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My latest publication is the study protocol for our randomised controlled non-inferiority trial comparing internet-delivered cognitive behavioural therapy (ICBT) with face-to-face CBT for adults with obsessive compulsive disorder (OCD). We describe how we will do the first direct comparison between ICBT and face-to-face CBT for OCD, something that has not been done before. One improvement from previous trials is that we include both self-referred patients and clinically-referred patients, making sure that we have a “real world” sample of participants.

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Obsessions and compulsions are the hallmarks of obsessive-compulsive disorder (OCD). In the dominating cognitive model, compulsions are voluntary actions performed to reduce the likelihood that an unwanted, or feared, consequence will take place. Neuroscientists are now challenging this view with a competing explanation where obsessions arise from compulsions, not the other way around. Efficient habits and flexible goals What are the forces driving our behaviour? Habits and goal-directed behaviour compete for control over how you behave.

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Academic work involves a ton of writing, so I figured that an investment in the writing process should be worthwhile. I’ve just finished an online course called Writing in the Sciences with Kristin Sainani of Stanford, which had solid advice for all stages of writing. I highly recommend the course to anyone that wants to learn about academic writing or needs a reminder of good writing habits. Here I’ll summarise the writing process.

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Selected Publications

Introduction: Expert guidelines recommend cognitive-behavioural therapy (CBT) as a first-line treatment for obsessive-compulsive disorder (OCD), but the majority of patients with OCD do not have access to CBT. Internet-delivered CBT (ICBT) has the potential to make this evidence-based treatment more accessible while requiring less therapist time than traditional face-to-face (f2f) CBT. Data from six clinical trials suggest that ICBT for OCD is both efficacious and cost-effective, but whether ICBT is non-inferior to traditional f2f CBT for OCD is yet unknown. Methods and analysis: A single-blind, randomised, controlled, non-inferiority trial comparing therapist-guided ICBT, unguided ICBT and individual (f2f) CBT for adult OCD patients. The primary objective is to investigate whether ICBT is non-inferior to gold standard f2f CBT. Secondary objectives are to investigate if ICBT is equally effective when delivered unguided, to establish the cost-effectiveness of ICBT and to investigate if the treatment outcome differs between self-referred and clinically referred patients. Participants will be recruited at two specialist OCD clinics in Stockholm and also through online self-referral. Participants will be randomised to one of three treatment conditions: F2f CBT, ICBT with therapist support or unguided ICBT. The total number of participants will be 120, and masked assessments will be administered at baseline, biweekly during treatment, at post-treatment and at 3-month and 12-month follow-ups. The main outcome measure is the clinician-rated Yale-Brown Obsessive Compulsive Scale (Y-BOCS) at 3-month follow-up. The margin of non-inferiority is set to 3 points on the Y-BOCS using a 90% CI.
In BMJ Open, 2018.

Recent Publications

. Study protocol for a single-blind, randomised controlled, non-inferiority trial of internet-based versus face-to-face cognitive behaviour therapy for obsessive-compulsive disorder. In BMJ Open, 2018.

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. Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial. In Eur. Child. Adolesc. Psychiatry, 2018.

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. Enhancing group cognitive-behavioral therapy for hoarding disorder with between-session Internet-based clinician support: A feasibility study. In J. Clin. Psychol., 2018.

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. Social Skills Training for Children and Adolescents With Autism Spectrum Disorder: A Randomized Controlled Trial. In JAACAP, 2017.

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. Other People as Means to a Safe End: Vicarious Extinction Blocks the Return of Learned Fear. In Psychological Science., 2013.

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