Group family-based cognitive behavioral therapy for pediatric obsessive compulsive disorder: Global outcomes and predictors of improvement

Selles, Robert R.; Belschner, Laura; Negreiros, Juliana; Lin, Senshang; Schuberth, David; McKenney, Katherine; Gregorowski, Noel; Simpson, Annie N.; Bliss, Andrea; Stewart, S. Evelyn

doi:10.1016/j.psychres.2017.11.041

Cited by 28 publications

(10 citation statements)

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“…Treatment options for children with OCD include Cognitive Behavioral Therapy (CBT), pharmacotherapy or both (Geller and March, 2012, Selles et al, 2018). The American Academy of Child and Adolescent Psychiatry Committee on Quality Issues (2012) considers that the standard of care in very young children with OCD is Cognitive-Behavioral Family-Based Treatment (CBFT), which includes the same core components of CBT with significant family involvement.…”

mentioning

confidence: 99%

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

Rosa‐Alcázar

Alcázar

Olivares-Olivares

et al. 2019

International Journal of Clinical and Health Psychology

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() Background/Objective The aim of this paper was to evaluate the diferential efficacy of cognitive behavioral family treatment in children under 8 years of age with Obsessive-Compulsive Disorder (OCD) in the reduction of obsessive-compulsive responses and secondary outcomes in three treatment conditions: (a) Treatment of parents and child, (b) Treatment of mother and child, and (c) Treatment of mother. Method Forty-four children with obsessive-compulsive disorder, aged 5.2-7.9 years old and their parents, were randomized to one of three groups in a 1:1:1 ratio. Seventy-five percent was male and 100% Caucasian (White-European). Treatment involved 12 individual sessions of is Cognitive-Behavioral Family-Based Treatment delivered. Results The three conditions produced clinical improvements in post-test and follow-up in the primary (symptom severity OCD) and secondary outcomes. The results showed no intergroup differences in variables related to OCD symptom severity, although statistically significant differences were found in groups in Internalizing and Externalizing problem, mother and fathers accomodation. Conclusions The most efficient condition was that including a greater number of family members even when there was high family accommodation. The direct involvement of the child in the psychological treatment was important in achieving better results.

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confidence: 99%

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

Rosa‐Alcázar

Alcázar

Olivares-Olivares

et al. 2019

International Journal of Clinical and Health Psychology

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“…Similarly, when examining the association between OCD severity and family accommodation within groups of children (7-12 years) with OCD, strong significant associations have been found (N = 15, FAS Total d = 7.84, FAS Avoidance of Triggers d = 3.37, Bipeta et al, 2013;N = 24, FAS total d = 1.81, FAS Participation d = 1.19, FAS Modification d = 1.58, Wu et al, 2014). Furthermore, although no eligible treatment studies have statistically examined the association between changes in children's OCD severity and changes in family accommodation across treatment, studies have consistently shown significant improvements in both children's OCD severity and family accommodation from preto post-treatment, including following internet-delivered CBT (N = 11, 8-11 Selles et al, 2018a); parent-led CBT (N = 6, 10-13 years, Lebowitz, 2013;N = 20, 5-7 years, Rosa-Alcázar et al, 2017;N = 44, 5-7 years, Rosa-Alcázar et al, 2019); and family-based CBT treatments (N = 7, 10-13 years, CY-BOCS d = À3.62, Waters et al, 2001;Rosa-Alcázar et al, 2017;Rosa-Alcázar et al, 2019), with some studies showing maintenance of these effects at 1-month (CY-BOCS d = À0.05, CY-BOCS-PR d = À0.09, FAS d = À0.23, Selles et al, 2018a) and 3-month followup periods (CY-BOCS d = À0.30, OCI-CV d = À0.03, ChOCI-R-P d = 0.06, FAS d = À0.04, Aspvall et al, 2018;Rosa-Alcázar et al, 2019;Rosa-Alcázar et al, 2017). Furthermore, Whiteside et al (2014) Siblings' behaviours.…”

