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Fighting against self‐stigma in adults with self‐reported diagnosis of OCD: A single‐arm pilot study using a mobile app‐based intervention.

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Title: Fighting against self‐stigma in adults with self‐reported diagnosis of OCD: A single‐arm pilot study using a mobile app‐based intervention.
Authors: Arnáez, S., Roncero, M., López‐Santiago, J., del Valle, G., Cabedo, E., Bottesi, G., García‐Soriano, G.
Source: British Journal of Clinical Psychology. Sep2025, Vol. 64 Issue 3, p788-805. 18p.
Subjects: Self-evaluation, Health literacy, Mental health, Research funding, Pilot projects, Severity of illness index, Descriptive statistics, Obsessive-compulsive disorder, Longitudinal method, Social skills, Quality of life, Guilt (Psychology), Data analysis software, Social stigma, Self-perception, Psychosocial factors
Abstract: Background: Obsessive‐compulsive disorder (OCD) is a disabling disorder, and self‐stigma negatively impacts quality of life, symptom severity and self‐esteem. esTOCma is a smartphone‐based serious game developed to increase knowledge about OCD and reduce stigma. It features 10 missions using psychoeducation, indirect contact and cognitive restructuring. Players help 10 characters escape the OCD stigma monster. Aims: To explore, in individuals with a self‐reported diagnosis of OCD, the feasibility, acceptability and preliminary effectiveness of esTOCma to change self‐stigma and knowledge about OCD, OC severity, guilt, quality of life and self‐esteem. Materials and Methods: A single‐arm pilot study with 130 participants who completed esTOCma and pre‐, post‐ and 3‐month follow‐up assessments. Results: Half of participants spent 9–10‐days playing with the app and most of them found it useful/very useful and easy to use. Self‐stigma was associated with higher OC symptoms, guilt and lower quality of life, self‐esteem and knowledge about OCD. After using the app, participants showed lower levels of self‐stigma, OC symptoms and guilt, and higher levels of quality of life, self‐esteem and knowledge about OCD. Changes were maintained or increased at a 3‐month follow‐up. Discussion: esTOCma is a feasible and acceptable app that could help people with OCD to increase their knowledge and understanding of the disorder, dismiss self‐stigma and OC symptoms, and at the same time increase self‐esteem and quality of life. A replication of the study with a control sample is needed to validate our findings. Conclusion: Tools like the esTOCma app, accessible 24/7, offer a means to tackle self‐stigma detrimental effects. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Fighting against self‐stigma in adults with self‐reported diagnosis of OCD: A single‐arm pilot study using a mobile app‐based intervention.
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  Data: <searchLink fieldCode="AR" term="%22Arnáez%2C+S%2E%22">Arnáez, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Roncero%2C+M%2E%22">Roncero, M.</searchLink><br /><searchLink fieldCode="AR" term="%22López‐Santiago%2C+J%2E%22">López‐Santiago, J.</searchLink><br /><searchLink fieldCode="AR" term="%22del+Valle%2C+G%2E%22">del Valle, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Cabedo%2C+E%2E%22">Cabedo, E.</searchLink><br /><searchLink fieldCode="AR" term="%22Bottesi%2C+G%2E%22">Bottesi, G.</searchLink><br /><searchLink fieldCode="AR" term="%22García‐Soriano%2C+G%2E%22">García‐Soriano, G.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Clinical+Psychology%22">British Journal of Clinical Psychology</searchLink>. Sep2025, Vol. 64 Issue 3, p788-805. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Guilt+%28Psychology%29%22">Guilt (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Self-perception%22">Self-perception</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Obsessive‐compulsive disorder (OCD) is a disabling disorder, and self‐stigma negatively impacts quality of life, symptom severity and self‐esteem. esTOCma is a smartphone‐based serious game developed to increase knowledge about OCD and reduce stigma. It features 10 missions using psychoeducation, indirect contact and cognitive restructuring. Players help 10 characters escape the OCD stigma monster. Aims: To explore, in individuals with a self‐reported diagnosis of OCD, the feasibility, acceptability and preliminary effectiveness of esTOCma to change self‐stigma and knowledge about OCD, OC severity, guilt, quality of life and self‐esteem. Materials and Methods: A single‐arm pilot study with 130 participants who completed esTOCma and pre‐, post‐ and 3‐month follow‐up assessments. Results: Half of participants spent 9–10‐days playing with the app and most of them found it useful/very useful and easy to use. Self‐stigma was associated with higher OC symptoms, guilt and lower quality of life, self‐esteem and knowledge about OCD. After using the app, participants showed lower levels of self‐stigma, OC symptoms and guilt, and higher levels of quality of life, self‐esteem and knowledge about OCD. Changes were maintained or increased at a 3‐month follow‐up. Discussion: esTOCma is a feasible and acceptable app that could help people with OCD to increase their knowledge and understanding of the disorder, dismiss self‐stigma and OC symptoms, and at the same time increase self‐esteem and quality of life. A replication of the study with a control sample is needed to validate our findings. Conclusion: Tools like the esTOCma app, accessible 24/7, offer a means to tackle self‐stigma detrimental effects. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of British Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/bjc.12537
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      – Code: eng
        Text: English
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        PageCount: 18
        StartPage: 788
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Pilot projects
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Obsessive-compulsive disorder
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      – SubjectFull: Social skills
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      – SubjectFull: Guilt (Psychology)
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      – SubjectFull: Data analysis software
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      – SubjectFull: Social stigma
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      – TitleFull: Fighting against self‐stigma in adults with self‐reported diagnosis of OCD: A single‐arm pilot study using a mobile app‐based intervention.
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              Text: Sep2025
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              Y: 2025
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