Comorbidity and treatment response in pediatric obsessive-compulsive disorder: A pilot study of group cognitive-behavioral treatment

PSYCHIATRY RESEARCH

卷:199

Article

Farrell, Lara¹  Milliner, Ella¹  Ollendick, Thomas² 

[1] Griffith Univ, Griffith Hlth Inst, Sch Appl Psychol, Brisbane, Qld 4222, Australia

[2] Virginia Tech Univ, Ctr Child Study, Blacksburg, VA USA

关键词: OCD;    Children;    Youth;    Treatment response;    Group CBT;    Comorbidity;   

DOI  :  10.1016/j.psychres.2012.04.035

来源: Elsevier

【 摘 要 】

This pilot study evaluated the effectiveness of group cognitive-behavioral treatment (CBT) on treatment outcomes for children and adolescents who presented with obsessive-compulsive disorder (OCD) and complex comorbid conditions, including depression, attention deficit/hyperactivity disorder and pervasive developmental disorders (POD). Specifically, the impact of comorbidity on treatment response rates and remission rates was examined. Forty-three youth (aged 7-17) with OCD participated in group family-based CBT. Assessments were conducted at pre- and post-treatment and 6 months. Eighty-six percent of youth presented with a secondary psychiatric disorder, and 74% presented with a tertiary psychiatric condition. Contrary to the expected, comorbidity was not associated with poorer treatment outcomes at post-assessment. At longer term follow-up (6 months), however, treatment outcomes were poorer for youth with multiple comorbid conditions and for those with attention deficit/hyperactivity disorder. The finding that group CBT is largely effective for youth with comorbid conditions is of clinical and practical significance. Group delivery of CBT provides an efficient and cost-effective approach, and alleviates strain on services and service providers. Continued efforts are needed to improve long-term outcomes for youth with multiple comorbid conditions and attention deficit/hyperactivity disorder. Examining treatment response as a function of comorbidity with larger clinical samples is important to extend this research. (C)2012 Elsevier Ltd. All rights reserved.

【 授权许可】

Free