Cognitive-behavioral therapy for obsessive–compulsive disorder: A non-randomized comparison of intensive and weekly approaches

Storch, Eric A.; Merlo, Lisa J.; Lehmkuhl, Heather D.; Geffken, Gary R.; Jacob, Marni L.; Ricketts, Emily; Murphy, Tanya K.; Goodman, Wayne K.

doi:10.1016/j.janxdis.2007.12.001

Cited by 120 publications

(166 citation statements)

References 47 publications

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“…Apenas dois dos sete estudos compararam os resultados de TCC familiar com outras modalidades de tratamento: Barret et al 7 compararam dois regimes de TCC familiar (individual e em grupo) com lista de espera, e Freeman et al 6 compararam TCC familiar com terapia de relaxamento. Outros dois dos sete estudos apenas compararam dois regimes diferentes de TCC familiar, sem comparação com outras modalidades de tratamento: Storch et al 9 compararam regime intensivo e semanal de TCC familiar; Merlo et al 10 compararam TCC familiar com psicoeducação versus TCC familiar com entrevista motivacional. Três dos sete estudos apenas fizeram comparações pré e pós-tratamento, sem qualquer grupo controle 8,11,12 .…”

Section: Discussionunclassified

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Gomes

Matte

Vivan

et al. 2011

Rev. psiquiatr. Rio Gd. Sul

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ResumoO transtorno obsessivo-compulsivo (TOC) é uma doença mental grave, com graves consequências para a dinâmica familiar. Desta forma, o envolvimento dos pais parece ser determinante na resolução dos sintomas desse transtorno. O objetivo deste estudo foi avaliar a qualidade da evidência para a recomendação de terapia cognitivo-comportamental (TCC) com intervenção familiar para crianças e adolescentes com TOC. A busca sistemática foi realizada nas bases de dados MEDLINE/PubMed, seguida da análise de resumos e artigos na íntegra por dois avaliadores independentes. Posteriormente, foi realizada a análise de evidência através do sistema Grading of Recommendations Assessment, Development and Evaluation (GRADE). O tamanho de efeito da intervenção foi calculado através do d de Cohen. Foram localizados 77 artigos no PubMed e mais 12 artigos após busca cruzada de referências. Destes, sete artigos foram incluídos na revisão, segundo os seguintes critérios: ser estudo de intervenção, envolver apenas crianças e/ou adolescentes e possuir diagnóstico clínico ou estruturado de TOC. A escala Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) foi utilizada por todos os artigos para a avaliação de desfecho, permitindo avaliar o tamanho de efeito das intervenções não controladas (d = 1,43), que resultou em uma diferença de médias de cerca 13 pontos (IC95% 11,84-14,39; p < 0,001). Por outro lado, uma alta heterogeneidade foi detectada entre os estudos (I² = 67%). A TCC com intervenção familiar parece ter um efeito importante na redução dos sintomas de TOC na infância e adolescência. No entanto, os poucos estudos disponíveis não nos permitem estabelecer um grau de evidência maior do que C para essa recomendação. Novos ensaios clínicos randomizados são necessários para confirmar essa recomendação. Descritores: Transtorno obsessivo-compulsivo, terapia familiar, terapia cognitiva, terapia comportamental. AbstractObsessive-compulsive disorder (OCD) is a severe mental disorder with serious consequences to family dynamics. Therefore, parental involvement seems to be a key factor for the successful treatment of this psychiatric disorder. The aim of this study was to evaluate the level of evidence available to allow recommendation of cognitive behavioral therapy (CBT) with family intervention for the treatment of children and adolescents with OCD. The systematic search was performed on MEDLINE/PubMed, followed by analysis of abstracts and full-length articles by two independent evaluators. Subsequently, an analysis of the evidence available was conducted using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The effect size of the intervention was calculated using Cohen's d. We found 77 articles on PubMed, plus 12 articles via cross-reference search. Of these, seven articles were included in this review, according to the following criteria: intervention study, involving only children and/or adolescents, and a having a structured or clinical diagnosis of OCD. The Children's Yale-Brown Obsessive ...

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Section: Discussionunclassified

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Gomes

Matte

Vivan

et al. 2011

Rev. psiquiatr. Rio Gd. Sul

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“…After that, the patient's anxiety level increased by imaginary exposure and in vivo exposure, he will be encouraged to avoid from obsession ritualistic behavior. Thus raising patient´s anxiety as imaginary or actual causes the patient to reduce anxiety and compulsive behaviors are reduced (Storch, Lisa and Merlo, 2006). Foa et al (2000) analyzed eighteen-controlled study and achieved the conclusion that after implementation of exposure method morbidly symptoms disappeared in 51% of patients with obsession or have improved considerably.…”

Section: Exposure Therapymentioning

confidence: 99%

Efficacy of the Cognitive and Exposure Therapy in the Treatment of Obsessive-Compulsive Disorder

