Reduction of subjective distress in CBT for childhood OCD: Nature of change,predictors, and relation to treatment outcome |
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| Institution: | 1. Department of Psychology, Stanford University, Jordan Hall, Building 420, Stanford, CA 94305-2130, United States;2. Department of Psychology, University of South Florida, 4202 East Fowler Avenue, Tampa, FL 33620, United States;3. Division of Child and Adolescent Psychiatry, UCLA-Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Los Angeles, CA 90024, United States;1. Department of Psychiatry, Faculty of Medicine, University of Manitoba, PZ430-771 Bannatyne Avenue, Winnipeg, MB R3E 3N4, Canada;2. Department of Psychology, University of Manitoba, P404 Duff Roblin Building, 190 Dysart Road, Winnipeg, MB R3T 2N2, Canada;3. Department of Community Health Sciences, University of Manitoba, S113 Medical Services Building, 750 Bannatyne Avenue, Winnipeg, MB R3E 0W3, Canada;1. Department of Psychology, University of Wyoming, 1000 E. University Avenue, Laramie, WY 82070, United States;2. Department of Psychology, University of Memphis, 202 Psychology Building, Memphis, TN 38152, United States;3. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, Seattle, WA 98195, United States;1. School of Medicine, University of Tasmania, Private Bag 30, Hobart, Tasmania, 7000, Australia;2. School of Computing and Information Systems, University of Tasmania, Private Bag 87, Hobart, Tasmania, 7000, Australia;1. Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, Box 7523, 880 6th Street South, St. Petersburg, FL 33701, USA;2. Department of Psychiatry, University of Florida, USA |
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| Abstract: | Little research has investigated changes in subjective distress during cognitive-behavioral therapy (CBT) for anxiety disorders in youth. In the current study, 40 youth diagnosed with primary obsessive-compulsive disorder (OCD; M age = 11.9 years, 60% male, 80% Caucasian) and 36 parent informants completed separate weekly ratings of child distress for each OC symptom during a 12-session course of CBT. Between-session changes in distress were calculated at the start of, on average throughout, and at the end of treatment. On average throughout treatment, child- and parent-reported decreases in child distress were significant. Baseline OCD severity, functional impairment, and internalizing symptoms predicted degree of change in child distress. Additionally, greater decreases in child distress were predictive of more improved clinical outcomes. Findings advance our understanding of the strengths and limitations of this clinical tool. Future studies should examine youth distress change between and within CBT sessions across both subjective and psychophysiological levels of analysis. |
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| Keywords: | Cognitive-behavioral therapy (CBT) Obsessive-compulsive disorder (OCD) Childhood Subjective units of distress (SUDS) Fear thermometer |
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