A randomised controlled trial of cognitive behavioural treatment for obsessive compulsive disorder in children and adolescents

被引:50
作者
Williams, Tim I. [1 ]
Salkovskis, Paul M. [2 ]
Forrester, Liz [2 ]
Turner, Sam [3 ]
White, Hilary [3 ]
Allsopp, Mark A. [3 ]
机构
[1] Univ Reading, Sch Psychol, Berkshire Healthcare NHS Trust, Reading RG6 6AL, Berks, England
[2] Univ London, Kings Coll, Inst Psychiat, Dept Psychol, London, England
[3] Wokingham Hosp, Berkshire Healthcare NHS Trust, Berkshire Adolescent Serv, Wokingham, England
关键词
Obsessive compulsive disorder; Cognitive behaviour therapy; Randomised controlled trial; Treatment; Young people; YOUNG-PEOPLE; FOLLOW-UP; THERAPY; RESPONSIBILITY; CLOMIPRAMINE; METAANALYSIS; COMBINATION; PREVENTION; SERTRALINE; CHILDHOOD;
D O I
10.1007/s00787-009-0077-9
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Cognitive behaviour therapy (CBT) for young people with obsessive compulsive disorder (OCD) has become the treatment of first choice. However, the literature is largely based on studies emphasising exposure and response prevention. In this study, we report on a randomised controlled trial of CBT for young people carried out in typical outpatient clinic conditions which focused on cognitions. A randomised controlled trial compares 10 sessions of manualised cognitive behavioural treatment with a 12-week waiting list for adolescents and children with OCD. Assessors were blind to treatment allocation. 21 consecutive patients with OCD aged between 9 and 18 years were recruited. The group who received treatment improved more than a comparison group who waited for 3 months. The second group was treated subsequently using the same protocol and made similar gains. In conclusion, CBT can be delivered effectively to young people with OCD in typical outpatient settings.
引用
收藏
页码:449 / 456
页数:8
相关论文
共 36 条
[1]   The effectiveness of treatment for pediatric obsessive-compulsive disorder: A meta-analysis [J].
Abramowitz, JS ;
Whiteside, SR ;
Deacon, BJ .
BEHAVIOR THERAPY, 2005, 36 (01) :55-63
[2]   A FOLLOW-UP OF ADOLESCENTS WITH OBSESSIVE-COMPULSIVE DISORDER [J].
ALLSOPP, M ;
VERDUYN, C .
BRITISH JOURNAL OF PSYCHIATRY, 1989, 154 :829-834
[3]   Cognitive versus Behavior therapy: Processes of change in the treatment of obsessive-compulsive disorder [J].
Anholt, Gideon E. ;
Kempe, Pieter ;
de Haan, Else ;
van Oppen, Patricia ;
Cath, Danielle C. ;
Smit, Johannes H. ;
van Balkom, Anton J. L. M. .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 2008, 77 (01) :38-42
[4]  
[Anonymous], 1997, J Clin Psychiatry, V58 Suppl 4, P2
[5]  
[Anonymous], 1985, PSYCHOPHARMACOL BULL
[6]   Group cognitive-behavioral therapy versus sertraline for the treatment of children and adolescents with obsessive-compulsive disorder [J].
Asbahr, FR ;
Castillo, AR ;
Ito, LM ;
Latorre, MD ;
Moreira, MN ;
Lotufo-Neto, F .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2005, 44 (11) :1128-1136
[7]   Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: A controlled trial [J].
Barrett, P ;
Healy-Farrell, L ;
March, JS .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2004, 43 (01) :46-62
[8]   Perceived responsibility in juvenile obsessive-compulsive disorder: An experimental manipulation [J].
Barrett, P ;
Healy-Farrell, L .
JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, 2003, 32 (03) :430-441
[9]   Do parent and child behaviours differentiate families whose children have obsessive-compulsive disorder from other clinic and non-clinic families? [J].
Barrett, P ;
Shortt, A ;
Healy, L .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2002, 43 (05) :597-607
[10]   Child Versus Family Cognitive-Behavioral Therapy in Clinically Anxious Youth: An Efficacy and Partial Effectiveness Study [J].
Bodden, Denise H. M. ;
Bogels, Susan M. ;
Nauta, Maaike H. ;
De Haan, Else ;
Ringrose, Jaap ;
Appelboom, Carla ;
Brinkman, Andries G. ;
Appelboom-Geerts, Karen C. M. M. J. .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2008, 47 (12) :1384-1394