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Home self-assessment of obsessive-compulsive disorder

Use of a manual and a computer-conducted telephone interview: two UK-US studies

Published online by Cambridge University Press:  03 January 2018

Isaac M. Marks ,
Lee Baer ,
John H. Greist ,
Je-Min Park ,
Martin Bachofen ,
Akiko Nakagawa ,
Keith W. Wenzel ,
J. Richard Parkin ,
Peter S. Manzo  and
Susan L. Dottl
...Show all authors
Isaac M. Marks*
Affiliation:
Institute of Psychiatry, London
Lee Baer
Affiliation:
Massachusetts General Hospital
John H. Greist
Affiliation:
Dean Foundation for Health, Research and Education, Middleton, WI
Je-Min Park
Affiliation:
Institute of Psychiatry, London
Martin Bachofen
Affiliation:
Institute of Psychiatry, London
Akiko Nakagawa
Affiliation:
Institute of Psychiatry, London
Keith W. Wenzel
Affiliation:
Dean Foundation for Health, Research and Education, Middleton, WI
J. Richard Parkin
Affiliation:
Institute of Psychiatry, London
Peter S. Manzo
Affiliation:
Massachusetts General Hospital
Susan L. Dottl
Affiliation:
Dean Foundation for Health, Research and Education, Middleton, WI
Julia M. Mantle
Affiliation:
Dean Foundation for Health, Research and Education, Middleton, WI
*
Professor Isaac Marks, Institute of Psychiatry, London SE5 8AF. Tel: 0171-919-3365. Fax: 0171-740-5244. E-mail: [email protected]
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Abstract

Background

Two studies tested whether subjects with obsessive-compulsive disorder could successfully use BT STEPS, a computer-aided system, to perform self-assessment for self-treatment of obsessive-compulsive disorder by exposure and ritual prevention.

Method

Subjects were given a self-guiding manual and could use a touch-tone telephone to access computer-controlled Interactive Voice Response interviews at their convenience from home. Using the BT STEPS system, patients rated themselves and worked out a plan for individually tailored self-exposure therapy.

Results

Outcomes were similar in the two studies. Of the 63 subjects who used BT STEPS, 84% completed the self-assessment module. Most calls were made outside usual office hours. As expected, subjects did not improve merely by completing self-assessment. However, completion of self-assessment predicted later improvement with self-exposure therapy.

Conclusions

Most subjects successfully completed self-assessment using BT STEPS from their homes.

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 5 , May 1998 , pp. 406 - 412
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

BT STEPS is atrademarkof Pfizer, Inc. I.M.M., L.B. and J.H.G. have a financial interest in BT STEPS.

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