Section: Clinical Populationsmentioning

confidence: 99%

Cognitive, behavioural and familial maintenance mechanisms in childhood obsessive compulsive disorders: A systematic review

Chessell

Halldorsson

Harvey

et al. 2021

Journal of Experimental Psychopathology

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Cognitive Behavioural Therapy (CBT) for preadolescent children with obsessive compulsive disorder (OCD) is typically derived from adult cognitive behavioural models of OCD; however, it is unknown whether these adult models apply to preadolescent children. This systematic review examined whether 11 cognitive, behavioural and familial maintenance mechanisms identified from adult cognitive behavioural models of OCD and descriptions of how family factors may maintain OCD applied to preadolescent children with obsessive compulsive symptoms/disorder (OCS/OCD; Prospero:CRD42019153371). PsycINFO, MEDLINE and Web of Science Core Collection were searched in March 2019, with forward citation handsearching conducted in March/April 2020. Twenty-nine studies were synthesised. Studies were identified for only six of the 11 proposed maintenance factors. Of the cognitive and behavioural factors, only inflated responsibility and meta-cognitive beliefs showed evidence of independent and/or specific associations with childhood OCS. Of the family factors, only less frequent displays of parental confidence, positive problem solving and rewarding of children’s independence showed some evidence of specificity to childhood OCD. Notably, findings across studies were inconsistent and existing studies have considerable methodological limitations. Experimental and prospective longitudinal studies are needed to determine whether the proposed factors maintain childhood OCS/OCD, to improve the effectiveness and efficiency of CBT for preadolescent children with OCD.

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“…The identification of predictors associated with treatment response is a first step towards the development and testing of modifications that may improve treatment efficacy (Selles et al, 2018). There is additional evidence that cognitive factors are linked with family attachment in OCD therapy.…”

Section: Predictors Of Obsessive-compulsive Disordermentioning

confidence: 99%

Predictors of Obsessive – Compulsive Disorder in clinical and non- clinical samples: A Meta – Analysis

Ramadan

2021

المجلة التربوية لکلية التربية بسوهاج

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Objective: cognitive models of OCD proposed that inflated responsibility/threat, importance/control of thought, and perfectionism/certainly are a vulnerability and maintenance cognitive factors specific to OCD symptoms. Attachment theory assumed that those cognitive factors are obsessive beliefs that can be explained within a family-attachment relationship. Although several studies have been conducted on the specificity of cognitive factors and family-attachment relative to OCD, a meta-analysis on this issue does not exist yet.Using meta-analytic techniques, the current study summarized cross-sectional data to examine: (a) which stronger predictors are related to OCD symptoms in clinical and non-clinical samples.Method: Online databases were searched. Cross-sectional studies were included if they (a)assessed OCD symptoms in clinical or nonclinical samples, (b) reported correlations or between-groups data (predictors of OCD symptoms). Seventeen studies (n= 6238) were included in random-effect meta-analyses.Results: Effect size on relation of predictors to OCD symptoms was medium. predictors were strongly associated with OCD symptoms [r= 0.456, p=.0001], Conclusions: Using meta-analytic technique, the current study examined predictors of obsessive -compulsive disorder, and it revealed that cognitive factors such as "inflated responsibility/threat, importance/control of thought, and perfectionism/certainly "and familyattachment are predictors of OCD.

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Group family-based cognitive behavioral therapy for pediatric obsessive compulsive disorder: Global outcomes and predictors of improvement

Cited by 28 publications

References 47 publications

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

Family involvement and treatment for young children with Obsessive-Compulsive Disorder: Randomized control study

Cognitive, behavioural and familial maintenance mechanisms in childhood obsessive compulsive disorders: A systematic review

Predictors of Obsessive – Compulsive Disorder in clinical and non- clinical samples: A Meta – Analysis

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