This was followed by a clinical part consisting of the scales described below. At the beginning of the Y-BOCS section, examples for obsessions and compulsions were given to prevent possible misunderstandings (eg, cognitive

compulsions such as counting are sometimes confused with obsessive thoughts). Items were worded in the original item format and the survey only proceeded if all items (except for comments) were answered. On the final page, participants were asked to enter their email address and a code word which would be asked for at the post-intervention phase. Participants who left e-mail addresses were allocated to the experimental or waitlist group according Inhibitors,research,lifescience,medical to a random plan. The treatment Inhibitors,research,lifescience,medical manual was sent to the participants of the experimental group via e-mail attachment within 24 hours. The other half was informed via e-mail that they were allocated to the waitlist group and would receive the manual subsequent to the reassessment 4 weeks later. Patients were provided with the e-mail address of the first author in case of questions.

E-mails were responded to within 24 hours. However, only Inhibitors,research,lifescience,medical three participants turned to the first author, whereby questions were solely related to the handling of the PDF file. Four weeks after the dispatch of the manual, participants were e-mailed a Inhibitors,research,lifescience,medical second link and requested to take part in the post-assessment. To identify participants, either the code word or e-mail address had to be entered first on the Web page. The second assessment Carboplatin price contained the same questionnaires as before (see below: OCI-R, Y-BOCS, BDI-SF) but did not ask again for sociodemographic data or the medical history again. For those participants who affirmed having read the manual, a number of questions

were administered Inhibitors,research,lifescience,medical including subjective effectiveness of the technique, comprehensibility of the manual, and motivation to administer the technique in the future (4-point likert scale: fully agree, almost agree, somewhat agree, do not agree). In case the intervention was subjectively effective, participants were asked to indicate when improvement had occurred. At the end of the assessment, gratitude for participation was expressed to all subjects. Participants also had the opportunity to download science the latest version of the manual. The e-mail address of the first author was provided again in case of questions or remarks. Participants gave informed consent. Participants A total of 86 participants completed the questionnaires and left their e-mail addresses (ie, 63% of the 137 different individuals who accessed the first page of the questionnaire). All participants confirmed that a diagnosis of OCD was previously determined by a health care professional.