Multicomponent cognitive-behavioral therapy for intermittent explosive disorder by videoconferencing: a case study

  • Jorge Osma Universidad de Zaragoza
  • Elena Crespo Universitat Jaume I CREOS, centro de psicoterapia y formación
  • Cristian Castellano Universitat Jaume I
Keywords: Videoconference therapy, cognitive-behavioral therapy, intermittent explosive disorder, emotional regulation, NEO-PI-R, Skype, case-study.


Cognitive-behavioral Therapy (CBT) for the treatment of Intermittent Explosive Disorder (IED) has proved to be effective, with moderate to large effect sizes both in individual and group interventions. Videoconferencing has been used effectively to treat different mental disorders but its use for IED patients is as yet unknown. The aim of this study is to provide preliminary evidence of the possibility of treating IED by videoconference. We present a case-study experiment of a Spanish male, aged 33 years, living and working in China. After the intervention, the patient’s aggressive episodes decreased dramatically, as well as his negative affect. In contrast, he showed an important increment in positive emotions and self-esteem. There were also positive changes in some personality dimensions and facets measured by NEO-PI-R, specifically in neuroticism, extraversion, and agreeableness. The benefits were maintained at 3-, 8- and 18-month follow-ups. These preliminary results reveal that CBT by videoconference oriented to increasing emotion regulation skills was effective when implemented in a case study of a person suffering from IED.


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Author Biographies

Jorge Osma, Universidad de Zaragoza

Profesor Ayudante Doctor

Departamento de Psicología y Sociología

Área de Personalidad, Evaluación y Tratamientos Psicológicos

Elena Crespo, Universitat Jaume I CREOS, centro de psicoterapia y formación

Profesora Asociada

Departamento de Psicología Básica, Clínica y Psicobiología


Cristian Castellano, Universitat Jaume I

Estudiante de doctorado

Departamento de Psicología y Sociología


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How to Cite
Osma, J., Crespo, E., & Castellano, C. (2016). Multicomponent cognitive-behavioral therapy for intermittent explosive disorder by videoconferencing: a case study. Anales De Psicología / Annals of Psychology, 32(2), 424-432.
Clinical and Health Psychology