{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T04:39:09Z","timestamp":1750307949118,"version":"3.41.0"},"reference-count":50,"publisher":"Guilford Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p> Acceptance and commitment therapy (ACT) combined with exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). Due to the influence of sociocultural factors on OCD symptomatology, it is crucial to customize and assess ACT within diverse cultural settings. We present an online group protocol for ACT-ERP, tailored for Brazilian adults with OCD, based on a prior pilot study and the work of Twohig and colleagues. The protocol adaptations for online use in a group format included technical arrangements, adjusted session frequency, and cultural adaptations with appropriate translations. These modifications addressed cultural analogies and socioeconomic challenges, enhancing accessibility and relevance for Brazilians. Adapting this intervention to the Brazilian context aims to optimize OCD treatment, offering a culturally sensitive approach for Brazilian patients. <\/jats:p>","DOI":"10.1521\/bumc.2025.89.2.111","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T14:54:11Z","timestamp":1750258451000},"page":"111-133","source":"Crossref","is-referenced-by-count":0,"title":["Acceptance and commitment therapy associated with exposure and response prevention for obsessive-compulsive disorder: An online group protocol adapted for the Brazilian context"],"prefix":"10.1521","volume":"89","author":[{"given":"Luana Dumans","family":"Laurito","sequence":"first","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla Pereira","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Eduarda","family":"Moreira-de-Oliveira","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafaela Venancio","family":"Dias","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca","family":"Torres","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livi","family":"Faro","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Twohig","sequence":"additional","affiliation":[{"name":"Department of Psychology, Utah State University, Logan, Utah."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela B.","family":"de Menezes","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."},{"name":"Department of Psychiatry and Mental Health, Fluminense Federal University, and the D'Or Institute for Research and Education, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo F.","family":"Fontenelle","sequence":"additional","affiliation":[{"name":"Obsessions and Compulsions Programme, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."},{"name":"Department of Psychiatry and Mental Health, Fluminense Federal University, and the D'Or Institute for Research and Education, Rio de Janeiro, Brazil."},{"name":"Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2017.09.002"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032813-153713"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2307\/1519778"},{"key":"ref4","volume-title":"DSM-5: Manual Diagn\u00f3stico e Estat\u00edstico de Transtornos Mentais (5a edi\u00e7\u00e3o, N\u00famero 1) [DSM-5: Diagnostic and statistical manual of mental disorders, 5th edition]","author":"American Psychiatric Association","year":"2014"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001943"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1037\/a0016401"},{"key":"ref7","first-page":"351","volume-title":"TOC: Manual de terapia cognitivo-comportamental para o transtorno obsessivo-compulsivo [OCD: Manual of cognitive-behavioral therapy for obsessive-compulsive disorder]","author":"Braga D. 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