Real-Time-Monitoring in der Behandlung von Zwangsstörungen: Technologie und Fallbeispiel

Background: New methods of internet-based real-time monitoring of
psychotherapy processes allow for the documentation, analysis, and
data-driven control of behaviour therapy. Daily ratings of the
patient result in highly resolved time series of the change
dynamics. Method and Patient: The Synergetic Navigation System was
used in the treatment setting of a day hospital. This method is
specialized in the representation of critical instabilities and
pattern transitions of the process. The patient of this case report
had the combined diagnosis of obsessive-compulsive disorder and
depressive episodes. Result: Quantitative time-series and
qualitative data from the internet-assisted diaries mirror
important features of the change process. Conclusion: The method
could help optimise treatment effects of behavioural interventions
by using the feedback on necessary conditions, appropriate timing,
and short-term effects of these interventions. Patients' motivation
for change can be enhanced and the navigation system realises the
continuous documentation of treatment processes and effects.