Efficacy Of Internet-Based Cognitive Behavioral Therapy For Adults With Obsessive-Compulsive Disorder : A Systematic Review And Meta-Analysis Of Randomized Controlled Trials
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Introduction: The COVID-19 pandemic has brought tremendous impact to mental health management in patients with obsessive compulsive disorder (OCD). Internet-based cognitive behavior therapy (I-CBT) has been demonstrated to be efficacious on alleviating symptoms among adult patients with OCD.
Purpose of study: This systematic review and meta-analysis aims to evaluate the efficacy of Internet-Based Cognitive Behavioral Therapy for adult OCD patient.
Methods: This review selects randomized controlled trials found in multiple databases searching for studies implementing I-CBT for OCD up to September 7th, 2021 using determined inclusion criteria, such as OCD patient with study population only adults age population, assess obsessive compulsive score and assess depression, and exclusion criteria such as unsuitable study design, studies with incomplete outcome data, and studies in languages other than English. This review was arranged based on PRISMA guideline.
Results and Discussion: Our review includes 6 RCTs with a total of 590 participants. Quantitative analysis of mean differences was performed using Review Manager 5.4 in continuous, random-effects model. I-CBT demonstrates promising efficacy in reducing adverse psychosocial conditions in OCD patients including obsessive compulsive symptoms (pooled MD: -4.49 [95%CI: -6.78 – (-2.19)]; p=0.0001) and depression (pooled MD: -1.97 [95%CI: -3.61-(-0.34)]; p=0.02).
Conclusion: I-CBT presents a promising solution for alleviating symptoms in OCD patients.
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