Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive-compulsive disorder
Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive-compulsive disorder
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DOI：
10.1016/j.psychres.2011.05.047
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发表时间：
2011-10-30
影响因子：
11.3
通讯作者：
Murphy, Tanya K.
中科院分区：
文献类型：
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作者：
Storch, Eric A.;Caporino, Nicole E.;Murphy, Tanya K.
本研究报告了一项通过网络摄像头（W-CBT）对儿童和青少年强迫症（OCD）进行家庭认知行为治疗的等待名单对照随机试验。31名患有强迫症的主要白人青年（范围= 7-16岁; 19名男性）被随机分配到W-CBT或Waitlist对照组。在治疗前和治疗后即刻以及3个月随访时进行评估（仅W-CBT组）。主要结果包括儿童耶鲁-布朗强迫量表（CY-BOCS）、临床总体改善率和缓解状态。当控制基线组差异时。W-CBT在所有主要结局指标上均上级Waitlist对照，且效应量较大（Cohen’s d >= 1.36）。W-CBT组16名青年中有13名（81%）是治疗应答者，而Waitlist组只有2/15名（13%）青年。同样，W-CBT组9/16名（56%）个体符合缓解标准，而Waitlist对照组2/15名（13%）个体符合缓解标准。对于随机分配至W-CBT组的患者，在自然的3个月随访中，通常保持增益。这项初步研究表明，W-CBT可能有助于减少强迫症青少年的强迫症状。鉴于相当大的获取问题，这些研究结果为治疗传播带来了相当大的希望。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
This study reports a waitlist controlled randomized trial of family-based cognitive-behavioral therapy delivered via web-camera (W-CBT) in children and adolescents with obsessive-compulsive disorder (OCD). Thirty-one primarily Caucasian youth with OCD (range = 7-16 years; 19 male) were randomly assigned to W-CBT or a Waitlist control. Assessments were conducted immediately before and after treatment, and at 3-month follow-up (for W-CBT arm only). Primary outcomes included the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), clinical global improvement rates, and remission status. When controlling for baseline group differences. W-CBT was superior to the Waitlist control on all primary outcome measures with large effect sizes (Cohen's d >= 1.36). Thirteen of 16 youth (81%) in the W-CBT arm were treatment responders, versus only 2/15 (13%) youth in the Waitlist arm. Similarly, 9/16 (56%) individuals in the W-CBT group met remission criteria, versus 2/15 (13%) individuals in the Waitlist control. Gains were generally maintained in a naturalistic 3-month follow-up for those randomized to W-CBT. This preliminary study suggests that W-CBT may be helpful in reducing obsessive-compulsive symptoms in youth with OCD. Given considerable access issues, such findings hold considerable promise for treatment dissemination. (C) 2011 Elsevier Ireland Ltd. All rights reserved.