Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial
The purpose of this open clinical trial was to examine the efficacy of cognitive-behavioral treatment involving exposure and ritual prevention for pediatric obsessive-compulsive disorder (OCD). Children and adolescents with diagnosed OCD (N = 14) received cognitive-behavioral treatment; seven patien...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 1998-04, Vol.37 (4), p.412-419 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
| container_volume | 37 |
| creator | FRANKLIN, MARTIN E. KOZAK, MICHAEL J. CASHMAN, LAURIE A. COLES, MEREDITH E. RHEINGOLD, ALYSSA A. FOA, EDNA B. |
| description | The purpose of this open clinical trial was to examine the efficacy of cognitive-behavioral treatment involving exposure and ritual prevention for pediatric obsessive-compulsive disorder (OCD).
Children and adolescents with diagnosed OCD (N = 14) received cognitive-behavioral treatment; seven patients received intensive treatment (mean = 18 sessions over 1 month) and seven received weekly treatment (mean = 16 sessions over 4 months). Eight of these patients received concurrent treatment with serotonin reuptake inhibitors and six received cognitive-behavioral treatment alone. Outcome was assessed via interviewer ratings on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive Compulsive Rating Scales for Main Fear and Main Ritual, and Hamilton Depression Rating Scale.
Cognitive-behavioral treatment was effective in ameliorating OCD symptoms. Twelve of the 14 patients were at least 50% improved over pretreatment Y-BOCS severity, and the vast majority remained improved at follow-up; mean reduction in Y-BOCS was 67% at posttreatment and 62% at follow-up (mean time to follow-up = 9 months).
Results suggest that cognitive-behavioral treatment by exposure and ritual prevention is effective for pediatric OCD. Controlled studies with random assignment to conditions are warranted to evaluate the relative efficacy of cognitive-behavioral, pharmacological, and combined treatments. J. Am. Acad. Child Adolesc. Psychiatry, 1998, 37(4):412–419. |
| doi_str_mv | 10.1097/00004583-199804000-00019 |
| format | Article |
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Children and adolescents with diagnosed OCD (N = 14) received cognitive-behavioral treatment; seven patients received intensive treatment (mean = 18 sessions over 1 month) and seven received weekly treatment (mean = 16 sessions over 4 months). Eight of these patients received concurrent treatment with serotonin reuptake inhibitors and six received cognitive-behavioral treatment alone. Outcome was assessed via interviewer ratings on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive Compulsive Rating Scales for Main Fear and Main Ritual, and Hamilton Depression Rating Scale.
Cognitive-behavioral treatment was effective in ameliorating OCD symptoms. Twelve of the 14 patients were at least 50% improved over pretreatment Y-BOCS severity, and the vast majority remained improved at follow-up; mean reduction in Y-BOCS was 67% at posttreatment and 62% at follow-up (mean time to follow-up = 9 months).
Results suggest that cognitive-behavioral treatment by exposure and ritual prevention is effective for pediatric OCD. Controlled studies with random assignment to conditions are warranted to evaluate the relative efficacy of cognitive-behavioral, pharmacological, and combined treatments. J. Am. Acad. Child Adolesc. Psychiatry, 1998, 37(4):412–419.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/00004583-199804000-00019</identifier><identifier>PMID: 9549962</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>Adolescent ; Analysis of Variance ; Behavior Therapy - methods ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Child ; Child psychology ; children and adolescents ; Clinical trials ; Cognitive Therapy - methods ; cognitive-behavioral treatment ; Combined Modality Therapy ; exposure and ritual prevention ; Female ; Humans ; Male ; Medical sciences ; Mental disorders ; obsessive-compulsive disorder ; Obsessive-Compulsive Disorder - therapy ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Serotonin Uptake Inhibitors - therapeutic use ; Therapy ; Treatments</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 1998-04, Vol.37 (4), p.412-419</ispartof><rights>1998 The American Academy of Child and Adolescent Psychiatry</rights><rights>1998 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Apr 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-d6af819976d10f8b331195fda671e3e78746ff622cada2f409f57553e899a7493</citedby><cites>FETCH-LOGICAL-c425t-d6af819976d10f8b331195fda671e3e78746ff622cada2f409f57553e899a7493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/00004583-199804000-00019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2192476$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9549962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FRANKLIN, MARTIN E.</creatorcontrib><creatorcontrib>KOZAK, MICHAEL J.</creatorcontrib><creatorcontrib>CASHMAN, LAURIE A.</creatorcontrib><creatorcontrib>COLES, MEREDITH E.</creatorcontrib><creatorcontrib>RHEINGOLD, ALYSSA A.</creatorcontrib><creatorcontrib>FOA, EDNA B.</creatorcontrib><title>Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>The purpose of this open clinical trial was to examine the efficacy of cognitive-behavioral treatment involving exposure and ritual prevention for pediatric obsessive-compulsive disorder (OCD).
