Brief intensive CBT for pediatric OCD with E-therapy maintenance.

Farrell, LJ; Oar, EL; Waters, AM; McConnell, H; Tiralongo, E; Garbharran, V; Ollendick, T

Brief intensive CBT for pediatric OCD with E-therapy maintenance.

Farrell, LJ Oar, EL Waters, AM McConnell, H Tiralongo, E Garbharran, V Ollendick, T

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Publisher:: PERGAMON-ELSEVIER SCIENCE LTD
Publication Type:: Journal Article
Citation:: J Anxiety Disord, 2016, 42, pp. 85-94
Issue Date:: 2016-08

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Field	Value	Language
dc.contributor.author	Farrell, LJ
dc.contributor.author	Oar, EL
dc.contributor.author	Waters, AM
dc.contributor.author	McConnell, H
dc.contributor.author	Tiralongo, E
dc.contributor.author	Garbharran, V
dc.contributor.author	Ollendick, T
dc.date.accessioned	2022-08-19T02:53:38Z
dc.date.available	2016-06-15
dc.date.available	2022-08-19T02:53:38Z
dc.date.issued	2016-08
dc.identifier.citation	J Anxiety Disord, 2016, 42, pp. 85-94
dc.identifier.issn	0887-6185
dc.identifier.issn	1873-7897
dc.identifier.uri	http://hdl.handle.net/10453/160497
dc.description.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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	PERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartof	J Anxiety Disord
dc.relation.isbasedon	10.1016/j.janxdis.2016.06.005
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology
dc.subject.classification	Clinical Psychology
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Distance Counseling
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Distance Counseling
dc.subject.mesh	Cognitive Behavioral Therapy
dc.title	Brief intensive CBT for pediatric OCD with E-therapy maintenance.
dc.type	Journal Article
utslib.citation.volume	42
utslib.location.activity	Netherlands
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2022-08-19T02:53:37Z
pubs.publication-status	Published
pubs.volume	42

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.

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http://hdl.handle.net/10453/160497