scholarly journals How New Technologies Can Improve Prediction, Assessment, and Intervention in Obsessive-Compulsive Disorder (e-OCD): Review

10.2196/11643 ◽  
2019 ◽  
Vol 6 (12) ◽  
pp. e11643 ◽  
Author(s):  
Florian Ferreri ◽  
Alexis Bourla ◽  
Charles-Siegfried Peretti ◽  
Tomoyuki Segawa ◽  
Nemat Jaafari ◽  
...  

Background New technologies are set to profoundly change the way we understand and manage psychiatric disorders, including obsessive-compulsive disorder (OCD). Developments in imaging and biomarkers, along with medical informatics, may well allow for better assessments and interventions in the future. Recent advances in the concept of digital phenotype, which involves using computerized measurement tools to capture the characteristics of a given psychiatric disorder, is one paradigmatic example. Objective The impact of new technologies on health professionals’ practice in OCD care remains to be determined. Recent developments could disrupt not just their clinical practices, but also their beliefs, ethics, and representations, even going so far as to question their professional culture. This study aimed to conduct an extensive review of new technologies in OCD. Methods We conducted the review by looking for titles in the PubMed database up to December 2017 that contained the following terms: [Obsessive] AND [Smartphone] OR [phone] OR [Internet] OR [Device] OR [Wearable] OR [Mobile] OR [Machine learning] OR [Artificial] OR [Biofeedback] OR [Neurofeedback] OR [Momentary] OR [Computerized] OR [Heart rate variability] OR [actigraphy] OR [actimetry] OR [digital] OR [virtual reality] OR [Tele] OR [video]. Results We analyzed 364 articles, of which 62 were included. Our review was divided into 3 parts: prediction, assessment (including diagnosis, screening, and monitoring), and intervention. Conclusions The review showed that the place of connected objects, machine learning, and remote monitoring has yet to be defined in OCD. Smartphone assessment apps and the Web Screening Questionnaire demonstrated good sensitivity and adequate specificity for detecting OCD symptoms when compared with a full-length structured clinical interview. The ecological momentary assessment procedure may also represent a worthy addition to the current suite of assessment tools. In the field of intervention, CBT supported by smartphone, internet, or computer may not be more effective than that delivered by a qualified practitioner, but it is easy to use, well accepted by patients, reproducible, and cost-effective. Finally, new technologies are enabling the development of new therapies, including biofeedback and virtual reality, which focus on the learning of coping skills. For them to be used, these tools must be properly explained and tailored to individual physician and patient profiles.

2018 ◽  
Author(s):  
Florian Ferreri ◽  
Alexis Bourla ◽  
Charles-Siegfried Peretti ◽  
Tomoyuki Segawa ◽  
Nemat Jaafari ◽  
...  

BACKGROUND New technologies are set to profoundly change the way we understand and manage psychiatric disorders, including obsessive-compulsive disorder (OCD). Developments in imaging and biomarkers, along with medical informatics, may well allow for better assessments and interventions in the future. Recent advances in the concept of digital phenotype, which involves using computerized measurement tools to capture the characteristics of a given psychiatric disorder, is one paradigmatic example. OBJECTIVE The impact of new technologies on health professionals’ practice in OCD care remains to be determined. Recent developments could disrupt not just their clinical practices, but also their beliefs, ethics, and representations, even going so far as to question their professional culture. This study aimed to conduct an extensive review of new technologies in OCD. METHODS We conducted the review by looking for titles in the PubMed database up to December 2017 that contained the following terms: [Obsessive] AND [Smartphone] OR [phone] OR [Internet] OR [Device] OR [Wearable] OR [Mobile] OR [Machine learning] OR [Artificial] OR [Biofeedback] OR [Neurofeedback] OR [Momentary] OR [Computerized] OR [Heart rate variability] OR [actigraphy] OR [actimetry] OR [digital] OR [virtual reality] OR [Tele] OR [video]. RESULTS We analyzed 364 articles, of which 62 were included. Our review was divided into 3 parts: prediction, assessment (including diagnosis, screening, and monitoring), and intervention. CONCLUSIONS The review showed that the place of connected objects, machine learning, and remote monitoring has yet to be defined in OCD. Smartphone assessment apps and the Web Screening Questionnaire demonstrated good sensitivity and adequate specificity for detecting OCD symptoms when compared with a full-length structured clinical interview. The ecological momentary assessment procedure may also represent a worthy addition to the current suite of assessment tools. In the field of intervention, CBT supported by smartphone, internet, or computer may not be more effective than that delivered by a qualified practitioner, but it is easy to use, well accepted by patients, reproducible, and cost-effective. Finally, new technologies are enabling the development of new therapies, including biofeedback and virtual reality, which focus on the learning of coping skills. For them to be used, these tools must be properly explained and tailored to individual physician and patient profiles.


