Cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: Empirical review and clinical recommendations

被引:37
作者
Franklin, Martin E. [1 ]
Kratz, Hilary E. [1 ]
Freeman, Jennifer B. [2 ]
Ivarsson, Tord [3 ]
Heyman, Isobel [4 ,5 ]
Sookman, Debbie [6 ,7 ]
McKay, Dean [8 ]
Storch, Eric A. [9 ,10 ]
March, John [11 ]
机构
[1] Univ Penn, Dept Psychiat, Sch Med, Philadelphia, PA 19104 USA
[2] Brown Univ, Sch Med, Dept Psychiat & Human Behav, Providence, RI 02912 USA
[3] Ctr Child & Adolescent Mental Hlth, Oslo, Norway
[4] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
[5] Maudsley Hosp & Inst Psychiat, Natl & Specialist OCD Clin Young People, London SE5 8AZ, England
[6] McGill Univ, Ctr Hlth, Dept Psychol, OCD Clin, Montreal, PQ, Canada
[7] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[8] Fordham Univ, Dept Psychol, Bronx, NY 10458 USA
[9] Univ S Florida, Dept Pediat, St Petersburg, FL 33701 USA
[10] Univ S Florida, Dept Psychiat & Neurosci, St Petersburg, FL 33701 USA
[11] Duke Univ, Med Ctr, Duke Clin Res Inst, Div Neurosci Med, Durham, NC USA
关键词
Exposure and response prevention; Behavioral therapy; Cognitive therapy; Children; Adolescents; Treatment; Pharmacotherapy; PSYCHOSOCIAL TREATMENTS; RESPONSE-PREVENTION; CONTROLLED-TRIAL; FAMILY TREATMENT; FOLLOW-UP; CHILDREN; ADOLESCENTS; CHILDHOOD; PREDICTORS; EXPOSURE;
D O I
10.1016/j.psychres.2015.02.009
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The efficacy of cognitive-behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD) has been the subject of much study over the past fifteen years. Building on a foundation of case studies and open clinical trials, the literature now contains many methodologically sound studies that have compared full CBT protocols to waitlist controls, pill placebo, psychosocial comparison conditions, active medication, combined treatments, and brief CBT. This review is part of a series commissioned by The Canadian Institute for Obsessive Compulsive Disorders (CIOCD) in an effort to publish in one place what is known about the efficacy of treatments for OCD. A total of fourteen studies were identified; collectively their findings support the efficacy of CBT for youth with OCD. CBT protocols that emphasized either strictly behavioral or cognitive conceptualizations have each been found efficacious relative to waitlist controls. Efforts to enhance CBT's efficacy and reach have been undertaken. These trials provide guidance regarding next steps to be taken to maximize efficacy and treatment availability. Findings from studies in community clinics suggest that significant treatment benefits can be realized and are not reported only from within academic contexts. These findings bode well for broader dissemination efforts. Recommendations for future research directions are provided. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:78 / 92
页数:15
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