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Treatment Barriers and Modality Preferences Among Individuals With Obsessive‐Compulsive and Related Disorders.

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Title: Treatment Barriers and Modality Preferences Among Individuals With Obsessive‐Compulsive and Related Disorders.
Authors: Milgram, Lauren (AUTHOR), Toranzo, Teresa (AUTHOR), Mathews, Rachel E. (AUTHOR), Lewin, Adam B. (AUTHOR)
Source: Journal of Clinical Psychology. Nov2025, Vol. 81 Issue 11, p1155-1165. 11p.
Subjects: Obsessive-compulsive disorder, Telemedicine, Child patients, Health services accessibility, Mental health services, Therapeutics
Abstract: Objectives: Facing numerous barriers to care, most individuals experiencing symptoms of obsessive‐compulsive and related disorders do not receive evidence‐based treatment. While much existing literature has identified barriers to mental health treatment broadly, little empirical work has assessed barriers specifically within a sample of individuals with obsessive‐compulsive and related disorders, whose identified barriers and treatment preferences may differ from other clinical samples. In particular, this information is lacking for pediatric samples. Methods: The current study examined treatment barriers and modality preferences among individuals (N = 216; 48 adults and 168 parents of youth) receiving telehealth‐based treatment for obsessive‐compulsive and related disorders. Results: Participants endorsed an array of barriers to treatment, including barriers to both in‐person and telehealth treatment modalities. Time and distance to in‐person treatment were the most influential barriers associated with a preference for telehealth treatment, while difficulty building rapport with the clinician via telehealth and telehealth feeling impersonal were the most influential barriers associated with a preference for in‐person treatment. Participants who indicated that clinician expertise was important in their decision‐making were more likely to prefer in‐person treatment, while participants who indicated that cost of treatment was important in their decision‐making were more likely to prefer telehealth treatment. Conclusion: Findings can inform future efforts to increase the accessibility and uptake of evidence‐based interventions for obsessive‐compulsive and related disorders. [ABSTRACT FROM AUTHOR]
Copyright of 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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  Label: Title
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  Data: Treatment Barriers and Modality Preferences Among Individuals With Obsessive‐Compulsive and Related Disorders.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Milgram%2C+Lauren%22">Milgram, Lauren</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Toranzo%2C+Teresa%22">Toranzo, Teresa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mathews%2C+Rachel+E%2E%22">Mathews, Rachel E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewin%2C+Adam+B%2E%22">Lewin, Adam B.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Nov2025, Vol. 81 Issue 11, p1155-1165. 11p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Child+patients%22">Child patients</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Facing numerous barriers to care, most individuals experiencing symptoms of obsessive‐compulsive and related disorders do not receive evidence‐based treatment. While much existing literature has identified barriers to mental health treatment broadly, little empirical work has assessed barriers specifically within a sample of individuals with obsessive‐compulsive and related disorders, whose identified barriers and treatment preferences may differ from other clinical samples. In particular, this information is lacking for pediatric samples. Methods: The current study examined treatment barriers and modality preferences among individuals (N = 216; 48 adults and 168 parents of youth) receiving telehealth‐based treatment for obsessive‐compulsive and related disorders. Results: Participants endorsed an array of barriers to treatment, including barriers to both in‐person and telehealth treatment modalities. Time and distance to in‐person treatment were the most influential barriers associated with a preference for telehealth treatment, while difficulty building rapport with the clinician via telehealth and telehealth feeling impersonal were the most influential barriers associated with a preference for in‐person treatment. Participants who indicated that clinician expertise was important in their decision‐making were more likely to prefer in‐person treatment, while participants who indicated that cost of treatment was important in their decision‐making were more likely to prefer telehealth treatment. Conclusion: Findings can inform future efforts to increase the accessibility and uptake of evidence‐based interventions for obsessive‐compulsive and related disorders. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of 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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=188493003
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        Value: 10.1002/jclp.70025
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        Text: English
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              Text: Nov2025
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