Dr. Wootton is a Clinical Psychologist and Senior Lecturer in Clinical Psychology in the Graduate School of Health at UTS. Clinically Dr Wootton focuses on the treatment of anxiety disorders and obsessive-compulsive and related disorders. Dr Wootton's research primarily focuses on improving the assessment and identification of these conditions, as well as the development and evaluation of remote psychological treatments for these conditions, with the goal of improving access to evidence-based treatment for individuals with anxiety and obsessive-compulsive spectrum conditions.
Professional Registration and Memberships
- Registered Psychologist with the Australian Health Practitioner Regulation Agency (AHPRA).
- Psychology Board of Australia (PBA) Approved Supervisor for higher degree and 5+1 pathways
- Member, American Psychological Association (APA), Division 12
- Member, Association for Behavioral and Cognitive Therapies (ABCT)
- Member, Australian Association for Cognitive and Behavioural Therapies (AACBT)
- Member, Australian Clinical Psychology Association (ACPA)
- Associate Editor, Clinical Psychologist
Can supervise: YES
- 96043 - Introduction to Clinical Practice Skills
- 96048 - Adult Clinical Psychology 2
Tolin, D, Wootton, B, Worden, B & Gilliam, C 2017, CBT for Hoarding Disorder: A Group Therapy Program Workbook.
Carey, EA, del Pozo de Bolger, A & Wootton, BM 2019, 'Psychometric properties of the Hoarding Disorder-Dimensional Scale', Journal of Obsessive-Compulsive and Related Disorders, vol. 21, pp. 91-96.View/Download from: UTS OPUS or Publisher's site
© 2019 Elsevier Inc. The Hoarding Disorder-Dimensional Scale (HD-D) is a new measure of hoarding symptom severity developed by the Diagnostic and Statistical Manual (5th Edition) Obsessive-Compulsive Spectrum Disorders Sub-workgroup. The aim of the current study was to assess the psychometric properties of this measure in a large, community sample. Five hundred and seventeen participants completed the study. The results indicated that the HD-D consists of a single factor accounting for 66% of the variance. The measure demonstrated high internal consistency (α = 0.87–0.88) and test-retest reliability (r = 0.84). The HD-D also demonstrated good convergent and divergent validity in this sample. There appeared to be good convergence between internet and paper and pencil formats of the HD-D (r = 0.88). Overall, the results indicate that the HD-D demonstrates sound psychometric properties in a community sample.
Stevens, MC, Levy, HC, Hallion, LS, Wootton, BM & Tolin, DF 2019, 'Functional Neuroimaging Test of an Emerging Neurobiological Model of Hoarding Disorder.', Biological psychiatry. Cognitive neuroscience and neuroimaging.View/Download from: Publisher's site
BACKGROUND:Over the past decade, functional neuroimaging studies have found abnormal brain function in several cortical systems when patients with compulsive hoarding behaviors make decisions about personal possessions. The purpose of this study was to use functional magnetic resonance imaging to test a neurobiological model of hoarding disorder (HD) that has begun to emerge from these small studies by confirming HD-related brain dysfunction in previously implicated brain regions in the largest sample of HD patients examined to date. METHODS:We compared 79 adults diagnosed with DSM-5 HD with 44 non-HD control participants using a functional magnetic resonance imaging task of decision making to acquire or discard material possessions and on a control task involving semantic processing. RESULTS:HD brain activation profiles prominently featured insular and anterior cingulate cortex overengagement during possession-related choices that were not seen in non-HD brain activation profiles and also correlated with hoarders' clutter and difficulty discarding. Although HD patients overengaged the insula when deciding to discard, relative to when performing the non-decision making task contrast, the HD insula also was generally blunted. CONCLUSIONS:This study links the defining behavioral symptoms of HD to localized brain dysfunction within cingulo-opercular brain systems and firmly establishes the context-dependent importance of this network dysfunction in HD. The relevance of dysfunction in these brain regions is highlighted by a failure to replicate HD-related abnormalities in other brain regions implicated in prior HD functional magnetic resonance imaging studies. This study also raises the novel possibility that HD may involve abnormality in the inferior frontal cortex engaged for executive control over semantic processing.
