{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:18:30Z","timestamp":1769728710909,"version":"3.49.0"},"reference-count":64,"publisher":"Baishideng Publishing Group Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Psychiatry"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n                  <jats:p>Psychological treatments such as exposure and response prevention (ERP) or cognitive behavioral therapy are effective in obsessive-compulsive disorder (OCD), either on their own or in combination with medications. However, very few patients receive ERP or cognitive behavioral therapy. Digital-delivered psychotherapy can surmount many obstacles associated with conventional psychotherapy, but there are very few trials of videoconferencing (VC) delivered ERP for OCD, particularly from low-resource settings.<\/jats:p>\n                  <jats:p>AIM<\/jats:p>\n                  <jats:p>To examine the VC-delivered ERP\u2019s feasibility, acceptability, efficacy, and long-term outcomes and compare its efficacy with inpatient ERP.<\/jats:p>\n                  <jats:p>METHODS<\/jats:p>\n                  <jats:p>This study compared VC ERP\u2019s pre- and post-intervention efficacy (n  = 20) with a matched group of patients who had undergone inpatient ERP (n  = 17). The Yale-Brown Obsessive-Compulsive Scale (YBOCS) scores rated the efficacy of ERP. The feasibility outcomes for VC-delivered ERP included the operational capacity, treatment utilization, treatment engagement, use of other services, and adverse events. Treatment satisfaction and preferences among users determined acceptability. Long-term follow-up determined whether patients were in remission based on the YBOCS scores and other criteria.<\/jats:p>\n                  <jats:p>RESULTS<\/jats:p>\n                  <jats:p>The sample had 97 patients with OCD. The patients had severe (YBOCS score 27) and chronic (6 years) OCD with psychiatric comorbidity (51%). The refusal rate for VC-ERP was 11%, and the dropout rate was 19%. VC-ERP failed in 29% with treatment-resistant OCD. The 20 patients who completed VC-ERP had 85% reductions in the YBOCS scores and recovered completely. The two groups did not differ in the change in YBOCS scores with the treatment. Gains from VC-ERP persisted for more than 2 years. The VC platform could deliver ERP despite the fluctuating network connectivity and variable patient motivation. The VC treatment improved access to ERP for many more patients. Users found VC-ERP acceptable and appreciated its advantages over inpatient ERP.<\/jats:p>\n                  <jats:p>CONCLUSION<\/jats:p>\n                  <jats:p>Despite its methodological limitations, this study suggests that VC-delivered ERP is feasible, acceptable, and as efficacious as in-person ERP for OCD in the resource-constrained settings of low- and middle-income countries.<\/jats:p>","DOI":"10.5498\/wjp.v16.i2.111577","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:46:39Z","timestamp":1769687199000},"source":"Crossref","is-referenced-by-count":0,"title":["Videoconferencing-delivered psychotherapy for obsessive-compulsive disorder in low-resource settings: A pilot study from India"],"prefix":"10.5498","volume":"16","author":[{"given":"Subho","family":"Chakrabarti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjana","family":"Kathiravan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Sarah N","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2022.152357"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.11.007"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X1400021X"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.10.001"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2017.09.002"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.04.005"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.07.009"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020907941"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.733773"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2013.01.003"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2015.12.007"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2015.1005660"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2017.06.003"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03272-5"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2011.650655"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.2196\/11643"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-1166-6"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1111\/ap.12122"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101944"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2594"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.2196\/31293"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12332"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2003.12.004"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1590\/s1516-44462008000300003"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.69233"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych-2021-100632"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.196976"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1159\/000070785"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2017.01.04"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.4103\/ijsp.ijsp_97_17"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1177\/0706743720927830"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.207329"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(17)30096-2"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9602821"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30256-X"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.556720"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00025-0"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1177\/2043808718820683"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2016.13.4.373"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2022.100515"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.2196\/41283"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v13.i2.60"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_1644_21"},{"key":"B44","doi-asserted-by":"crossref","unstructured":"Kirk J.   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