Tags

Type your tag names separated by a space and hit enter

Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?
Psychiatry Res 2019; 281:112600PR

Abstract

OBJECTIVE

Identifying factors associated with early treatment response is important, because it can help allocate limited resources in psychiatric care more appropriately. This study examined baseline characteristics of participants with early response to exposure-based cognitive behavior therapy (CBT) for pediatric obsessive-compulsive disorder (OCD).

METHOD

269 participants with OCD, aged 7-17 years, were enrolled in a 14-weeks CBT program. We identified participants with early response to treatment, (CY-BOCS total score of ≤15), by the seventh session.

RESULTS

At week 7, 248 (92.2%) participants were assessed, 38.3% (95% CI 32.4-44.5%, n = 95) were identified as treatment responders. Univariate analyses showed that six baseline characteristics were significantly associated with early treatment response: young age, lower levels of symptom severity, functional impairment, internalizing- and externalizing problems, depressive symptoms, and family accommodation.

CONCLUSIONS

These results suggested that treatment plans for younger children with moderate OCD symptoms and no major comorbid disorder should include briefer and less resource demanding treatment formats than the commonly recommended and applied standard doses of 15 CBT sessions.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry. Division of Mental Health and Addiction. Vestre Viken Hospital, Drammen, Norway. Electronic address: nc-torp@online.no.Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.Aarhus University Hospital, Regional Center for Child and Adolescent Psychiatry, Risskov, Aarhus, Denmark.Faculty of Psychology, University of Iceland, Reykjavík, Iceland.Akershus University Hospital, Oslo, Norway.Aarhus University Hospital, Regional Center for Child and Adolescent Psychiatry, Risskov, Aarhus, Denmark.Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31622874

Citation

Torp, Nor Christian, et al. "Is It Time to Rethink Standard Dosage of Exposure-based Cognitive Behavioral Therapy for Pediatric Obsessive-compulsive Disorder?" Psychiatry Research, vol. 281, 2019, p. 112600.
Torp NC, Weidle B, Thomsen PH, et al. Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder? Psychiatry Res. 2019;281:112600.
Torp, N. C., Weidle, B., Thomsen, P. H., Skarphedinsson, G., Aalberg, M., Nissen, J. B., ... Ivarsson, T. (2019). Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder? Psychiatry Research, 281, p. 112600. doi:10.1016/j.psychres.2019.112600.
Torp NC, et al. Is It Time to Rethink Standard Dosage of Exposure-based Cognitive Behavioral Therapy for Pediatric Obsessive-compulsive Disorder. Psychiatry Res. 2019;281:112600. PubMed PMID: 31622874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder? AU - Torp,Nor Christian, AU - Weidle,Bernhard, AU - Thomsen,Per Hove, AU - Skarphedinsson,Gudmundur, AU - Aalberg,Marianne, AU - Nissen,Judith Becker, AU - Melin,Karin Holmgren, AU - Dahl,Kitty, AU - Valderhaug,Robert, AU - Ivarsson,Tord, Y1 - 2019/10/04/ PY - 2019/05/06/received PY - 2019/10/03/revised PY - 2019/10/03/accepted PY - 2019/10/18/pubmed PY - 2019/10/18/medline PY - 2019/10/18/entrez KW - Characteristics of early responds KW - Cognitive-behavior therapy KW - Pediatric OCD SP - 112600 EP - 112600 JF - Psychiatry research JO - Psychiatry Res VL - 281 N2 - OBJECTIVE: Identifying factors associated with early treatment response is important, because it can help allocate limited resources in psychiatric care more appropriately. This study examined baseline characteristics of participants with early response to exposure-based cognitive behavior therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). METHOD: 269 participants with OCD, aged 7-17 years, were enrolled in a 14-weeks CBT program. We identified participants with early response to treatment, (CY-BOCS total score of ≤15), by the seventh session. RESULTS: At week 7, 248 (92.2%) participants were assessed, 38.3% (95% CI 32.4-44.5%, n = 95) were identified as treatment responders. Univariate analyses showed that six baseline characteristics were significantly associated with early treatment response: young age, lower levels of symptom severity, functional impairment, internalizing- and externalizing problems, depressive symptoms, and family accommodation. CONCLUSIONS: These results suggested that treatment plans for younger children with moderate OCD symptoms and no major comorbid disorder should include briefer and less resource demanding treatment formats than the commonly recommended and applied standard doses of 15 CBT sessions. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/31622874/Is_it_time_to_rethink_standard_dosage_of_exposure-based_cognitive_behavioral_therapy_for_pediatric_obsessive-compulsive_disorder L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(19)31020-0 DB - PRIME DP - Unbound Medicine ER -