Tolin, DF, Das, A, Hallion, LS, Levy, HC, Wootton, BM & Stevens, MC 2019, 'Quality of life in patients with hoarding disorder', Journal of Obsessive-Compulsive and Related Disorders, vol. 21, pp. 55-59.View/Download from: UTS OPUS or Publisher's site
© 2018 Elsevier Inc. The aim of this study was to investigate health-related quality of life (QoL) in patients with hoarding disorder (HD). Fifty-four patients with a primary diagnosis of HD, and 24 age- and sex-matched healthy control (HC) participants, completed a battery of questionnaires including the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), Saving Inventory-Revised, and Depression, Anxiety, Stress Scales. Compared to HC participants, those with HD reported poorer health-related QoL across all domains of the SF-36. When controlling for comorbid affective symptoms, HD participants scored lower than did HC participants in the QoL domains of social functioning, emotional well-being, role limitations due to emotional problems, vitality, and general health. HD symptom severity predicted, beyond the effects of affective symptoms, lower QoL in social functioning, emotional well-being, role limitations due to emotional problems, vitality, and general health.
Tolin, DF, Wootton, BM, Levy, HC, Hallion, LS, Worden, BL, Diefenbach, GJ, Jaccard, J & Stevens, MC 2019, 'Efficacy and mediators of a group cognitive-behavioral therapy for hoarding disorder: A randomized trial.', Journal of consulting and clinical psychology, vol. 87, no. 7, pp. 590-602.View/Download from: UTS OPUS or Publisher's site
OBJECTIVE:Hoarding disorder (HD) is a common and potentially debilitating psychiatric disorder. Thus far, psychological treatments have yielded modest effects and/or were time-consuming and costly to deliver. The aim of the present study was to test the efficacy of a brief group cognitive-behavioral therapy (CBT) for adults with HD and to test hypothesized mediators of treatment outcome. METHOD:Eighty-seven adults with a primary diagnosis of HD were randomized to either immediate CBT or wait list. CBT consisted of 16 weekly, 90-min group sessions that emphasized in-session practice of discarding and refraining from acquiring, decision-making and problem-solving training, emotional distress tolerance, motivational interviewing strategies, and contingency management. Participants were assessed at pretreatment, midtreatment, and posttreatment by an independent evaluator unaware of treatment condition. RESULTS:CBT was efficacious for the symptoms of HD compared with wait list. Saving-related cognitions, but not subjective cognitive impairment, partially mediated treatment outcomes. CONCLUSION:Brief Group CBT is an efficacious and feasible treatment for adults with HD, and is partially mediated by reductions in maladaptive beliefs about possessions. Superiority trials comparing CBT to active treatments, and additional research into mechanisms of treatment outcome, are warranted. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Wootton, BM, Karin, E, Titov, N & Dear, BF 2019, 'Self-guided internet-delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial.', Journal of anxiety disorders, vol. 66.View/Download from: UTS OPUS or Publisher's site
Internet-delivered cognitive behavior therapy (ICBT) for obsessive-compulsive disorder (OCD) has been demonstrated to be efficacious across multiple clinical trials. However, most of these interventions include clinician support, and many individuals with OCD prefer to manage their own symptoms. Self-guided ICBT overcomes this problem, but to date the efficacy of self-guided interventions has only been studied in uncontrolled trials. The present study aims to examine the efficacy and acceptability of ICBT for OCD symptoms when delivered in a self-guided format using a randomized controlled trial design. In the present study, 190 participants were randomized to either a self-guided ICBT condition or a waitlist control group. 140 participants completed the baseline assessment, initiated treatment, and were included in the analyses. The between-group effect size at post-treatment was large on the self-report version of the Yale-Brown Obsessive-Compulsive Scale (d = 1.05; 95% CI 0.89-1.21). Twenty-seven percent of the ICBT condition met conservative criteria for clinically significant change at post-treatment, which increased to thirty-eight percent at three-month follow-up. Participants rated the program as highly acceptable. The results indicate that self-guided ICBT may be a viable treatment option for some individuals with OCD symptoms.
