Lara J Farrell1, Barbara Schlup, Mark J Boschen. 1. Griffith Institute of Health and Medical Research, Behavioral Basis of Health, Griffith University, Gold Coast Campus, Brisbane, Queensland 4222, Australia. l.farrell@griffith.edu.au
Abstract
OBJECTIVE: To evaluate the feasibility and outcomes of evidence-based (EB) manualized, cognitive-behavioral treatment (CBT) for childhood obsessive-compulsive disorder (OCD), when delivered in an outpatient community-based specialist clinic. METHOD: This study, conducted in an outpatient private clinic in South-East Queensland Australia, involved thirty-three children and adolescents with OCD. Children were assessed at pre- and post-treatment, by means of diagnostic interviews, symptom severity interviews, and self-report. Treatment involved 12 sessions CBT delivered either individually or in small groups and included parental involvement. RESULTS: Manualized CBT could be transported to the community setting effectively, with 63% of the current sample responding positively, based on post-treatment diagnosis. Significant change was evident across a wide-range of outcomes; including, diagnostic severity, symptom severity, child reported depression and anxiety, and both child and parent reported OCD functional impairment. CONCLUSIONS: This study provides evidence for the transportability of manualized CBT in clinical community practice for pediatric OCD. The next important step is larger community based dissemination and effectiveness studies to advance both research and clinical practice outcomes. Copyright 2010 Elsevier Ltd. All rights reserved.
OBJECTIVE: To evaluate the feasibility and outcomes of evidence-based (EB) manualized, cognitive-behavioral treatment (CBT) for childhood obsessive-compulsive disorder (OCD), when delivered in an outpatient community-based specialist clinic. METHOD: This study, conducted in an outpatient private clinic in South-East Queensland Australia, involved thirty-three children and adolescents with OCD. Children were assessed at pre- and post-treatment, by means of diagnostic interviews, symptom severity interviews, and self-report. Treatment involved 12 sessions CBT delivered either individually or in small groups and included parental involvement. RESULTS: Manualized CBT could be transported to the community setting effectively, with 63% of the current sample responding positively, based on post-treatment diagnosis. Significant change was evident across a wide-range of outcomes; including, diagnostic severity, symptom severity, child reported depression and anxiety, and both child and parent reported OCD functional impairment. CONCLUSIONS: This study provides evidence for the transportability of manualized CBT in clinical community practice for pediatric OCD. The next important step is larger community based dissemination and effectiveness studies to advance both research and clinical practice outcomes. Copyright 2010 Elsevier Ltd. All rights reserved.
Authors: Jennifer Freeman; Jeffrey Sapyta; Abbe Garcia; Scott Compton; Muniya Khanna; Chris Flessner; David FitzGerald; Christian Mauro; Rebecca Dingfelder; Kristen Benito; Julie Harrison; John Curry; Edna Foa; John March; Phoebe Moore; Martin Franklin Journal: JAMA Psychiatry Date: 2014-06 Impact factor: 21.596
Authors: Rajshekhar Bipeta; Srinivasa Srr Yerramilli; Srilakshmi Pingali; Ashok Reddy Karredla; Mohammad Osman Ali Journal: Child Adolesc Psychiatry Ment Health Date: 2013-06-20 Impact factor: 3.033