Author(s):  
Μεταξία-Μαρία Δημητρίου Αργυροπούλου

Η ψηφιακή αφήγηση αποτελεί ένα σημαντικό εργαλείο προσωπικής έκφρασης μέσω της δημιουργίας και του διαμοιρασμού ιστοριών που αφορούν σε προσωπικές εμπειρίες και βιώματα ανθρώπων οι οποίες δυνητικά μπορούν να εξυπηρετήσουν διάφορους σκοπούς (Μελιάδου et al., 2013).Τα τελευταία χρόνια η ψηφιακή αφήγηση έχει αρχίσει να εφαρμόζεται στο χώρο της ψυχικής υγείας (De Vecchi et al., 2017; Cohen et al., 2015) δίνοντας στους πάσχοντες τη δυνατότητα να εκφραστούν ελεύθερα αναφορικά με την κατάσταση τους γεγονός που σύμφωνα με τους Gubrium et. al. (2014) την καθιστά ως ένα πολύτιμο εργαλείο στην υγειονομική περίθαλψη.Η παρούσα εισήγηση βασίζεται στην ομώνυμη διπλωματική εργασία που δημοσιεύτηκε τον Απρίλιο του 2019 από τη συγγραφέα υπό την επίβλεψη του κ. Μιχάλη Μεϊμάρη, Ομότιμου Καθηγητή Νέων Τεχνολογιών και Μ.Μ.Ε. στην Επικοινωνία και την Εκπαίδευση του Τμήματος Επικοινωνίας και Μέσων Μαζικής Ενημέρωσης του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών. Aφορούσε στη διεξαγωγή ενός σεμιναρίου σε πάσχοντες από Ιδεοψυχαναγκαστική Διαταραχή με σκοπό να διερευνηθεί η επίδραση της ψηφιακής αφήγησης σε αυτούς και να εξεταστεί το ενδεχόμενο της δυνητικής ενσωμάτωσης της στα πλαίσια της διαδικασίας της ψυχοθεραπείας. Ταυτοχρόνως, μέσω της παρουσίασης εργαλείων επεξεργασίας βίντεο για τις ανάγκες του σεμιναρίου, εξετάστηκε η βελτίωση του ψηφιακού γραμματισμού των συμμετεχόντων.Τα αποτελέσματα τα οποία προέκυψαν μετά το πέρας της ποιοτικής έρευνας η οποία διεξήχθη ήταν θετικά καθώς η όλη διαδικασία βοήθησε τόσο στην ανάπτυξη της ενσυναίσθησης μεταξύ των συμμετεχόντων μέσω της εξωτερίκευσης των συναισθημάτων τους όσο και στη βελτίωση του ψηφιακού γραμματισμού τους.Η ψηφιακή αφήγηση, με βάση τα συμπεράσματα που προέκυψαν από το σεμινάριο καθώς και από τις προτάσεις των συμμετεχόντων, θα μπορούσε ενδεχομένως να ενσωματωθεί στα πλαίσια ομαδικής ψυχοθεραπείας παίζοντας έναν βοηθητικό/συμπληρωματικό ρόλο σε αυτήν. Digital storytelling is a powerful means of expression due to the fact that it permits the creation and publication of people’s stories concerning personal experiences. As a result, it can potentially serve a variety of purposes (Meliadou et al. 2014).Recently, digital storytelling has begun to be implemented in the field of the mental health sector (De Vecchi et al., 2017; Cohen et al., 2015) enabling sufferers to express themselves freely regarding their condition which according to Gubrium et. al. (2014) makes it a valuable tool in healthcare.The present paper is based on the author's thesis, which was published in April 2019, under the supervision of Professor Emeritus of New Technologies in Media, Communication and Education of the Department of Communication and Media Studies of the National and Kapodistrian University of Athens, Michael Meimaris. It concerned the conduction of a seminar for people suffering from obsessive-compulsive disorder in order to explore the impact of digital storytelling on them as well as its potential integration in the process of psychotherapy. Furthermore, through the presentation of video editing tools during the seminar it was examined the development of their digital literacy.The results obtained after the completion of the qualitative research were positive as the whole process contributed to the externalisation of the particpant’s emotions and consequently to the development of empathy among them while their digital literacy has also been improved.Digital storytelling could potentially be integrated into group psychotherapy by playing an auxiliary / complementary role to it according to the results of the seminar as well as the suggestions of the participants.