Wootton, BM, Worden, BL, Norberg, MM, Grisham, JR & Steketee, G 2019, 'A clinician's quick guide to evidence-based approaches: Hoarding disorder', Clinical Psychologist, vol. 23, no. 1, pp. 85-87.View/Download from: UTS OPUS or Publisher's site
Cheyne, JE, del Pozo de Bolger, A & Wootton, BM 2018, 'Reliability and validity of the Trichotillomania Dimensional Scale (TTM-D)', Journal of Obsessive-Compulsive and Related Disorders, vol. 19, pp. 61-65.View/Download from: UTS OPUS or Publisher's site
© 2018 Elsevier Inc. Trichotillomania (TTM) is characterized by repetitive hair pulling resulting in hair loss. The Trichotillomania Dimensional Scale (TTM-D) is a newly developed DSM-5 scale that aims to assess the symptoms of TTM dimensionally. The aim of this current study was to examine the psychometric properties of the TTM-D in a sample of 483 participants. Principal Component Analysis indicated a single factor structure of the TTM-D. Internal consistency and test retest reliability was high (α = 0.89 and r = 0.91 respectively). The TTM-D demonstrated excellent convergent validity with the Massachusetts General Hospital Hair Pulling Scale (MGH-HPS; rs= 0.90) and divergent validity with the Depression Anxiety and Stress Scale (DASS-21; rs= 0.45). Further, the TTM-D demonstrated equivalence between online and pen-and-paper administrations (rs= 0.93). The findings suggest that the psychometric properties of TTM-D are sound and well supported within a community sample.
Dear, BF, Gandy, M, Karin, E, Fogliati, R, Fogliati, VJ, Staples, LG, Wootton, BM, Sharpe, L & Titov, N 2018, 'The Pain Course: 12- and 24-Month Outcomes From a Randomized Controlled Trial of an Internet-Delivered Pain Management Program Provided With Different Levels of Clinician Support.', The Journal of Pain, vol. 19, no. 12, pp. 1491-1503.View/Download from: UTS OPUS or Publisher's site
Little is known about the long-term outcomes of emerging Internet-delivered pain management programs. The current study reports the 12- and 24-month follow-up data from a randomized controlled trial (n = 490) of an Internet-delivered pain management program, the Pain Course. The initial results of the trial to the 3-month follow-up have been reported elsewhere. There were significant improvements in disability, depression, anxiety, and pain levels across 3 treatment groups receiving different levels of clinician support compared with a treatment as the usual control. No marked or significant differences were found between the treatment groups either after treatment or at the 3-month follow-up. The current study obtained long-term follow-up data from 78% and 79% of participants (n = 397) at the 12-month and 24-month follow-up marks, respectively. Clinically significant decreases (average percent reduction; Cohen's d effect sizes) were maintained at the 12- and 24-month follow-ups for disability (average reduction ≥27%; d ≥ .67), depression (average reduction ≥36%; d ≥ .80), anxiety (average reduction ≥38%; d ≥ .66), and average pain levels (average reduction ≥21%; d ≥ .67). No marked or consistent differences were found among the 3 treatment groups. These findings suggest that the outcomes of Internet-delivered programs may be maintained over the long term.This article presents the long-term outcome data of an established Internet-delivered pain management program for adults with chronic pain. The clinical improvements observed during the program were found to be maintained at the 12- and 24-month follow-up marks. This finding indicates that these programs can have lasting clinical effects.
Langley, EL, Wootton, BM & Grieve, R 2018, 'The Utility of the Health Belief Model Variables in Predicting Help-Seeking Intention for Anxiety Disorders', Australian Psychologist, vol. 53, no. 4, pp. 291-301.View/Download from: UTS OPUS or Publisher's site
© 2017 The Australian Psychological Society Objective: Anxiety disorders are common, and effective treatments exist, however, many people with anxiety disorders do not access these treatments due to numerous barriers. The current study aimed to examine treatment barriers that are specific to anxiety disorders and to examine the utility of the Health Belief Model (HBM) variables in predicting intention to seek psychological help in relation to anxiety disorders. Method: The study employed a cross-sectional design and participants were a convenience sample comprising first year psychology students and other individuals who were interested in participating. A total of 278 individuals voluntarily participated in the current study by completing a battery of online self-report measures. Of these participants, there was an 89% completion rate and 243 met inclusion criteria (81% female; Mean age 25.58, SD = 10.69). Results: The most commonly reported barriers in this population included 'I would not be able to afford treatment' (52%), followed by 'I think I can/should work out my own problems rather than talking to a psychologist' (49%). Regression analyses indicated that 51% of the variance in intention to seek psychological help can be accounted for by the HBM variables. Perceived treatment benefits were the strongest predictor of help-seeking intention. Conclusions: The study highlights that individuals must interpret psychological treatment as potentially helpful in order to seek help for anxiety disorders. In order to improve help-seeking for anxiety disorders it is essential that professional bodies use targeted marketing strategies to increase the perceived helpfulness of seeing a mental health professional.