Children and adolescents with diagnosed OCD (N = 14) received cognitive-behavioral treatment; seven patients received intensive treatment (mean = 18 sessions over 1 month) and seven received weekly treatment (mean = 16 sessions over 4 months). Eight of these patients received concurrent treatment with serotonin reuptake inhibitors and six received cognitive-behavioral treatment alone. Outcome was assessed via interviewer ratings on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive Compulsive Rating Scales for Main Fear and Main Ritual, and Hamilton Depression Rating Scale.
Cognitive-behavioral treatment was effective in ameliorating OCD symptoms. Twelve of the 14 patients were at least 50% improved over pretreatment Y-BOCS severity, and the vast majority remained improved at follow-up; mean reduction in Y-BOCS was 67% at posttreatment and 62% at follow-up (mean time to follow-up = 9 months).
Results suggest that cognitive-behavioral treatment by exposure and ritual prevention is effective for pediatric OCD. Controlled studies with random assignment to conditions are warranted to evaluate the relative efficacy of cognitive-behavioral, pharmacological, and combined treatments. J. Am. Acad. Child Adolesc. Psychiatry, 1998, 37(4):412–419.</description><subject>Adolescent</subject><subject>Analysis of Variance</subject><subject>Behavior Therapy - methods</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child psychology</subject><subject>children and adolescents</subject><subject>Clinical trials</subject><subject>Cognitive Therapy - methods</subject><subject>cognitive-behavioral treatment</subject><subject>Combined Modality Therapy</subject><subject>exposure and ritual prevention</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>obsessive-compulsive disorder</subject><subject>Obsessive-Compulsive Disorder - therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Serotonin Uptake Inhibitors - therapeutic use</subject><subject>Therapy</subject><subject>Treatments</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkcGOFCEQhonRrLOrj2BCjPHWCjQ04G23ddVkk_GwnglDF8qmG0bonmRvPoLP6JPI7Ixz8CIJIZX66k_x_whhSt5QouVbUg8Xqm2o1orwWjX1Uv0IrahgshGcqsdoRZQmjRKdfIrOS7nbI1KpM3SmBde6YysEffoWwxx28Pvnryv4bnchZTvi2wx2niDOOHn8BYZg5xwcXm8KlHKg-zRtl3Ff4PehpDxAfocvI15vIeJ-DDG4B6Fgx2foibdjgefH9wJ9vf5w239qbtYfP_eXN43jTMzN0Fmv6o9kN1Di1aZtKdXCD7aTFFqQSvLO-44xZwfLPCfaCylEC0prK7luL9Drg-42px8LlNlMoTgYRxshLcXIapbUlFXw5T_gXVpyrLsZRplQQtC9mjpALqdSMnizzWGy-d5QYvYxmL8xmFMM5iGGOvriqL9sJhhOg0ffa__VsW9LdclnG10oJ4xRzbjsKnZ1wKCatguQTXEBoqt5ZHCzGVL4_y5_AJkcpR0</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>FRANKLIN, MARTIN E.</creator><creator>KOZAK, MICHAEL J.</creator><creator>CASHMAN, LAURIE A.</creator><creator>COLES, MEREDITH E.</creator><creator>RHEINGOLD, ALYSSA A.</creator><creator>FOA, EDNA B.</creator><general>Elsevier Inc</general><general>Lippincott</general><general>Elsevier BV</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>19980401</creationdate><title>Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial</title><author>FRANKLIN, MARTIN E. ; KOZAK, MICHAEL J. ; CASHMAN, LAURIE A. ; COLES, MEREDITH E. ; RHEINGOLD, ALYSSA A. ; FOA, EDNA B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-d6af819976d10f8b331195fda671e3e78746ff622cada2f409f57553e899a7493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Analysis of Variance</topic><topic>Behavior Therapy - methods</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child psychology</topic><topic>children and adolescents</topic><topic>Clinical trials</topic><topic>Cognitive Therapy - methods</topic><topic>cognitive-behavioral treatment</topic><topic>Combined Modality Therapy</topic><topic>exposure and ritual prevention</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>obsessive-compulsive disorder</topic><topic>Obsessive-Compulsive Disorder - therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Serotonin Uptake Inhibitors - therapeutic use</topic><topic>Therapy</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRANKLIN, MARTIN E.