Related Experiment Video
Updated: Sep 26, 2025
09:14
Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
367
eCBT Versus Standard Individual CBT for Paediatric Obsessive-Compulsive Disorder
Lucía Babiano-Espinosa1,2, Gudmundur Skarphedinsson3, Bernhard Weidle4,5
1Regional Centre for Child and Youth Mental Health and Child Welfare, Department of Mental Health, Norwegian University of Science and Technology, Klostergata 46, 7030, Trondheim, Norway. lucia.babiano-espinosa@ntnu.no.
Child Psychiatry and Human Development
|April 23, 2022
Summary
Enhanced Cognitive Behavioural Therapy (eCBT) shows similar effectiveness to traditional face-to-face therapy for paediatric obsessive-compulsive disorder (OCD). This innovative approach improves accessibility for children and adolescents with OCD.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Technology
- Behavioral Therapy
Background:
- Obsessive-compulsive disorder (OCD) significantly impacts 1-3% of children and adolescents.
- Traditional face-to-face Cognitive Behavioural Therapy (CBT) is the standard treatment but faces accessibility and delivery challenges.
- Enhanced CBT (eCBT) integrates in-clinic sessions with remote treatment via webcam and app support to overcome these barriers.
Purpose of the Study:
- To evaluate the effectiveness of eCBT in paediatric OCD patients.
- To compare eCBT outcomes with traditional face-to-face CBT from a large-scale study.
Main Methods:
- A pilot study involving 25 paediatric OCD patients treated with eCBT.
- Benchmarking eCBT outcomes against 269 patients from the Nordic Long-term OCD Treatment Study (NordLOTS).
- Utilizing pairwise comparisons to assess treatment outcomes, response, and remission rates.
Main Results:
- No significant differences were found between eCBT and traditional face-to-face CBT (NordLOTS) in treatment outcomes.
- A mean estimate difference of 2.5 favored eCBT (95% CI -0.3 to 5.3).
- Response and remission rates were comparable between the eCBT and NordLOTS groups.
Conclusions:
- Enhanced CBT (eCBT) demonstrates similar effectiveness to traditional CBT for paediatric OCD.
- eCBT offers a viable alternative to traditional therapy, potentially improving access to care.
- The findings support eCBT as an effective treatment for childhood OCD.
Related Concept Videos
01:24Operant Conditioning Intervention
128
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
128
01:28Obsessive-Compulsive Disorder
218
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
218
01:24Treatment Strategies for Psychological Disorders
295
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
295
01:25Cognitive Therapy
472
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
472
01:30Electroconvulsive Therapy
223
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
223
01:24Rational Emotive Behavior Therapy
129
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
129