Maguire, PN, Clark, GI & Wootton, BM 2018, 'The efficacy of cognitive behavior therapy for the treatment of perinatal anxiety symptoms: A preliminary meta-analysis', Journal of Anxiety Disorders, vol. 60, pp. 26-34.View/Download from: UTS OPUS or Publisher's site
© 2018 Elsevier Ltd Cognitive-behavior therapy (CBT) is considered the psychological treatment of choice for anxiety disorders in the general population. However the efficacy of CBT for anxiety that occurs during the perinatal period, defined as the period from conception to 12 months post birth, is less understood. Perinatal anxiety is a complex and multifaceted problem that can affect both the pregnant women and the unborn child, as well as the wider family unit. The aim of this study was to synthesize the current empirical status of CBT for perinatal anxiety using a meta-analytic approach. Relevant articles were identified through a search of electronic databases through to June 2018. The search terms used include 'anxiety' or 'phobia' AND 'perinatal' or 'pregnan* or 'postnatal' or 'postpartum' AND 'CBT' or 'cognitive behav* therapy'. Randomized and non-randomized studies were included within the meta-analysis. A total of 13 studies met the inclusion criteria and were included in the meta-analysis. The pooled between-group mean effect size was small at post treatment (k = 7; d = 0.49; 95% CI: 0.08–0.91) favoring the CBT treatments (Q1 = 30.13, p <.001). Heterogeneity was high (I2 = 80.09). The pooled within-group mean effect size was large across the treatment groups from pre-treatment to post-treatment when combining all of the studies (i.e., controlled and uncontrolled studies; k = 14; d = 0.90; 95% CI: 0.63–1.17). Heterogeneity was high (I2 = 88.55). Some preliminary and exploratory moderator analyses were also conducted to inform potential future research in this field.
Tolin, D, Levy, H, Wootton, B, Hallion, L & Stevens, M 2018, 'Hoarding disorder and difficulties in emotion regulation', Journal of Obsessive-Compulsive and Related Disorders, vol. 16, no. January, pp. 98-103.View/Download from: UTS OPUS or Publisher's site
The present study aimed to examine self-reported deficits in emotion regulation (ER) among individuals with hoarding disorder (HD). Seventy-seven adult outpatients with HD and 45 age- and gender-matched healthy control (HC) participants received a diagnostic assessment and completed self-report measures of hoarding severity, depression, and anxiety. In addition, participants completed the Difficulties in Emotion Regulation Scale (DERS), which measures lack of emotional clarity (Clarity), difficulty regulating behavior when distressed (Impulse), difficulty engaging in goal-directed cognition and behavior when distressed (Goals), unwillingness to accept emotional responses (Accept), and lack of access to strategies for feeling better when distressed (Strategies). The HD group scored higher on all DERS subscales than did the HC group; self-reported ER deficits remained evident when controlling for baseline depression, anxiety, and stress. The DERS correlated significantly with hoarding severity in the HD group: acquiring was significantly correlated with DERS Impulse, Strategies, and Accept; saving was significantly correlated with DERS Accept. Correlations remained significant when controlling for depression, anxiety, and stress. Results suggest that HD is characterized by self-reported deficits in ER, and that this relationship is not solely attributable to high levels of depression and anxiety.
