Acceptance and commitment therapy associated with exposure and response prevention for obsessive-compulsive disorder: An online group protocol adapted for the Brazilian context

Abstract

Acceptance and commitment therapy (ACT) combined with exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). Due to the influence of sociocultural factors on OCD symptomatology, it is crucial to customize and assess ACT within diverse cultural settings. We present an online group protocol for ACT-ERP, tailored for Brazilian adults with OCD, based on a prior pilot study and the work of Twohig and colleagues. The protocol adaptations for online use in a group format included technical arrangements, adjusted session frequency, and cultural adaptations with appropriate translations. These modifications addressed cultural analogies and socioeconomic challenges, enhancing accessibility and relevance for Brazilians. Adapting this intervention to the Brazilian context aims to optimize OCD treatment, offering a culturally sensitive approach for Brazilian patients.

Keywords: Brazil; acceptance and commitment therapy; exposure; obsessive-compulsive disorder; online group protocol.