Predictors Associated With Improved Cognitive-Behavioral Therapy Outcome in Pediatric Obsessive-Compulsive Disorder

Abstract

In the multivariate analysis, only age predicted better treatment outcome. Using univariate analysis, a variety of predictors of poorer treatment outcome after CBT was identified. The high impact of comorbid symptoms on outcome in pediatric OCD suggests that treatment should address comorbidity issues. The lack of a family predictor may be related to high family involvement in this study. Future research strategies should focus on optimizing intervention in the presence of these characteristics to achieve greater benefits for patients with OCD. Clinical trial registration information-Nordic Long-term Obsessive compulsive disorder (OCD) Treatment Study; www.controlled-trials.com; ISRCTN66385119.

Evidence-Based Treatments in Treatment-Naïve and Treatment-Resistant Pediatric Obsessive-Compulsive Disorder

“…Interestingly, family accommodation does not seem to be associated with the clinical outcome when CBT follows a more intensive family approach [29]. Moreover, tic disorders do not seem to be a predictor of poor outcome either [27,29,30].…”

“…In addition, up to 30 % show little or no improvement [9,20]. Factors have been found that can predict a poor outcome of CBT, such as higher initial OCD severity [27][28][29], more internalizing and externalizing symptoms/disorders [28][29][30], and family dysfunction or high family accommodation [27,28,31]. Interestingly, family accommodation does not seem to be associated with the clinical outcome when CBT follows a more intensive family approach [29].…”

Fortschritte in der Behandlung von Zwangsstörungen bei Kindern und Jugendlichen: Empirische Evidenz, Behandlungsprobleme und Verbesserungsmöglichkeiten

“…In 2 dieser Studien war die Behandlung primär kognitiv ausgerichtet [Bolton et al, 2011;Williams et al, 2010] und ebenso wirksam wie die behavioralen Behandlungen. Die kürzlich veröffentlichte multizentrische skandinavische Nordic Long-term OCD Treatment Study (NordLOTS) belegte die gute Wirksamkeit von CBT auch außerhalb spezialisierter universitärer Einrichtungen [Torp et al, 2015]. Wie Tabelle 1 zu entnehmen ist, bewegen sich die Remissionsraten üblicherweise zwischen 40 und 60%.…”

“…In der ersten großen Wirksamkeitsstudie [POTS, 2004] [Garcia et al, 2010]. In der NordLOTS zeigte sich nur das Alter als signifikanter Prädiktor: Präpubertäre Kinder sprachen besser auf die Behandlung an als älte-re [Torp et al, 2015]. Rudy et al [2014] untersuchten 3 potenzielle Prädiktorkategorien: demografische Daten (Alter, Geschlecht, Ethnie), Charakteristika der Zwangsstörung (Symptomschwere, Beeinträchtigung, familiäre Akkomodation) und Komorbiditäten.…”

The Implementation of an Evidence-Based Treatment for a Complex Case of School Refusal

“…al, 2013). Additional and recent research reported that low-income level is not a significant predictor of outcome in CBT for anxiety (Torp et al, 2015;Walter et al, 2013). Sullivan et al (2013) utilized a CBT intervention for anxiety and noted that clinical improvement between lower income and higher income individuals was similar.…”