Tolin, DF, Gilliam, C, Wootton, BM, Bowe, W, Bragdon, LB, Davis, E, Hannan, SE, Steinman, SA, Worden, B & Hallion, LS 2018, 'Psychometric Properties of a Structured Diagnostic Interview for DSM-5 Anxiety, Mood, and Obsessive-Compulsive and Related Disorders', ASSESSMENT, vol. 25, no. 1, pp. 3-13.View/Download from: UTS OPUS or Publisher's site
Tolin, DF, Hallion, LS, Wootton, B, Levy, HC, Billingsley, AL, Das, A, Katz, BW & Stevens, MC 2018, 'Subjective cognitive function in hoarding disorder', Psychiatry Research, vol. 265.View/Download from: UTS OPUS or Publisher's site
Wootton, B, Steinman, SA, Czerniawski, A, Norris, K, Baptie, C, Diefenbach, G & Tolin, DF 2018, 'An evaluation of the efficacy of a transdiagnostic bibliotherapy program for anxiety disorders: Results from two benchmarking studies', Cognitive Therapy and Research, vol. 42, no. 5, pp. 565-580.View/Download from: UTS OPUS or Publisher's site
Anxiety and related disorders are common and cognitive behavior therapy (CBT) has been demonstrated to be an effective treatment for these disorders. However, patients face many barriers to accessing this treatment. Remote delivery of treatment using bibliotherapy-administered CBT (BCBT) has the potential to increase accessibility to evidence-based treatment for patients with anxiety and related disorders. This study investigated the effectiveness of a transdiagnostic BCBT intervention in two open trials. While the BCBT intervention in both studies were identical, the first study was unguided (i.e., no clinician support provided), and the second study was guided (i.e., patients were provided with brief clinician support via telephone). Twenty-three participants with mixed anxiety disorders completed the first Study (unguided treatment) and results exhibited significant reductions on the primary outcome measure with within-group effect sizes of d = 1.29 (95% CI 0.64–1.91) at post-treatment and d = 1.52 (95% CI 0.84–2.15) at 3-month follow up. Forty-one participants with various anxiety and related disorders completed Study 2 (guided intervention) and results were similar to Study 1 with large within-group effect sizes seen at post-treatment (d = 0.95; 95% CI 0.49–1.40) and 3-month follow up (d = 0.87; 95% CI 0.41–1.31). In both studies participants found the intervention to be highly acceptable, and benchmarking analyses indicated that the outcomes were largely consistent with those of controlled trials. These are the first studies to investigate the effectiveness of a transdiagnostic BCBT program for the treatment of anxiety and related disorders and the results demonstrate preliminary support for this treatment methodology.
Wootton, BM & MacGregor, A 2018, 'Accelerated outpatient individual cognitive-behaviour therapy for panic disorder: A case study', CLINICAL PSYCHOLOGIST, vol. 22, no. 1, pp. 92-98.View/Download from: Publisher's site
Wootton, BM, Hunn, A, Moody, A, Lusk, BR, Ranson, VA & Felmingham, KL 2018, 'Accelerated Outpatient Individual Cognitive Behavioural Therapy for Social Anxiety Disorder: A Preliminary Pilot Study', BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY, vol. 46, no. 6, pp. 690-705.View/Download from: Publisher's site
Moshier, SJ, Wootton, BM, Bragdon, LB, Tolin, DF, Davis, E, DiMauro, J & Diefenbach, GJ 2016, 'The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder', JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, vol. 9, pp. 9-15.View/Download from: Publisher's site
Titov, N, Fogliati, VJ, Staples, LG, Gandy, M, Johnston, L, Wootton, B, Nielssen, O & Dear, BF 2016, 'Treating anxiety and depression in older adults: Randomised controlled trial comparing guided V. Self-guided internet-delivered cognitive-behavioural therapy', BJPsych Open, vol. 2, no. 1, pp. 50-58.View/Download from: UTS OPUS or Publisher's site
© 2016 The Royal College of Psychiatrists. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence. Background Symptoms of anxiety and depression are prevalent in older adults. Aims To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above. Method Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140). Results Large reductions (d ≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical outcomes or satisfaction ratings. Age did not affect outcomes. Conclusions Carefully developed iCBT interventions may significantly reduce symptoms of anxiety and depression in older adults when delivered in either clinician-guided or self-guided formats.
Dear, BF, Gandy, M, Karin, E, Staples, LG, Johnston, L, Fogliati, VJ, Wootton, BM, Terides, MD, Kayrouz, R, Perry, KN, Sharpe, L, Nicholas, MK & Titov, N 2015, 'The Pain Course: a randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support', PAIN, vol. 156, no. 10, pp. 1920-1935.View/Download from: UTS OPUS or Publisher's site
Dear, BF, Staples, LG, Terides, MD, Karin, E, Zou, J, Johnston, L, Gandy, M, Fogliati, VJ, Wootton, BM, McEvoy, PM & Titov, N 2015, 'Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial', JOURNAL OF ANXIETY DISORDERS, vol. 36, pp. 63-77.View/Download from: Publisher's site
