Per Hove Thomsen

Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder? / Torp, Nor Christian; Weidle, Bernhard; Thomsen, Per Hove; Skarphedinsson, Gudmundur; Aalberg, Marianne; Nissen, Judith Becker; Melin, Karin Holmgren; Dahl, Kitty; Valderhaug, Robert; Ivarsson, Tord.

I: Psychiatry Research, Bind 281, 112600, 11.2019.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Torp, NC, Weidle, B, Thomsen, PH, Skarphedinsson, G, Aalberg, M, Nissen, JB, Melin, KH, Dahl, K, Valderhaug, R & Ivarsson, T 2019, 'Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?', Psychiatry Research, bind 281, 112600. https://doi.org/10.1016/j.psychres.2019.112600

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Author

Torp, Nor Christian ; Weidle, Bernhard ; Thomsen, Per Hove ; Skarphedinsson, Gudmundur ; Aalberg, Marianne ; Nissen, Judith Becker ; Melin, Karin Holmgren ; Dahl, Kitty ; Valderhaug, Robert ; Ivarsson, Tord. / Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?. I: Psychiatry Research. 2019 ; Bind 281.

Bibtex

@article{d241a9fbaa2e41b38cac52b26e5ac021,
title = "Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?",
abstract = "Objective: Identifying factors associated with early treatment response is important, because it can help allocate limited resources in psychiatric care more appropriately. This study examined baseline characteristics of participants with early response to exposure-based cognitive behavior therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). Method: 269 participants with OCD, aged 7–17 years, were enrolled in a 14-weeks CBT program. We identified participants with early response to treatment, (CY-BOCS total score of ≤15), by the seventh session. Results: At week 7, 248 (92.2{\%}) participants were assessed, 38.3{\%} (95{\%} CI 32.4–44.5{\%}, n = 95) were identified as treatment responders. Univariate analyses showed that six baseline characteristics were significantly associated with early treatment response: young age, lower levels of symptom severity, functional impairment, internalizing- and externalizing problems, depressive symptoms, and family accommodation. Conclusions: These results suggested that treatment plans for younger children with moderate OCD symptoms and no major comorbid disorder should include briefer and less resource demanding treatment formats than the commonly recommended and applied standard doses of 15 CBT sessions.",
keywords = "Characteristics of early responds, Cognitive-behavior therapy, Pediatric OCD",
author = "Torp, {Nor Christian} and Bernhard Weidle and Thomsen, {Per Hove} and Gudmundur Skarphedinsson and Marianne Aalberg and Nissen, {Judith Becker} and Melin, {Karin Holmgren} and Kitty Dahl and Robert Valderhaug and Tord Ivarsson",
year = "2019",
month = "11",
doi = "10.1016/j.psychres.2019.112600",
language = "English",
volume = "281",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd.",

}

RIS

TY - JOUR

T1 - Is it time to rethink standard dosage of exposure-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder?

AU - Torp, Nor Christian

AU - Weidle, Bernhard

AU - Thomsen, Per Hove

AU - Skarphedinsson, Gudmundur

AU - Aalberg, Marianne

AU - Nissen, Judith Becker

AU - Melin, Karin Holmgren

AU - Dahl, Kitty

AU - Valderhaug, Robert

AU - Ivarsson, Tord

PY - 2019/11

Y1 - 2019/11

N2 - Objective: Identifying factors associated with early treatment response is important, because it can help allocate limited resources in psychiatric care more appropriately. This study examined baseline characteristics of participants with early response to exposure-based cognitive behavior therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). Method: 269 participants with OCD, aged 7–17 years, were enrolled in a 14-weeks CBT program. We identified participants with early response to treatment, (CY-BOCS total score of ≤15), by the seventh session. Results: At week 7, 248 (92.2%) participants were assessed, 38.3% (95% CI 32.4–44.5%, n = 95) were identified as treatment responders. Univariate analyses showed that six baseline characteristics were significantly associated with early treatment response: young age, lower levels of symptom severity, functional impairment, internalizing- and externalizing problems, depressive symptoms, and family accommodation. Conclusions: These results suggested that treatment plans for younger children with moderate OCD symptoms and no major comorbid disorder should include briefer and less resource demanding treatment formats than the commonly recommended and applied standard doses of 15 CBT sessions.

AB - Objective: Identifying factors associated with early treatment response is important, because it can help allocate limited resources in psychiatric care more appropriately. This study examined baseline characteristics of participants with early response to exposure-based cognitive behavior therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). Method: 269 participants with OCD, aged 7–17 years, were enrolled in a 14-weeks CBT program. We identified participants with early response to treatment, (CY-BOCS total score of ≤15), by the seventh session. Results: At week 7, 248 (92.2%) participants were assessed, 38.3% (95% CI 32.4–44.5%, n = 95) were identified as treatment responders. Univariate analyses showed that six baseline characteristics were significantly associated with early treatment response: young age, lower levels of symptom severity, functional impairment, internalizing- and externalizing problems, depressive symptoms, and family accommodation. Conclusions: These results suggested that treatment plans for younger children with moderate OCD symptoms and no major comorbid disorder should include briefer and less resource demanding treatment formats than the commonly recommended and applied standard doses of 15 CBT sessions.

KW - Characteristics of early responds

KW - Cognitive-behavior therapy

KW - Pediatric OCD

UR - http://www.scopus.com/inward/record.url?scp=85073099877&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2019.112600

DO - 10.1016/j.psychres.2019.112600

M3 - Journal article

C2 - 31622874

AN - SCOPUS:85073099877

VL - 281

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

M1 - 112600

ER -