</creatorcontrib><creatorcontrib>KOZAK, MICHAEL J.</creatorcontrib><creatorcontrib>CASHMAN, LAURIE A.</creatorcontrib><creatorcontrib>COLES, MEREDITH E.</creatorcontrib><creatorcontrib>RHEINGOLD, ALYSSA A.</creatorcontrib><creatorcontrib>FOA, EDNA B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FRANKLIN, MARTIN E.</au><au>KOZAK, MICHAEL J.</au><au>CASHMAN, LAURIE A.</au><au>COLES, MEREDITH E.</au><au>RHEINGOLD, ALYSSA A.</au><au>FOA, EDNA B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>37</volume><issue>4</issue><spage>412</spage><epage>419</epage><pages>412-419</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>The purpose of this open clinical trial was to examine the efficacy of cognitive-behavioral treatment involving exposure and ritual prevention for pediatric obsessive-compulsive disorder (OCD).
Children and adolescents with diagnosed OCD (N = 14) received cognitive-behavioral treatment; seven patients received intensive treatment (mean = 18 sessions over 1 month) and seven received weekly treatment (mean = 16 sessions over 4 months). Eight of these patients received concurrent treatment with serotonin reuptake inhibitors and six received cognitive-behavioral treatment alone. Outcome was assessed via interviewer ratings on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Obsessive Compulsive Rating Scales for Main Fear and Main Ritual, and Hamilton Depression Rating Scale.
Cognitive-behavioral treatment was effective in ameliorating OCD symptoms. Twelve of the 14 patients were at least 50% improved over pretreatment Y-BOCS severity, and the vast majority remained improved at follow-up; mean reduction in Y-BOCS was 67% at posttreatment and 62% at follow-up (mean time to follow-up = 9 months).
Results suggest that cognitive-behavioral treatment by exposure and ritual prevention is effective for pediatric OCD. Controlled studies with random assignment to conditions are warranted to evaluate the relative efficacy of cognitive-behavioral, pharmacological, and combined treatments. J. Am. Acad. Child Adolesc. Psychiatry, 1998, 37(4):412–419.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>9549962</pmid><doi>10.1097/00004583-199804000-00019</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of the American Academy of Child and Adolescent Psychiatry, 1998-04, Vol.37 (4), p.412-419 |
| issn | 0890-8567 1527-5418 |
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| subjects | Adolescent Analysis of Variance Behavior Therapy - methods Behavior therapy. Cognitive therapy Biological and medical sciences Child Child psychology children and adolescents Clinical trials Cognitive Therapy - methods cognitive-behavioral treatment Combined Modality Therapy exposure and ritual prevention Female Humans Male Medical sciences Mental disorders obsessive-compulsive disorder Obsessive-Compulsive Disorder - therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Serotonin Uptake Inhibitors - therapeutic use Therapy Treatments |
| title | Cognitive‐Behavioral Treatment of Pediatric Obsessive‐Compulsive Disorder: An Open Clinical Trial |
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