Diefenbach, GJ, Wootton, BM, Bragdon, LB, Moshier, SJ & Tolin, DF 2015, 'Treatment Outcome and Predictors of Internet Guided Self-Help for Obsessive-Compulsive Disorder', BEHAVIOR THERAPY, vol. 46, no. 6, pp. 764-774.View/Download from: Publisher's site
Mullin, A, Dear, BF, Karin, E, Wootton, BM, Staples, LG, Johnston, L, Gandy, M, Fogliati, V & Titov, N 2015, 'The UniWellbeing course: A randomised controlled trial of a transdiagnostic internet-delivered cognitive behavioural therapy (CBT) programme for university students with symptoms of anxiety and depression', Internet Interventions, vol. 2, no. 2, pp. 128-136.View/Download from: Publisher's site
© 2015. Anxiety and depression are prevalent among university students and many universities offer psychological services to assist students. Unfortunately, students can experience barriers that prevent access to these services and many university services experience difficulties meeting demand. The present pragmatic randomised controlled trial examined the preliminary efficacy and acceptability of a transdiagnostic and internet-delivered cognitive behavioural therapy (CBT) programme for university students seeking help with anxiety and depression. Participants were randomly allocated to either a treatment group (n= 30) or a waitlist-control group (n= 23). The treatment group received weekly contact with a therapist, via telephone or a secure messaging system, as well as automated emails that guided their progress through the programme. Significant reductions were found on standard measures of anxiety (Cohen's d= 0.66; 95% CI: 0.13 to 1.17) and depression (Cohen's d= 0.81; 95% CI: 0.27 to 1.32) among the treatment group participants, but no significant differences were found between the treatment and control groups at post-treatment. However, more pronounced reductions were found among treatment group participants with clinical level symptoms of anxiety (Cohen's d= 1.33; 95% CI: 0.62 to 1.99) and depression (Cohen's d= 1.59; 95% CI: 0.81 to 2.30), who reported significantly lower levels of symptoms than control group participants at post-treatment. These reductions were maintained at 3-month follow-up and participants rated the intervention as acceptable. The results provide preliminary support for the potential of iCBT for university students with anxiety and depression. However, larger scale implementation trials considering a broader range of outcomes are required. Trial registration: Australian and New Zealand Clinical Trials Registry: ACTRN12612000212853.
Titov, N, Dear, BF, Staples, LG, Terides, MD, Karin, E, Sheehan, J, Johnston, L, Gandy, M, Fogliati, VJ, Wootton, BM & McEvoy, PM 2015, 'Disorder-specific versus transdiagnostic and clinician-guided versus self-guided treatment for major depressive disorder and comorbid anxiety disorders: A randomized controlled trial', JOURNAL OF ANXIETY DISORDERS, vol. 35, pp. 88-102.View/Download from: Publisher's site
Wootton, B & Diefenbach, GJ 2015, 'Internet delivered treatment for obsessive compulsive disorder', Australian Clinical Psychologist.
Wootton, BM, Bragdon, LB, Steinman, SA & Tolin, DF 2015, 'Three-year outcomes of adults with anxiety and related disorders following cognitive-behavioral therapy in a non-research clinical setting', JOURNAL OF ANXIETY DISORDERS, vol. 31, pp. 28-31.View/Download from: Publisher's site
Wootton, BM, Dear, BF, Johnston, L, Terides, MD & Titov, N 2015, 'Self-guided internet-delivered cognitive behavior therapy (iCBT) for obsessive-compulsive disorder: 12 month follow-up', Internet Interventions, vol. 2, no. 3, pp. 243-247.View/Download from: Publisher's site
© 2015 . Internet-delivered cognitive behavior therapy (iCBT) may reduce barriers to treatment faced by people with obsessive-compulsive disorder (OCD). To date, most research on iCBT for OCD has evaluated clinician-guided treatments. However, self-guided treatments, which do not involve contact with a clinician, have considerable public health potential and may be particularly advantageous for those patients who report stigma as a principal barrier to treatment. The findings of a recent trial of self-guided iCBT for symptoms of OCD highlighted the potential of this approach and found large within-group effect sizes from pre- to post-treatment on the YBOCS-SR (d= 1.37), sustained at 3-month follow-up (d= 1.17). In addition, 32% of participants met criteria for clinically significant change at 3-month follow-up. The present study reports the long-term outcomes of that trial (N= 28). Twelve out of 28 participants (43%) completed the 12. month follow-up. A large within-group effect size was found on the YBOCS-SR (d= 1.08) and 33% met criteria for clinically significant change at 12-month follow-up. No significant changes in symptoms were found between 3-month follow-up and 12-month follow-up, demonstrating that participants maintained their treatment gains in the long term. These results add to the emerging literature supporting the potential of self-guided iCBT for individuals with symptoms of OCD.
