Internet-delivered, family-based treatment for early-onset OCD: A pilot randomized trial.
Internet-delivered, family-based treatment for early-onset OCD: A pilot randomized trial.
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DOI：
10.1037/ccp0000155
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发表时间：
2017-03
影响因子：
5.9
通讯作者：
Freeman JB
中科院分区：
文献类型：
--
作者：
Comer JS;Furr JM;Kerns CE;Miguel E;Coxe S;Elkins RM;Carpenter AL;Cornacchio D;Cooper-Vince CE;DeSerisy M;Chou T;Sanchez AL;Khanna M;Franklin ME;Garcia AM;Freeman JB
尽管早发性强迫症 (OCD) 的支持治疗取得了进展，但由于儿科强迫症领域的区域专业知识有限，进展受到限制。视频电话会议 (VTC) 方法已被证明有助于扩大老年人的服务范围，但尚无随机临床试验 (RCT) 评估 VTC 治疗早发性强迫症的效果。比较 VTC 提供的基于家庭的认知行为疗法 (FB-CBT) 与基于临床的 FB-CBT 在治疗 4-8 岁强迫症儿童方面的随机对照试验 (N=22)。治疗前、治疗后和 6 个月的随访评估包括母亲/治疗师报告和针对治疗情况的独立评估。主要分析侧重于治疗保留率、参与度和满意度。分层线性模型初步评估了时间、治疗条件及其相互作用的影响。 “优秀反应”被定义为临床整体印象改善量表中的 1 或 2。各种情况下的治疗保留率、参与度、联盟度和满意度都很高。这两种情况的症状轨迹和家庭住宿情况显示，从基线到治疗后，结果均有所改善，并在随访中持续改善。治疗后，72.7%的互联网病例和60%的诊所病例表现出“极好反应”，随访时80%的互联网病例和66.7%的诊所病例表现出“极好反应”。各结果之间未发现显着的条件差异。 VTC 方法可以通过扩大实时专家服务的范围来提供克服早发性强迫症护理传统障碍的解决方案，无论儿童在地理位置上是否接近优质护理。
Despite advances in supported treatments for early-onset obsessive-compulsive disorder (OCD), progress has been constrained by regionally limited expertise in pediatric OCD. Videoteleconferencing (VTC) methods have proved useful for extending the reach of services for older individuals, but no randomized clinical trials (RCTs) have evaluated VTC for treating early-onset OCD. RCT comparing VTC-delivered family-based cognitive-behavioral therapy (FB-CBT) versus clinic-based FB-CBT in the treatment of children ages 4–8 with OCD (N=22). Pretreatment, posttreatment, and 6-month follow-up assessments included mother-/therapist-reports and independent evaluations masked to treatment condition. Primary analyses focused on treatment retention, engagement and satisfaction. Hierarchical linear modeling preliminarily evaluated the effects of time, treatment condition, and their interactions. “Excellent response” was defined as a 1 or 2 on the Clinical Global Impressions-Improvement Scale. Treatment retention, engagement, alliance and satisfaction were high across conditions. Symptom trajectories and family accommodation across both conditions showed outcomes improving from baseline to posttreatment, and continuing through follow-up. At posttreatment, 72.7% of Internet cases and 60% of Clinic cases showed “excellent response,” and at follow-up 80% of Internet cases and 66.7% of Clinic cases showed “excellent response.” Significant condition differences were not found across outcomes. VTC methods may offer solutions to overcoming traditional barriers to care for early-onset OCD by extending the reach of real-time expert services regardless of children’s geographic proximity to quality care.
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DOI：
10.1097/chi.0b013e31816765f9
发表时间：
2008-05-01
影响因子：
13.3
作者：
Freeman, Jennifer B.;Garcia, Abbe M.;Leonard, Henrietta L.
通讯作者：
Leonard, Henrietta L.
DOI：
10.1080/15374416.2013.822308
发表时间：
2014-01-02
影响因子：
4.2
作者：
Jones, Deborah J.;Forehand, Rex;Newey, Greg A.
通讯作者：
Newey, Greg A.
影响因子：
2.9
作者：
Comer, Jonathan S.
通讯作者：
Comer, Jonathan S.
影响因子：
12.8
作者：
Herbst, Nirmal;Voderholzer, Ulrich;Kuelz, Anne Katrin
通讯作者：
Kuelz, Anne Katrin
影响因子：
11.3
作者：
Storch, Eric A.;Caporino, Nicole E.;Murphy, Tanya K.
通讯作者：
Murphy, Tanya K.