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Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD: The Role of Dysfunctional Beliefs.
Wolters, L H; Prins, P J M; Garst, G J A; Hogendoorn, S M; Boer, F; Vervoort, L; de Haan, E.
Afiliação
  • Wolters LH; Department of Child and Adolescent Psychiatry, Academic Medical Center, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands. L.H.Wolters@amc.uva.nl.
  • Prins PJM; Academic Center for Child and Adolescent Psychiatry, De Bascule, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands. L.H.Wolters@amc.uva.nl.
  • Garst GJA; Faculty of Social and Behavioural Sciences, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS, Amsterdam, The Netherlands.
  • Hogendoorn SM; Faculty of Social and Behavioural Sciences, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS, Amsterdam, The Netherlands.
  • Boer F; Academic Center for Child and Adolescent Psychiatry, De Bascule, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands.
  • Vervoort L; Department of Child and Adolescent Psychiatry, Academic Medical Center, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands.
  • de Haan E; Department of developmental, personality and social psychology, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
Child Psychiatry Hum Dev ; 50(2): 173-185, 2019 04.
Article em En | MEDLINE | ID: mdl-30032391
Reframing cognitions is assumed to play an important role in treatment for obsessive-compulsive disorder (OCD). However, there hardly is any empirical support for this assumption, especially for children. The aim of this study was to examine if changing dysfunctional beliefs is a mediating mechanism of cognitive behavioral therapy (CBT) for childhood OCD. Fifty-eight children (8-18 years) with OCD received CBT. Dysfunctional beliefs (OBQ-CV) and OCD severity (CY-BOCS) were measured pre-treatment, mid-treatment, post-treatment, and at 16-week follow-up. Results showed that OCD severity and dysfunctional beliefs decreased during CBT. Changes in severity predicted changes in beliefs within the same time interval. Our results did not support the hypothesis that changing dysfunctional beliefs mediates treatment effect. Future studies are needed to replicate these findings and shed more light on the role of explicit and implicit cognitions in treatment for childhood OCD.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Terapia Cognitivo-Comportamental / Cognição / Transtorno Obsessivo-Compulsivo Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Terapia Cognitivo-Comportamental / Cognição / Transtorno Obsessivo-Compulsivo Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article