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One-Year Outcome for Responders of Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder.
Højgaard, Davíð R M A; Hybel, Katja A; Ivarsson, Tord; Skarphedinsson, Gudmundur; Becker Nissen, Judith; Weidle, Bernhard; Melin, Karin; Torp, Nor Christian; Valderhaug, Robert; Dahl, Kitty; Mortensen, Erik Lykke; Compton, Scott; Jensen, Sanne; Lenhard, Fabian; Thomsen, Per Hove.
Afiliación
  • Højgaard DRMA; Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark. Electronic address: davmar@rm.dk.
  • Hybel KA; Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark.
  • Ivarsson T; Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo.
  • Skarphedinsson G; University of Iceland, Reykjavik.
  • Becker Nissen J; Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark.
  • Weidle B; Regional Center for Child and Youth Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
  • Melin K; Queen Silvia's Children's Hospital, Sahlgrenska, University Hospital, Gothenburg, Sweden.
  • Torp NC; Division of Mental Health and Addiction, Vestre Viken Hospital, Drammen, Norway.
  • Valderhaug R; Regional Center for Child and Youth Mental Health, Norwegian University of Science and Technology, Trondheim, Norway; Hospital of Aalesund, Norway.
  • Dahl K; Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo.
  • Mortensen EL; Center for Healthy Aging, University of Copenhagen, Denmark.
  • Compton S; Duke University Medical Center, Durham, NC.
  • Jensen S; Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark.
  • Lenhard F; Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden and the Stockholm Health Care Services, Stockholm County Council, Sweden.
  • Thomsen PH; Center for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark.
J Am Acad Child Adolesc Psychiatry ; 56(11): 940-947.e1, 2017 Nov.
Article en En | MEDLINE | ID: mdl-29096776
OBJECTIVE: This study describes 1-year treatment outcomes from a large sample of cognitive-behavioral therapy (CBT) responders, investigates age as a possible moderator of these treatment outcomes, and evaluates clinical relapse at the 1-year follow-up. METHOD: This study is the planned follow-up to the Nordic Long-term OCD [obsessive-compulsive disorder] Treatment Study (NordLOTS), which included 177 children and adolescents who were rated as treatment responders following CBT for OCD. Participants were assessed with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) at 6- and 12-month follow-up. Treatment response and remission were defined as CY-BOCS total scores ≤15 and ≤10, respectively. Linear mixed-effects models were used to analyze all outcomes. RESULTS: At 1 year, a total of 155 children and adolescents (87.6%) were available for follow-up assessment, with 142 of these (91.6%) rated below a total score of ≤15 on the CY-BOCS. At 1-year follow-up, 121 (78.1%) were in remission. On average, CY-BOCS total scores dropped by 1.72 points during the first year after terminating treatment (p = .001). A total of 28 participants (15.8%) relapsed (CY-BOCS ≥ 16) at either the 6- or 12-month assessment; only 2 patients required additional CBT. CONCLUSION: Results suggest that manualized CBT in a community setting for pediatric OCD has durable effects for those who respond to an initial course of treatment; children and adolescents who respond to such treatment can be expected to maintain their treatment gains for at least 1 year following acute care. Clinical trial registration information- Nordic Long-term Obsessive-Compulsive Disorder (OCD) Treatment Study; www.controlled-trials.com; ISRCTN66385119.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Evaluación de Resultado en la Atención de Salud / Trastorno Obsesivo Compulsivo Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Evaluación de Resultado en la Atención de Salud / Trastorno Obsesivo Compulsivo Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos