BACKGROUND:Exposure with ritual prevention (ERP) is the psychotherapeutic treatment of choice for pediatric obsessive-compulsive disorder (OCD). In the present study, a new treatment rationale - metacognitive therapy (MCT) for children - was developed and evaluated. METHODS:Ten children and adolescents with OCD were randomly assigned to either MCT or ERP therapy condition. Patients were assessed before and after treatment and at the 3-month and 2-year follow-up by means of symptom severity interviews. Depressive symptoms were also assessed. Manualized treatment involved up to 20 sessions on a weekly basis. RESULTS: We found clinically and statistically significant improvements in symptom severity after treatment. At the 3-month and 2-year follow-up, the attained improvements during treatment were retained. CONCLUSIONS: Despite some methodological limitations, results showed that MCT proved to be a promising psychotherapeutic alternative to the well-established ERP in the treatment of pediatric OCD. Further investigations into the efficacy of MCT are necessary to answer questions as to the working mechanisms underlying therapy for OCD.
RCT Entities:
BACKGROUND: Exposure with ritual prevention (ERP) is the psychotherapeutic treatment of choice for pediatric obsessive-compulsive disorder (OCD). In the present study, a new treatment rationale - metacognitive therapy (MCT) for children - was developed and evaluated. METHODS: Ten children and adolescents with OCD were randomly assigned to either MCT or ERP therapy condition. Patients were assessed before and after treatment and at the 3-month and 2-year follow-up by means of symptom severity interviews. Depressive symptoms were also assessed. Manualized treatment involved up to 20 sessions on a weekly basis. RESULTS: We found clinically and statistically significant improvements in symptom severity after treatment. At the 3-month and 2-year follow-up, the attained improvements during treatment were retained. CONCLUSIONS: Despite some methodological limitations, results showed that MCT proved to be a promising psychotherapeutic alternative to the well-established ERP in the treatment of pediatric OCD. Further investigations into the efficacy of MCT are necessary to answer questions as to the working mechanisms underlying therapy for OCD.
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Authors: Adrian Wells; Karin Carter; Mark Hann; Gemma Shields; Paul Wallis; Beth Cooper; Lora Capobianco Journal: Pilot Feasibility Stud Date: 2022-09-12
Authors: Myles Rizvi; Hannah Smilansky; Rachel Porth; Nicholas Myers; Daniel Geller; Brent J Small; Joseph F McGuire; Sabine Wilhelm; Eric A Storch Journal: Cogn Behav Ther Date: 2020-10-19
Authors: Kimberly Eaton Hoagwood; Peter S Jensen; Mary C Acri; S Serene Olin; R Eric Lewandowski; Rachel J Herman Journal: J Am Acad Child Adolesc Psychiatry Date: 2012-12 Impact factor: 8.829