Wootton, BM, Diefenbach, GJ, Bragdon, LB, Steketee, G, Frost, RO & Tolin, DF 2015, 'A Contemporary Psychometric Evaluation of the Obsessive Compulsive Inventory-Revised (OCI-R)', PSYCHOLOGICAL ASSESSMENT, vol. 27, no. 3, pp. 874-882.View/Download from: Publisher's site
Lu, SH, Dear, BF, Johnston, L, Wootton, BM & Titov, N 2014, 'An internet survey of emotional health, treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia', Counselling Psychology Quarterly, vol. 27, no. 1, pp. 96-108.View/Download from: Publisher's site
The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score = 23.96; SD = 9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population. © 2013 Taylor & Francis.
Titov, N, Dear, BF, Johnston, L, McEvoy, PM, Wootton, B, Terides, MD, Gandy, M, Fogliati, V, Kayrouz, R & Rapee, RM 2014, 'Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: A 12-Month Follow-Up of a Randomised Controlled Trial', PLOS ONE, vol. 9, no. 2.View/Download from: UTS OPUS or Publisher's site
Wootton, BM, Dear, BE, Johnston, L, Terides, MD & Titov, N 2014, 'Self-guided internet administered treatment for obsessive-compulsive disorder: Results from two open trials', JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, vol. 3, no. 2, pp. 102-108.View/Download from: Publisher's site
Vaccaro, LD, Jones, MK, Menzies, RG & Wootton, BM 2014, 'The treatment of obsessive-compulsive checking: A randomised trial comparing danger ideation reduction therapy with exposure and response prevention', CLINICAL PSYCHOLOGIST, vol. 18, no. 2, pp. 74-95.View/Download from: Publisher's site
Dear, BF, Titov, N, Perry, KN, Johnston, L, Wootton, BM, Terides, MD, Rapee, RM & Hudson, JL 2013, 'The Pain Course: A randomised controlled trial of a clinician-guided Internet-delivered cognitive behaviour therapy program for managing chronic pain and emotional well-being', PAIN, vol. 154, no. 6, pp. 942-950.View/Download from: Publisher's site
Spence, J, Titov, N, Johnston, L, Dear, BF, Wootton, B, Terides, M & Zou, J 2013, 'Internet-delivered eye movement desensitization and reprocessing (iEMDR): An open trial', F1000Research, vol. 2.View/Download from: UTS OPUS or Publisher's site
© 2013 Spence J et al. Recent research indicates internet-delivered cognitive behavioural therapy (iCBT) can reduce symptoms of post traumatic stress disorder (PTSD). This study examined the efficacy of an internet-delivered treatment protocol that combined iCBT and internet-delivered eye movement desensitization and reprocessing (iEMDR), in an uncontrolled trial. Eleven of the 15 participants completed post-treatment questionnaires. Large effect sizes were found from pre-treatment to 3-month follow-up ( d = 1.03 - 1.61) on clinician-assessed and self-reported measures of PTSD, anxiety and distress, with moderate effect sizes ( d = 0.59 - 0.70) found on measures of depression and disability. At post-treatment, 55% of the participants no longer met criteria for PTSD and this was sustained at follow-up. Symptom worsening occurred in 3 of 15 (20%) of the sample from pre- to post-treatment; however, these participants reported overall symptom improvement by follow-up. Future research directions for iEMDR are discussed.
Titov, N, Dear, BF, Johnston, L, Lorian, C, Zou, J, Wootton, B, Spence, J, McEvoy, PM & Rapee, RM 2013, 'Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: Randomised Controlled Trial', PLOS ONE, vol. 8, no. 7.View/Download from: UTS OPUS or Publisher's site
Wootton, BM, Dear, BF, Johnston, L, Terides, MD & Titov, N 2013, 'Remote treatment of obsessive-compulsive disorder: A randomized controlled trial', JOURNAL OF OBSESSIVE-COMPULSIVE AND RELATED DISORDERS, vol. 2, no. 4, pp. 375-384.View/Download from: Publisher's site
Jones, M, Wootton, B & Vaccaro, L 2012, 'The efficacy of danger ideation reduction therapy for an 86-year old man with a 63-year history of obsessive-compulsive disorder - A case study'.
