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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
PubMed

Insights

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.

Keywords:
AdolescentsChildrenCognitive behavioral therapy (CBT)Internet delivered cognitive behavioral therapyObsessive-compulsive disorder (OCD)Online CBT

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