Related Experiment Video
Updated: Jun 16, 2025
09:29
Signal Attenuation as a Rat Model of Obsessive Compulsive Disorder
Published on: January 9, 2015
15.5K
Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder
Bernhard Weidle1,2, Lucía Babiano-Espinosa3, Norbert Skokauskas3,4
1Regional Centre for Child and Youth Mental Health and Child Welfare, Department of Mental Health, Norwegian University of Science and Technology, Klostergata 46, Trondheim, 7030, Norway. b-weidle@online.no.
Child Psychiatry and Human Development
|August 16, 2024
Summary
Online cognitive behavioral therapy (CBT) is a feasible and acceptable treatment for pediatric obsessive-compulsive disorder (OCD). This approach demonstrated higher response and remission rates compared to traditional face-to-face CBT.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Technology
- Behavioral Therapy
Background:
- Pediatric obsessive-compulsive disorder (OCD) affects 1-3% of children, causing significant impairment.
- Cognitive behavioral therapy (CBT) is the primary treatment, but face-to-face delivery has accessibility issues.
- Online CBT (online-CBT) using video conferencing offers a potential solution to improve access.
Purpose of the Study:
- To compare the acceptability, feasibility, and effectiveness of online-CBT versus traditional face-to-face CBT for pediatric OCD.
- To assess if a therapeutic relationship can be established via online-CBT for exposure-based treatment.
Main Methods:
- A pilot study analyzed outcomes for 29 children receiving online-CBT.
- Results were benchmarked against 269 children from the Nordic Long-term OCD Treatment Study (NordLOTS) receiving face-to-face CBT.
- Acceptability was measured by participant/parent satisfaction; feasibility by dropout rates.
Main Results:
- Online-CBT showed very high acceptability (satisfaction scores ~30/32).
- Feasibility was comparable to NordLOTS, with similar dropout rates (10.3% vs. 9.7%).
- The online-CBT group had significantly higher response rates (90% vs. 60%; p=.002) and a trend towards higher remission rates (81% vs. 53%).
Conclusions:
- Online-CBT is an acceptable and feasible treatment for pediatric OCD.
- Online-CBT appears to be at least as effective as standard CBT in reducing symptoms.
- Therapeutic relationships crucial for exposure therapy can be formed through online-CBT.
Related Concept Videos
01:28Obsessive-Compulsive Disorder
71
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...
71
01:24Operant Conditioning Intervention
52
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...
52
01:26Modeling in Therapy
61
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
61
01:25Cognitive Therapy
148
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...
148
01:22Behavior Therapy
44
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
44
02:04Bullying
8.4K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.4K