Literature DB >> 27209422

Defining cognitive-behavior therapy response and remission in pediatric OCD: a signal detection analysis of the Children's Yale-Brown Obsessive Compulsive Scale.

Gudmundur Skarphedinsson1, Alessandro S De Nadai2, Eric A Storch2,3,4,5, Adam B Lewin2, Tord Ivarsson6.   

Abstract

The objective of the study was to examine the optimal Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) percent reduction and raw cutoffs for predicting cognitive-behavioral treatment (CBT) response among children and adolescents with obsessive-compulsive disorder (OCD). The sample consisted of children and adolescents with OCD (N = 241) participating in the first step of the Nordic long-term OCD treatment study and receiving 14 weekly sessions of CBT in the form of exposure and response prevention. Evaluations were conducted pre- and post-treatment, included the CY-BOCS, Clinical Global Impressions-severity/improvement. The results showed that the most efficient CY-BOCS cutoffs were 35 % reduction for treatment response, 55 % reduction for remission, and a post-treatment CY-BOCS raw total score of 11 for treatment remission. Overall, our results diverge from previous research on pediatric OCD with more conservative cutoffs (higher cutoff reduction for response and remission, and lower raw score for remission). Further research on optimal cutoffs is needed.

Entities:  

Keywords:  Children’s Yale-Brown Obsessive–Compulsive Scale; Cognitive-behavioral treatment; Obsessive–compulsive disorder; Treatment

Mesh：

Year:  2016        PMID： 27209422      PMCID： PMC6167060          DOI： 10.1007/s00787-016-0863-0

Source DB:  PubMed          Journal:  Eur Child Adolesc Psychiatry        ISSN： 1018-8827            Impact factor:   4.785


  45 in total

1.  Cognitive behavior therapy augmentation of pharmacotherapy in pediatric obsessive-compulsive disorder: the Pediatric OCD Treatment Study II (POTS II) randomized controlled trial.

Authors:  Martin E Franklin; Jeffrey Sapyta; Jennifer B Freeman; Muniya Khanna; Scott Compton; Daniel Almirall; Phoebe Moore; Molly Choate-Summers; Abbe Garcia; Aubrey L Edson; Edna B Foa; John S March
Journal:  JAMA       Date:  2011-09-21       Impact factor: 56.272

2.  The clinical global impressions scale: applying a research tool in clinical practice.

Authors:  Joan Busner; Steven D Targum
Journal:  Psychiatry (Edgmont)       Date:  2007-07

3.  Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data.

Authors:  J Kaufman; B Birmaher; D Brent; U Rao; C Flynn; P Moreci; D Williamson; N Ryan
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  1997-07       Impact factor: 8.829

4.  Childhood obsessive-compulsive disorder in the NIMH MECA study: parent versus child identification of cases. Methods for the Epidemiology of Child and Adolescent Mental Disorders.

Authors:  J L Rapoport; G Inoff-Germain; M M Weissman; S Greenwald; W E Narrow; P S Jensen; B B Lahey; G Canino
Journal:  J Anxiety Disord       Date:  2000 Nov-Dec

5.  Controlled comparisons of clomipramine and fluoxetine in the treatment of obsessive-compulsive disorder. Behavioral and biological results.

Authors:  T A Pigott; M T Pato; S E Bernstein; G N Grover; J L Hill; T J Tolliver; D L Murphy
Journal:  Arch Gen Psychiatry       Date:  1990-10

6.  A randomized controlled trial of cognitive therapy versus intensive behavior therapy in obsessive compulsive disorder.

Authors:  J Cottraux; I Note; S N Yao; S Lafont; B Note; E Mollard; M Bouvard; A Sauteraud; M Bourgeois; J F Dartigues
Journal:  Psychother Psychosom       Date:  2001 Nov-Dec       Impact factor: 17.659

7.  Efficacy of interpersonal psychotherapy as a maintenance treatment of recurrent depression. Contributing factors.

Authors:  E Frank; D J Kupfer; E F Wagner; A B McEachran; C Cornes
Journal:  Arch Gen Psychiatry       Date:  1991-12

8.  Evidence-Based Assessment of Child Obsessive Compulsive Disorder: Recommendations for Clinical Practice and Treatment Research.

Authors:  Adam B Lewin; John Piacentini
Journal:  Child Youth Care Forum       Date:  2010-01-08

9.  Frequency of obsessive-compulsive disorder in a community sample of young adolescents.

Authors:  L A Valleni-Basile; C Z Garrison; K L Jackson; J L Waller; R E McKeown; C L Addy; S P Cuffe
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  1994 Jul-Aug       Impact factor: 8.829

Review 10.  Treatment non-response in OCD: methodological issues and operational definitions.

