Cognitive behavior therapy in treatment-naive children and adolescents with obsessive-compulsive disorder: an open trial

被引:58
作者
Benazon, NR
Ager, J
Rosenberg, DR
机构
[1] Wayne State Univ, Dept Psychiat & Behav Neurosci, Detroit, MI 48207 USA
[2] Wayne State Univ, Ctr Healthcare Effectiveness Res, Shiffman Med Lib 121, Detroit, MI 48201 USA
关键词
child; obsessive-compulsive disorder; pediatric; cognitive behavior therapy;
D O I
10.1016/S0005-7967(01)00064-X
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This work aims is to evaluate the therapeutic efficacy of cognitive behavior therapy (CBT) in pediatric patients with obsessive-compulsive disorder (OCD) who had not previously been treated with either pharmacotherapy or psychotherapy and who remained medication-free during CBT. Sixteen OCD outpatients, 8-17 years of age, were treated in a 12-week open trial with manualized CBT. Target symptoms were rated at two-week intervals with the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the National Institute of Mental Health Global Obsessive-Compulsive Scale (NIMH Global), the Clinical Global Impression Scale (CGI). and the Hamilton Anxiety Rating Scale (Ham-A). Statistical analyses showed a significant benefit for treatment. Ten patients experienced at least a 50% reduction in symptoms on the CY-BOCS; seven were asymptomatic on the NIMH Global. These results build on previous reports that CBT may be effective in the acute treatment of pediatric OCD. Further, the results of this study suggest that CBT can be efficacious in alleviating OCD symptoms in the absence of pharmacotherapy. These results must be considered preliminary, given the small sample size and open administration of treatment. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:529 / 539
页数:11
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