The treatment of choice for obsessive–compulsive disorders is cognitive behavioral therapy, including exposure and response prevention (ERP). Therapist-supervised ERP is more effective than self-controlled ERP, and exposure should take place at the patient’s home. This standard might be achieved with ERPs at home via videoconference supervision from the therapist. The aim of this study was to (a) assess the usability and naturalness of videoconference exposure and (b) to compare it with face-to-face exposure at an inpatient clinic and exposure at home alone regarding therapeutic alliance, patients’ expectancies, and credibility of the treatment and an overall rating of the exposure session. Mean differences and effect sizes suggested a slight general advantage of videoconference-based ERP and the interaction with the therapist felt natural to the participants. The technical system was rated as medium usable, suggesting a need for better training.

中文翻译：

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基于电视会议的强迫症患者在家中基于电视会议的曝光和响应预防的可用性和自然性：一项初步研究

强迫症的选择治疗是认知行为疗法，包括暴露和预防反应（ERP）。由治疗师监督的ERP比自控ERP更有效，应在患者家中进行暴露。通过治疗师的视频会议监督，在家中使用ERP可以实现此标准。这项研究的目的是（a）评估电视会议曝光的可用性和自然性，以及（b）将其与住院诊所面对面的曝光以及仅就治疗联盟，患者的期望和在家进行的在家曝光进行比较。治疗的可信度和暴露时间的总体评分。平均差异和效果大小表明，基于视频会议的ERP具有一些总体优势，与参与者之间的理疗师互动非常自然。该技术系统被评为中等可用，表明需要更好的培训。