Personality and Individual Differences, 45, 238–242.Google Scholar
Stanley, M.A., & Turner, S.M. (1995). Current status of pharmacological and behavioural treatment of obsessive-compulsive disorder. Behavior Therapy, 26, 163–186.Google Scholar
Strong, K., Trickett, P., Titulaer, I., & Bhatia, K. (1998). Health in rural and remote Australia: The first report of the Australian Institute of Health and Welfare on rural health (Cat. No. PHE 6). Canberra, Australia: AIHW.Google Scholar
Taylor, S. (1995). Assessment of obsessions and compulsions: Reliability, validity, and sensitivity to treatment effects. Clinical Psychology Review, 15, 261–296.CrossRefGoogle Scholar
Tracey, T.J., & Kokotovic, A.M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 207–210.CrossRefGoogle Scholar
Wells, A. (2000). Emotional disorders and metacognitions: Innovative cognitive therapy. West Sussex, UK: John Wiley & Sons.Google Scholar
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42, 385–396.Google Scholar
Wells, A., & Papageorgiou, C. (1998). Relationships between worry, obsessive-compulsive symptoms, and metacognitive beliefs. Behaviour Research and Therapy, 36, 899–913.Google Scholar
Whittal, M.L., Thordarson, D.S., & McLean, P.D. (2005). Treatment of obsessive-compulsive disorder: Cognitive behaviour therapy vs. exposure and response prevention. Behaviour Research and Therapy, 43, 1559–1576.Google Scholar
Woody, S.R., Steketee, G., & Chambless, D.L. (1995). Reliability and validity of the Yale-Brown Obsessive-Compulsive Scale. Behaviour Research and Therapy, 33, 597–605.Google Scholar