Authors:  Stefano Pallanti; Eric Hollander; Carol Bienstock; Lorrin Koran; James Leckman; Donatella Marazziti; Michele Pato; Dan Stein; Joseph Zohar
Journal:  Int J Neuropsychopharmacol       Date:  2002-06       Impact factor: 5.176
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  9 in total

1.  Avoidance, Insight, Impairment Recognition Concordance, and Cognitive-Behavioral Therapy Outcomes in Pediatric Obsessive-Compulsive Disorder.

Authors:  Robert R Selles; Davið R M A Højgaard; Tord Ivarsson; Per Hove Thomsen; Nicole Michelle McBride; Eric A Storch; Daniel Geller; Sabine Wilhelm; Lara J Farrell; Allison M Waters; Sharna Mathieu; S Evelyn Stewart
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  2019-06-20       Impact factor: 8.829

2.  Children's and Parents' Ability to Tolerate Child Distress: Impact on Cognitive Behavioral Therapy for Pediatric Obsessive Compulsive Disorder.

Authors:  Robert R Selles; Martin Franklin; Jeffrey Sapyta; Scott N Compton; Doug Tommet; Richard N Jones; Abbe Garcia; Jennifer Freeman
Journal:  Child Psychiatry Hum Dev       Date:  2018-04

3.  Quality of Life in Children and Youth with Obsessive-Compulsive Disorder.

Authors:  Eric A Storch; Brent J Small; Joseph F McGuire; Tanya K Murphy; Sabine Wilhelm; Daniel A Geller
Journal:  J Child Adolesc Psychopharmacol       Date:  2017-09-14       Impact factor: 2.576

4.  The need for evidence-based intake, progress, and outcomes assessment.

Authors:  Thomas M Achenbach
Journal:  Eur Child Adolesc Psychiatry       Date:  2017-01       Impact factor: 4.785

5.  Defining Treatment Outcomes in Pediatric Obsessive-Compulsive Disorder Using a Self-Report Scale.

Authors:  Joseph F McGuire; Daniel A Geller; Tanya K Murphy; Brent J Small; Arianna Unger; Sabine Wilhelm; Eric A Storch
Journal:  Behav Ther       Date:  2018-06-22

6.  Symptom Trajectories of Early Responders and Remitters among Youth with OCD.

Authors:  Megan Rech; Saira Weinzimmer; Daniel Geller; Joseph F McGuire; Sophie C Schneider; Kevin C Patyk; Alessandro S De Nadai; Sandra C Cepeda; Brent J Small; Tanya K Murphy; Sabine Wilhelm; Eric A Storch
Journal:  J Obsessive Compuls Relat Disord       Date:  2020-08-29       Impact factor: 2.236

7.  From Treatment Response to Recovery: A Realistic Goal in OCD.

Authors:  Elisabetta Burchi; Eric Hollander; Stefano Pallanti
Journal:  Int J Neuropsychopharmacol       Date:  2018-11-01       Impact factor: 5.176

8.  Internet-based cognitive behavioral therapy in children and adolescents with obsessive compulsive disorder: a feasibility study.

Authors:  Karsten Hollmann; Katharina Allgaier; Carolin S Hohnecker; Heinrich Lautenbacher; Verena Bizu; Matthias Nickola; Gunilla Wewetzer; Christoph Wewetzer; Tord Ivarsson; Norbert Skokauskas; Lidewij H Wolters; Gudmundur Skarphedinsson; Bernhard Weidle; Else de Haan; Nor Christan Torp; Scott N Compton; Rosa Calvo; Sara Lera-Miguel; Anna Haigis; Tobias J Renner; Annette Conzelmann
Journal:  J Neural Transm (Vienna)       Date:  2021-08-25       Impact factor: 3.575

9.  Effects of Treatment Setting on Outcomes of Flexibly-Dosed Intensive Cognitive Behavioral Therapy for Pediatric OCD: A Randomized Controlled Pilot Trial.

Authors:  Robert R Selles; Zainab Naqqash; John R Best; Diana Franco-Yamin; Serene T Qiu; Jessica S Ferreira; Xiaolei Deng; Dagmar Kr Hannesdottir; Carla Oberth; Laura Belschner; Juliana Negreiros; Lara J Farrell; S Evelyn Stewart
Journal:  Front Psychiatry       Date:  2021-05-17       Impact factor: 4.157
  9 in total

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