{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:24:12Z","timestamp":1769549052679,"version":"3.49.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T00:00:00Z","timestamp":1650067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The current study evaluated the feasibility of an internet\u2010delivered cognitive therapy (I\u2010CT) in a self\u2010help format with minimal therapist support for patients with obsessive\u2013compulsive disorder (OCD) with primary taboo obsessions. Specifically, the aims were to investigate (1) whether participants were able to grasp and apply the internet\u2010delivered cognitive framework to their own situation; (2) whether they had clinically meaningful reductions of OCD symptom severity; and (3) whether reduced negative appraisals (hypothesized mechanism of change in CT) preceded reductions in OCD symptom severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Nineteen OCD patients with primary taboo obsessions, recruited from an OCD clinic or self\u2010referrals, received the I\u2010CT intervention for 10\u2009weeks. I\u2010CT did not contain any systematic exposure or response prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adherence and engagement with the intervention was high. Most participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a013, 68%) understood and successfully applied the cognitive model to their own situation. Within\u2010group analyses showed large reductions in OCD symptom severity at post\u2010treatment (bootstrapped within group\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a01.67 [95% CI; 0.67 to 2.66]) measured with the Yale\u2013Brown Obsessive\u2013Compulsive Scale. The gains were maintained at the 6\u2010month follow\u2010up. Post\u2010hoc analyses revealed that the large reductions in OCD symptom severity were driven by the participants who understood the cognitive model. Reductions in negative appraisals predicted subsequent reductions in OCD symptom severity during treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is possible to adapt a purely cognitive intervention to a digital guided self\u2010help format and to achieve both cognitive change and meaningful symptom reduction. The results require confirmation in a randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12369","type":"journal-article","created":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T03:43:36Z","timestamp":1650080616000},"page":"964-982","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Initial evaluation of a therapist\u2010supported online cognitive therapy self\u2010help for patients with taboo obsessions"],"prefix":"10.1111","volume":"61","author":[{"given":"Klara","family":"Olofsdotter Lauri","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Division of Psychology Karolinska Institutet  Stockholm Sweden"},{"name":"Stockholm Health Care Services, Region Stockholm  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Aspvall","sequence":"additional","affiliation":[{"name":"Department of Clinical 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