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Change Patterns During Family-Based Treatment for Pediatric Obsessive Compulsive Disorder.

Chloe A McGrath1, Maree J Abbott1, Sharlene C Mantz1

  • 1School of Psychology, The University of Sydney, Sydney, NSW 2006 Australia.

Journal of Child and Family Studies
|November 23, 2022
PubMed
Summary
This summary is machine-generated.

Family-based cognitive behavior therapy (CBT) significantly reduces obsessive compulsive disorder (OCD) symptoms and improves family factors like distress tolerance. Most positive changes in pediatric OCD treatment occur early, emphasizing the need for early intervention.

Keywords:
Child and adolescentCognitive behavior therapyFamilyObsessive compulsive disorderTreatment

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Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology
  • Family Therapy

Background:

  • Cognitive behavior therapy (CBT) for pediatric obsessive compulsive disorder (OCD) now incorporates family environment factors.
  • The change processes within family-based CBT (FCBT) for pediatric OCD remain incompletely understood.

Purpose of the Study:

  • To explore change patterns in OCD symptoms and family variables during FCBT for young people with OCD.
  • To investigate the interplay between family factors and OCD symptom severity throughout treatment.

Main Methods:

  • Longitudinal study of 15 young people with OCD undergoing FCBT.
  • Multiple informants assessed OCD symptom severity, family accommodation (FA), parental distress tolerance (DT), conflict, and blame at baseline and across early, mid, and late treatment phases.

Main Results:

  • OCD symptom severity, FA, DT, and conflict demonstrated significant linear changes across treatment phases.
  • The majority of change in these variables occurred within the first third of treatment.
  • OCD severity predicted changes in blame, and bi-directional effects were observed between DT and OCD symptoms.

Conclusions:

  • FCBT leads to significant improvements in pediatric OCD symptoms and key family factors.
  • Early treatment gains are crucial, suggesting the importance of identifying early responders.
  • Family factors, particularly DT, play a bi-directional role in pediatric OCD symptom change, warranting further investigation.