Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder.
Child Psychiatry Hum Dev
; 2024 Aug 17.
Article
in En
| MEDLINE
| ID: mdl-39152274
ABSTRACT
Obsessive-compulsive disorder (OCD), characterized by recurring obsessions and compulsions, affects 1-3% of the childhood population, often leading to severe impairment and reduced quality of life. Cognitive behavioral therapy (CBT) is well-documented as first choice treatment for pediatric OCD. Traditionally delivered face-to-face CBT has limitations in terms of accessibility, availability, and quality of delivery. Online CBT using video conferencing (online-CBT) at home aims to address some of these barriers. In this pilot study, we aimed to compare acceptability, feasibility and effectiveness of online CBT against face-to-face CBT. Online CBT outcomes of 29 children with OCD were analyzed benchmarked against outcomes of face-to-face CBT (n = 269) from the Nordic Long-term OCD Treatment Study, the largest CBT follow up study in pediatric OCD to date. Acceptability rated by online CBT participants and their parents was very high (Client Satisfaction Questionnaire total scores about 30, range 8-32). Feasibility assessed as dropout rate was comparable to NordLOTS (10.3% versus 9.7%). The online CBT group compared to NordLOTS showed a higher response rate (90% versus 60%; p = .002) and remission rate (81% versus 53%; p = .231). Our results suggest that the trusting therapeutic relationship necessary for demanding exposure-based treatment can be established by online CBT. Online CBT seems to be at least as effective in reducing OCD symptoms than standard CBT. Trial ID ISRCTN37530113.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Child Psychiatry Hum Dev
/
Child psychiatry and human development
/
Child psychiatry hum. dev
Year:
2024
Document type:
Article
Affiliation country:
Noruega
Country of publication:
Estados Unidos