Evidence Base Update for Psychosocial Treatments for Pediatric Obsessive-Compulsive Disorder

Freeman, Jennifer B.; Garcia, Abbe; Frank, Hannah E.; Benito, Kristen; Conelea, Christine A.; Walther, Michael; Edmunds, Julie

doi:10.1080/15374416.2013.804386

Cited by 116 publications

(49 citation statements)

References 98 publications

(193 reference statements)

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“…Given the use of an active control treatment in this trial, the magnitude of the difference in response rates between groups is particularly notable 48 . FB-RT was equivalent to FB-CBT in the amount of therapist contact time and included the cogent and face-valid rationale of using anxiety management strategies while also controlling for treatment expectancy, acceptability, credibility, and the effects of repeated assessment.…”

Section: Commentmentioning

confidence: 99%

Family-Based Treatment of Early Childhood Obsessive-Compulsive Disorder

et al. 2014

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confidence: 99%

Family-Based Treatment of Early Childhood Obsessive-Compulsive Disorder

et al. 2014

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“…1,2 The course of OCD tends to be chronic, and while some have found strong treatment response rates in children and adolescents 3 , others report poor-to-moderate treatment response 4 and high rates of relapse over the course of follow-up. 5,6 Challenges to understanding the phenomenology and treatment of OCD are complicated by its heterogeneous symptom presentation.…”

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Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD

Rozenman¹,

Peris²,

Bergman³

et al. 2016

Child Psychiatry Hum Dev

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Prior research has identified OCD subtypes or “clusters” of symptoms that differentially relate to clinical features of the disorder. Given the high comorbidity between OCD and anxiety, OCD symptom clusters may more broadly associate with fear and/or distress internalizing constructs. This study examines fear and distress dimensions, including physical concerns (fear), separation anxiety (fear), perfectionism (distress), and anxious coping (distress), as predictors of previously empirically-derived OCD symptom clusters in a sample of 215 youth diagnosed with primary OCD (ages 7 to 17, mean age = 12.25). Self-reported separation fears predicted membership in Cluster 1 (aggressive, sexual, religious, somatic obsessions, and checking compulsions) while somatic/autonomic fears predicted membership in Cluster 2 (symmetry obsessions and ordering, counting, repeating compulsions). Results highlight the diversity of pediatric OCD symptoms and their differential association with fear, suggesting the need to carefully assess both OCD and global fear constructs that might be directly targeted in treatment.

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“…Ook worden gedragsproblemen genoemd. Een comorbide ticstoornis blijkt vooral het effect van medicatie negatief te beïnvloeden (zie voor een overzicht Freeman et al 2014). We gaan hieronder nader in op het gezinsfunctioneren.…”

Section: Verklaringen Voor Non-respons: Onderzoek Naar Predictorenunclassified

De dwangstoornis bij kinderen en jongeren, verklaringsmodellen en behandeling: een overzicht van nieuwe ontwikkelingen

2015

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De dwangstoornis bij kinderen en jongeren, verklaringsmodellen en behandeling: een overzicht van nieuwe ontwikkelingenElse de Haan · Lidewij H. Wolters · Elske Salemink Samenvatting Inleiding Hoewel de symptomen van een dwangstoornis duidelijk zijn, is het niet bekend wat het essentiële probleem ervan is. Kennis hierover kan consequenties hebben voor het behandelbeleid. Methode Twee psychologische verklaringsmodellen en recent onderzoek naar behandeleffectiviteit worden besproken. Resultaten Het cognitieve verklaringsmodel is niet aangetoond juist, maar heeft een invloedrijke vorm van behandeling gegenereerd (cognitieve therapie). Het model dat gedrag (met name herhalen) als het centrale probleem ziet, is experimenteel aangetoond. Op grond van dit model is de belangrijkste behandelstrategie exposure en responspreventie. Uit een recente meta-analyse blijkt dat cognitieve gedragstherapie (CGT) en de combinatie van CGT met medicatie effectieve behandelvormen zijn (grote effect size hebben). Als CGT wordt uitgevoerd door gespecialiseerde behandelaars is er geen verschil in effect tussen CGT en CGT gecombineerd met medicatie. Cognitive Bias Modification (CBM) en korte intensieve therapie zijn nieuwe vormen van behandeling. Conclusie Onderzoek naar verklaringsmodellen voor de dwangstoornis is van belang voor het verbeteren van de behandeling. CGT is effectief maar zou uitgevoerd moeten worden door gespecialiseerde behandelaars. Dat het combineren van CGT met medicatie het effect van CGT vergroot is niet aangetoond. Ouders betrekken bij de behandeling is essentieel. Trefwoorden obsessieve compulsieve stoornis · verklaringsmodellen · behandeling 249 Kind Adolesc (2015) 36:248-261 AbstractObjective Although the symptomatology of obsessive compulsive disorders is clear, the essential problem is not. Understanding this can have consequences for treatment. Method Two psychological models are discussed as well as recent research into effectiveness of treatment. Results The cognitive model of OCD has not been conclusively established, but it has led to an influential form of treatment (cognitive therapy). The model, in which behaviour (repetition) is the central problem, has been experimentally proved. Based on this model, exposure and response prevention are key to the treatment strategy. A recent meta-analysis has shown that cognitive behavioural therapy (CBT) and the combination of CBT with medication can have large effects. Cognitive Bias Modification (CBM) and Intensive Therapy are new treatment modalities. Conclusion Research into models of OCD is important for improving treatment.CBT is effective, but should be given by specialists. Whether the combination of CBT and medication is more effective than CBT has not been established. Parents should be involved in the treatment. Keywordsobsessive compulsive disorder · theoretical models · treatment

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Evidence Base Update for Psychosocial Treatments for Pediatric Obsessive-Compulsive Disorder

Cited by 116 publications

References 98 publications

Family-Based Treatment of Early Childhood Obsessive-Compulsive Disorder

Family-Based Treatment of Early Childhood Obsessive-Compulsive Disorder

Distinguishing Fear Versus Distress Symptomatology in Pediatric OCD

De dwangstoornis bij kinderen en jongeren, verklaringsmodellen en behandeling: een overzicht van nieuwe ontwikkelingen

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