A prediction analysis testing if internet-delivered cognitive-behaviour therapy is most suitable for the milder cases of pediatric obsessive-compulsive disorder

被引:0
作者
Aspvall, Kristina [1 ,2 ,7 ]
Mataix-Cols, David [1 ,2 ,5 ]
Melin, Karin [3 ,4 ]
Norlin, Lisa [3 ]
Serlachius, Eva [1 ,2 ,5 ]
Andersson, Erik [6 ]
机构
[1] Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Region Stockhol, Sweden
[2] Stockholm Hlth Care Serv, Stockholm, Region Stockhol, Sweden
[3] Sahlgrens Univ Hosp, Dept Child & Adolescent Psychiat, Gothenburg, Region Vastra G, Sweden
[4] Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Gothenburg, Sweden
[5] Lund Univ, Dept Clin Sci, Child & Adolescent Psychiat, Lund, Sweden
[6] Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden
[7] Child & Adolescent Psychiat Res Ctr, Gavlegatan 22 Floor 8, S-11330 Stockholm, Sweden
来源
BMC DIGITAL HEALTH | 2024年 / 2卷 / 01期
基金
瑞典研究理事会;
关键词
Obsessive-compulsive disorder; Cognitive behavior therapy; Digital; Child; Adolescent; Prediction; ADOLESCENTS; MODERATORS; CHILDREN; CARE;
D O I
10.1186/s44247-024-00130-8
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundCommon clinical sense would suggest that individuals with milder obsessive-compulsive disorder (OCD) symptoms should be the most suitable for guided internet-delivered cognitive behaviour therapy (CBT), with more intensive forms of treatment reserved for more severe or complex cases.ResultsIn this secondary data analysis of a non-inferiority clinical trial comparing internet-delivered CBT with in-person CBT for young people with OCD (N = 152), we found that higher baseline symptom severity predicted worse treatment outcomes in the in-person group but not the internet-delivered CBT group. Additional analyses showed that among individuals with milder symptoms, internet-delivered CBT was associated with worse outcomes than in-person CBT.ConclusionsIf replicated, these results would question the axiom that internet-delivered CBT is most suitable for milder cases.Trial registrationThe original trial was registered at ClinicalTrials.gov ID NCT03263546. Date of registration 2017-08-28.
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页数:6
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