Mahmoodi

Gharibi

Khaledian

2013

ILSHS

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The aim of this study was the investigation of the efficacy of the Cognitive and Exposure therapy on the treatment of obsessive-compulsive disorder. This study is experimental expanded with multiple group pre-test, post-test. The statistical population of this study are included all patients with OCD, referred to clinical centers, hospitals and private clinics and counseling centers in Saghez and Boukan citiesat the age of 40-20 years. The statistical sample of this study is included 45 patientswith Obsessive Compulsive Disorder, Who were selected randomly. Cognitive therapy was administered for the first experimental group and the second experimental group receives exposure therapy while the control group received no treatment. Subscales Madsly questionnaire was usedfor data gathering for OCD. For data analysis, multivariate analysis of covariance (MANCOVA) and least significant difference test to compare scores differences between pretest -posttest variables in the experimental and control groups was used. Findings showed that Cognitive and Aversion Therapy on the control group has a significant impact on the improvement of obsession, check out, washing, slowness and obsessive doubts. The results showed that Whittal Cognitive Therapy more impact on the reduction of obsessions in comparsion with Exposure therapy.

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“…analizaron la respuesta diferencial al TCC de los diferentes subtipos de TOC en niños y adolescentes, Para ello, reunieron una muestra de 92 niños y adolescentes entre 7 y 19 años (M = 13.6) a los que se aplicó la TCC, tras contabilizar el porcentaje de sujetos que presentaban cada una de las siguientes dimensiones sintomáticas: orden/simetría, contaminación/limpieza, obsesiones sexuales/religiosas, agresividad/comprobación y acumulación. Aproximadamente, el 50% de la muestra eran participantes de otro estudio (Storch et al, 2007). Cuarenta y ocho de los sujetos recibieron tratamiento en formato semanal y 42 lo hicieron de forma intensiva.…”

Section: Diseños Pretest-postest Sin Grupo De Comparaciónunclassified

“…28, nº 2 (mayo) Posteriormente, Storch et al (2007) han comparado los formatos intensivo y semanal de la TCC en un diseño de asignación aleatoria y utilizando una muestra mayor que la utilizada por Franklin et al (1998), estudio en el que, como ya se ha comentado, los resultados sólo pudieron ser analizados a nivel descriptivo en esta variable debido al bajo tamaño muestral. Los participantes en el estudio fueron 40 niños y adolescentes entre 7 y 17 años (M =13.3) con diagnóstico primario de TOC.…”

Section: Diseños Cuasi-experimentalesunclassified

Eficacia de los tratamientos cognitivo-conductuales en el trastorno obsesivo-compulsivo en niños y adolescentes: Una revisión cualitativa

2012

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Resumen: Se presentan los resultados de un estudio cualitativo de revisión de la eficacia de los tratamientos cognitivo-conductuales utilizados en el trastorno obsesivo-compulsivo en niños y adolescentes. Se localizaron y recuperaron un total de 84 estudios, de los cuales 17 consistían en informes de caso, 37 en diseños de caso único, 19 estudios pre-experimentales con diseño pre-postest, 6 estudios cuasi-experimentales y 5 estudios experimentales con grupo de control. El procedimiento más utilizado en los diferentes estudios ha sido la exposición con prevención de respuesta, siendo además el de mayor eficacia. Se constata la baja representación de estudios de comparación tanto cuasi-experimentales como experimentales, al igual que la escasez de medidas de seguimiento a medio y largo plazo, la falta de utilización de medidas observacionales y el escaso control de la sintomatología encubierta y trastornos comórbidos. Palabras clave: adolescentes; trastorno obsesivo-compulsivo; tratamiento cognitivo-conductual; niños; adolescentes.Title: Effectiveness of cognitive-behavioural therapy for obsessivecompulsive disorder in children and adolescents: a qualitative review. Abstract: This paper presents the results a qualitative review study on effectiveness of cognitive-behavioural therapy for obsessive-compulsive disorder in children and adolescents. A total of 84 studies were located and retrieved, of which 17 were case reports, 37 were single case designs, 19 were quasi-experimental one-group studies, 6 were quasi-experimental comparison studies and 5 randomized controlled trials. The most widely treatment procedure, in the studies, was exposure with response prevention, which also was the most effective. We found a low representation of comparison studies, both quasi-experimental and experimental designs, as well as a lack of medium and long-term follow-ups, observational measures and a poor control of covert symptomatology and comorbidity.

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Cognitive-behavioral therapy for obsessive–compulsive disorder: A non-randomized comparison of intensive and weekly approaches

Cited by 120 publications

References 47 publications

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Efficacy of the Cognitive and Exposure Therapy in the Treatment of Obsessive-Compulsive Disorder

Eficacia de los tratamientos cognitivo-conductuales en el trastorno obsesivo-compulsivo en niños y adolescentes: Una revisión cualitativa

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