CBT specific process in exposure-based treatments: Initial examination in a pediatric OCD sample

被引:20
作者
Benito, Kristen Grabill [1 ]
Conelea, Christine
Garcia, Abbe M.
Freeman, Jennifer B.
机构
[1] Brown Univ, Sch Med, Providence, RI 02903 USA
关键词
Children; OCD; Anxiety; Mechanism of change; Process; Cognitive-behavioral therapy; OBSESSIVE-COMPULSIVE-DISORDER; SCHOOL-AGE-CHILDREN; FAMILY ACCOMMODATION; ANXIETY DISORDERS; RELIABILITY; ADOLESCENTS; SCHIZOPHRENIA; DISTRACTION; ATTENTION; SCHEDULE;
D O I
10.1016/j.jocrd.2012.01.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cognitive-behavioral theory and empirical support suggest that optimal activation of fear is a critical component for successful exposure treatment. Using this theory, we developed coding methodology for measuring CBT-specific process during exposure. We piloted this methodology in a sample of young children (N=18) who previously received CBT as part of a randomized controlled trial. Results supported the preliminary reliability and predictive validity of coding variables with 12 weeks and 3 months treatment outcome data, generally showing results consistent with CBT theory. However, given our limited and restricted sample, additional testing is warranted. Measurement of CBT-specific process using this methodology may have implications for understanding mechanism of change in exposure-based treatments and for improving dissemination efforts through identification of therapist behaviors associated with improved outcome. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:77 / 84
页数:8
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