2020 ◽  
Vol 20 (2) ◽  
pp. 101-120
Author(s):  
Ayça Aktaç Gürbüz ◽  
Orçun YORULMAZ ◽  
Gülşah DURNA

Scientific research into the reduction of stigmatization, particularly related to specific problems such as Obsessive-Compulsive Disorder (OCD), is scarce. In the present study, we examine the impact of a video-based antistigma intervention program for OCD in a pretest-posttest control group research. After being randomly assigned to either an intervention (n= 101) or control group (n= 96), the participants reported their attitudes on a hypothetical case vignette before and after OCD vs. Multiple Sclerosis (MS) videos, and again six months later as a follow up assessment. The mixed design analyses for the group comparisons indicated that although there was no significant difference in the measures of the control group, the participants watching the anti-stigma OCD video, in which the focus was psychoeducation and interaction strategies, reported significantly lower scores on social distances and negative beliefs for the case vignettes they read, and this difference was maintained six months later. Then, the present results indicate the effectiveness of our anti-stigma intervention program for OCD. Interventions to reduce stigmatization can also be viewed as effective tools for changing the attitudes of people toward OCD, although further research and applications are needed related to specific disorders if a longlasting impact is to be achieved.


2017 ◽  
Vol 7 (2) ◽  
pp. 7-25
Author(s):  
Karolina Diallo

Pupil with Obsessive-Compulsive Disorder. Over the past twenty years childhood OCD has received more attention than any other anxiety disorder that occurs in the childhood. The increasing interest and research in this area have led to increasing number of diagnoses of OCD in children and adolescents, which affects both specialists and teachers. Depending on the severity of symptoms OCD has a detrimental effect upon child's school performance, which can lead almost to the impossibility to concentrate on school and associated duties. This article is devoted to the obsessive-compulsive disorder and its specifics in children, focusing on the impact of this disorder on behaviour, experience and performance of the child in the school environment. It mentions how important is the role of the teacher in whose class the pupil with this diagnosis is and it points out that it is necessary to increase teachers' competence to identify children with OCD symptoms, to take the disease into the account, to adapt the course of teaching and to introduce such measures that could help children reduce the anxiety and maintain (or increase) the school performance within and in accordance with the school regulations and curriculum.


2021 ◽  
pp. 105413732110239
Author(s):  
G. Brewer ◽  
L. Centifanti ◽  
J. Castro Caicedo ◽  
G. Huxley ◽  
C. Peddie ◽  
...  

The psychological impact of the COVID-19 pandemic on coronavirus patients, health care workers, and the general population is clear. Relatively few studies have, however, considered the impact of the pandemic on those with pre-existing mental health conditions. Therefore, the present study investigates the personal experiences of those with anxiety, depression, and obsessive-compulsive disorder during COVID-19. We conducted a qualitative study utilising Reddit discussion forum posts. We conducted three separate thematic analyses from 130 posts in subreddit forums aimed for people identifying with anxiety, depression, and obsessive-compulsive disorder. We identified a number of similar discussion forum themes (e.g., COVID-19 intensifying symptoms and a lack of social support), as well as themes that were unique to each forum type (e.g., hyperawareness and positive experiences during the pandemic). Findings should guide future practice and the support provided to those living with mental distress.


2013 ◽  
Vol 229 (3) ◽  
pp. 443-449 ◽  
Author(s):  
Pietro Cipresso ◽  
Filippo La Paglia ◽  
Caterina La Cascia ◽  
Giuseppe Riva ◽  
Giovanni Albani ◽  
...  

2010 ◽  
Vol 27 (4) ◽  
pp. 365-371 ◽  
Author(s):  
Christopher A. Flessner ◽  
Amy Allgair ◽  
Abbe Garcia ◽  
Jennifer Freeman ◽  
Jeffrey Sapyta ◽  
...  

Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis

This chapter provides a practical guide to assessing obsessive-compulsive disorder (OCD) that is both informative to the inexperienced clinician and addresses questions raised by the experienced clinician. It will summarize the diagnostic criteria for OCD, including advice on making a differential diagnosis when presented with symptoms that are associated with other disorders; for example, differentiating OCD from psychosis, generalized anxiety disorder, or health anxiety. It will guide the reader through the process of conducting a thorough assessment of the patient’s presenting problems, including OCD and any comorbid problems. The chapter will offer guidance on how to engage the person with OCD and promote trust. There is clear guidance on risk assessment, differentiating between primary risk factors (which clinicians are typically very good at assessing), and secondary risk factors (which may easily be overlooked). Advice on structuring an assessment and on appropriate assessment tools is provided.


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