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A solid majority re...
A solid majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD
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- Melin, Karin, 1964 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology,Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Department of Child and Adolescent Psychiatry, CAP Specialized unit, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Skarphedinsson, G. (författare)
- University of Iceland, Reykjavik, Iceland
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- Skärsäter, Ingela, 1952- (författare)
- Högskolan i Halmstad,Centrum för forskning om välfärd, hälsa och idrott (CVHI)
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- Haugland, B. S. M. (författare)
- Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway
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- Ivarsson, Tord, 1946 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology,Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
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(creator_code:org_t)
- 2018-03-03
- 2018
- Engelska.
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Ingår i: European Child & Adolescent Psychiatry. - Heidelberg : Springer Science and Business Media LLC. - 1018-8827 .- 1435-165X. ; 27:10, s. 1373-1381
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- This study reports follow-up 2 and 3 years after the initial assessment of a sample of youth with a primary diagnosis of OCD. Participants were 109 children and adolescents, aged 5-17 years, recruited from a specialized, outpatient OCD clinic in Sweden. Patients were treated with cognitive behavioral therapy (CBT), augmented when indicated by selective serotonin reuptake inhibitor (SSRI). In cases where SSRIs were insufficient, augmentation with a second-generation antipsychotic (SGA) was applied. Participants were assessed with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), Children's OCD Impact Scale (COIS), and Children's Depressive Inventory (CDI) at follow-ups 2 and 3 years after baseline assessment. Treatment response was defined as CY-BOCS total score <= 15, and remission was defined as CY-BOCS total score <= 10. Analyzing the outcomes with linear mixed-effects models (LME) showed a decrease in OCD symptom load from 23 to 6.9 at the 3-year follow-up. Moreover, two of three (66.1%) participants were in remission, and another 19.2% had responded to treatment at the 3-year follow-up. Thus, 85.3% of participants responded to treatment. Moreover, during the follow-up period, participants' psychosocial functioning had significantly improved, and depressive symptoms had significantly decreased. The results suggest that evidence-based treatment for pediatric OCD, following expert consensus guidelines, has long-term positive effects for most children and adolescents diagnosed with OCD. The results also indicate that improvements are maintained over a 3-year period, at least, and that improvement is also found with regard to psychosocial functioning and depressive symptoms.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- Obsessive-compulsive disorder
- Long term
- Follow-up
- Pediatric
- Cognitive behavioral therapy
- obsessive-compulsive disorder
- cognitive-behavior therapy
- functional
- impairment
- children
- adolescents
- validity
- metaanalysis
- scale
- reliability
- convergent
- Psychology
- Pediatrics
- Psychiatry
- Cognitive behavioral therapy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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