Brief intensive CBT for pediatric OCD with E-therapy maintenance |
| |
| Institution: | 1. School of Applied Psychology and Menzies Health Institute QLD, Griffith University, Australia;2. School of Medicine and Menzies Health Institute QLD, Griffith University, Australia;3. School of Pharmacy and Menzies Health Institute QLD, Griffith University, Australia;4. Queensland Health, Australia;5. Child Study Centre, Department of Psychology, Virginia Polytechnic Institute and State University, USA;1. School of Applied Psychology and Menzies Health Institute QLD, Griffith University, Gold Coast Campus, Southport, QLD 4222, Australia;2. School of Applied Psychology, and Menzies Health Institute QLD, Griffith University, Mount Gravatt Campus, Mount Gravatt, QLD 4122, Australia;3. Child Study Centre, Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA 24060, USA;1. The Anxiety Disorder Clinic for Children and Adolescents, Department of Psychology, Aarhus University, Bartholins Allé 9, 8000 Aarhus, Denmark;2. Department of Psychology, University of Southern Denmark, Campusvej 55, 5320 Odense, Denmark;3. Clinic for Anxiety and Obsessive Compulsive Disorders, Aarhus University Hospital, Risskov, Skovagervej 2, 8240 Risskov, Denmark;1. Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark;2. Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo;3. University of Iceland, Reykjavik;4. Division of Mental Health and Addiction, Vestre Viken Hospital, Drammen, Norway;5. Regional Center for Child and Youth Mental Health, Norwegian University of Science and Technology, Trondheim, Norway;6. Hospital of Aalesund, Norway;7. Queen Silvia’s Children’s Hospital, Sahlgrenska, University Hospital, Gothenburg, Sweden;8. Center for Healthy Aging, University of Copenhagen, Denmark;9. Duke University Medical Center, Durham, NC;10. Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden and the Stockholm Health Care Services, Stockholm County Council, Sweden;1. Griffith Health Institute, Griffith University, Gold Coast Campus, Gold Coast, Australia;2. Griffith Health Institute, Griffith University, Mount Gravatt Campus, Brisbane, 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;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 |
| |
| Abstract: | Cognitive behaviour therapy (CBT), incorporating exposure and response prevention (ERP), has received strong empirical support for the treatment of paediatric OCD, and moreover, is considered the first line treatment of choice (Geller & March, 2012). However, despite the availability of effective treatments for this chronic and debilitating disorder, only a small proportion of youth receive these evidence-based approaches. The present study aimed to examine the effectiveness of an intensive ERP-based treatment for youth OCD, using a multiple baseline controlled design. Children and youth (N = 10; aged 11–16 years) with a primary diagnosis of OCD were randomly assigned to a 1- or 2-week baseline monitoring condition followed by the intervention. The efficacy of the intensive treatment, involving 1 session psychoeducation, 2-sessions ERP plus e-therapy maintenance was examined across parent- child- and clinician-rated measures at post-treatment and 6-month follow-up. Overall, there were significant reductions across time on almost all measures (except self-report anxiety), and moreover, the majority of the sample (80%) were considered reliably improved, and meeting clinically significant change. At post-treatment, 60% were in remission of symptoms, and at 6-month follow-up this increased to 70%. These findings provide strong support for intensive, time-limited approaches to ERP-based CBT for children and youth with OCD. |
| |
| Keywords: | Intensive OCD Childhood OCD CBT Exposure therapy |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
