Symptom dimensions and cognitive-behavioural therapy outcome for pediatric obsessive-compulsive disorder.
Acta Psychiatr Scand
; 117(1): 67-75, 2008 Jan.
Article
en En
| MEDLINE
| ID: mdl-17986317
ABSTRACT
OBJECTIVE:
To examine whether obsessive-compulsive disorder (OCD) symptom subtypes are associated with response rates to cognitive-behavioural therapy (CBT) among pediatric patients.METHOD:
Ninety-two children and adolescents with OCD (range = 7-19 years) received 14 sessions of weekly or intensive (daily psychotherapy sessions) family-based CBT. Assessments were conducted at baseline and post-treatment. Primary outcomes included scores on the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), remission status, and ratings on the Clinical Global Improvement (CGI) and Clinical Global Impression - Severity (CGI-Severity) scales.RESULTS:
Seventy-six per cent of study participants (n = 70) were classified as treatment responders. Patients with aggressive/checking symptoms at baseline showed a trend (P = 0.06) toward improved treatment response and exhibited greater pre/post-treatment CGI-Severity change than those who endorsed only non-aggressive/checking symptoms. Step-wise linear regression analysis indicated higher scores on the aggressive/checking dimension were predictive of treatment-related change in the CGI-Severity index. Regression analysis with CY-BOCS score as the dependent variable showed no difference between OCD subtypes.CONCLUSION:
Response to CBT in pediatric OCD patients does not differ substantially across subtypes.
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Banco de datos:
MEDLINE
Asunto principal:
Terapia Cognitivo-Conductual
/
Terapia Familiar
/
Trastorno Obsesivo Compulsivo
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Año:
2008
Tipo del documento:
Article