Jones, MK, Wootton, BM & Vaccaro, LD 2012, 'The Efficacy of Exposure and Response Prevention for Geriatric Obsessive Compulsive Disorder: A Clinical Case Illustration', Case Reports in Psychiatry, vol. 2012, pp. 1-5.View/Download from: Publisher's site
Obsessive compulsive disorder (OCD) is one of the most frequently occurring psychiatric conditions in older adults. While exposure and response prevention (ERP) is considered the most effective psychological treatment for children and adults with OCD, research investigating its effectiveness for older adults is scarce. This clinical case study investigates the effectiveness of ERP in an 80-year-old man with a 65-year history of OCD. The client received 14 individual, 50-minute ERP treatment sessions. Clinician-based Y-BOCS scores reduced by 65% from 20 (moderate) at pretreatment to 7 (subclinical) at 7-month posttreatment followup. OCI-R total scores reduced by 45% from 38 at baseline to 21 at 7-month follow-up. Despite his long history of the disorder, ERP was effective and well tolerated. The application of ERP for older adults with OCD, including age-specific modifications that may be required for this treatment approach, is discussed.
Jones, MK, Wootton, BM, Vaccaro, LD & Menzies, RG 2012, 'The impact of climate change on obsessive compulsive checking concerns', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, vol. 46, no. 3, pp. 265-270.View/Download from: Publisher's site
Spence, J, Titov, N, Dear, BF, Johnston, L, Solley, K, Lorian, C, Wootton, B, Zou, J & Schwenke, G 2011, 'Randomized controlled trial of Internet-delivered cognitive behavioral therapy for posttraumatic stress disorder', DEPRESSION AND ANXIETY, vol. 28, no. 7, pp. 541-550.View/Download from: Publisher's site
Spence, J, Titov, N, Solley, K, Dear, BF, Johnston, L, Wootton, B, Kemp, A, Andrews, G, Zou, J, Lorian, C & Choi, I 2011, 'Characteristics and Treatment Preferences of People with Symptoms of Posttraumatic Stress Disorder: An Internet Survey', PLOS ONE, vol. 6, no. 7.View/Download from: UTS OPUS or Publisher's site
Wootton, BM, Titov, N, Dear, BF, Spence, J & Kemp, A 2011, 'The Acceptability of Internet-Based Treatment and Characteristics of an Adult Sample with Obsessive Compulsive Disorder: An Internet Survey', PLOS ONE, vol. 6, no. 6.View/Download from: UTS OPUS or Publisher's site
Wootton, BM, Titov, N, Dear, BF, Spence, J, Andrews, G, Johnston, L & Solley, K 2011, 'An Internet administered treatment program for obsessive-compulsive disorder: A feasibility study', JOURNAL OF ANXIETY DISORDERS, vol. 25, no. 8, pp. 1102-1107.View/Download from: Publisher's site
Vaccaro, LD, Jones, MK, Menzies, RG & Wootton, BM 2010, 'Danger ideation reduction therapy for obsessive-compulsive checking: Preliminary findings', Cognitive Behaviour Therapy, vol. 39, no. 4, pp. 293-301.View/Download from: Publisher's site
Danger Ideation Reduction Therapy (DIRT) is a cognitive treatment package developed in the mid-1990s to treat obsessive-compulsive (OC) washing. DIRT is solely directed at decreasing threat expectancies and does not involve direct or indirect exposure. The effectiveness of the DIRT package for OC washers has been examined, and to date a number of publications, including two randomised controlled trials, support its efficacy. Recently, the DIRT package was modified to treat people with the OC checking subtype. In the current study, three adult OC checkers received DIRT in 12 to 14 individual 1-hr sessions conducted by a clinical psychologist. At posttreatment, substantial and clinically significant reductions in scores on a range of standardized outcome measures of obsessive-compulsive disorder symptom severity were apparent for all three participants. Crucially, these improvements were maintained at 4-month follow-up. Although further research is clearly warranted, these preliminary findings suggest that DIRT for checkers may prove as effective as DIRT for OC washers. © 2010 Taylor & Francis.
Key features include: 1,400 signed articles contained in 7 volumes and available in choice of print and/or electronic formats although organized A-to-Z, front matter includes a Reader's Guide grouping related entries thematically back ...
Steinman, SA, Wootton, B & Tolin, DF 2016, 'Exposure therapy for anxiety disorders' in Friedman, H (ed), Encyclopedia of Mental Health.
Wootton, B & Tolin, DF 2016, 'Obsessive-compulsive disorder' in Friedman, H (ed), Encyclopedia of Mental Health.
Wootton, B, Andersson, E & Ruck, C 2016, 'Internet delivered cognitive behavior therapy (ICBT) for Obsessive Compulsive Disorder' in Guided Internet-Based Treatments in Psychiatry, Springer.
This book provides a practically oriented overview of internet-based treatments in psychiatry and mental health care, which represent a relatively new research area and offer a novel clinical approach.