Evidence base update for psychosocial treatments for pediatric obsessive-compulsive disorder - PubMed (original) (raw)

Review

Evidence base update for psychosocial treatments for pediatric obsessive-compulsive disorder

Jennifer Freeman et al. J Clin Child Adolesc Psychol. 2014.

Abstract

Pediatric obsessive-compulsive disorder (OCD) is a chronic and impairing condition that often persists into adulthood. Barrett, Farrell, Pina, Peris, and Piacentini (2008), in this journal, provided a detailed review of evidence-based psychosocial treatments for youth with OCD. The current review provides an evidence base update of the pediatric OCD psychosocial treatment literature with particular attention to advances in the field as well as to the methodological challenges inherent in evaluating such findings. Psychosocial treatment studies conducted since the last review are described and evaluated according to methodological rigor and evidence-based classification using the JCCAP evidence-based treatment evaluation criteria (Southam-Gerow & Prinstein, this issue). Findings from this review clearly converge in support of cognitive-behavioral therapy as an effective and appropriate first line treatment for youth with OCD (either alone or in combination with medication). Although no treatment for pediatric OCD has yet to be designated as "well-established," both individual and individual family-based treatments have been shown to be "probably efficacious." Moderators and predictors of treatment outcome are discussed as are the areas where we have advanced the field and the areas where we have room to grow. The methodological and clinical challenges inherent in a review of the evidence base are reviewed. Finally, future research directions are outlined.

PubMed Disclaimer

References

    1. Abramowitz JS, Whiteside SP, Deacon BJ. The Effectiveness of Treatment for Pediatric Obsessive-Compulsive Disorder: A Meta-Analysis. Behavior Therapy. 2005;36(1):55–63. doi: 10.1016/S0005-7894(05)80054-1.
    1. American Academy of Child and Adolescent Psychiatry Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry. 2012;51(1):98–113. doi: 10.1016/j.jaac.2011.09.019. -PubMed
    1. Asbahr FR, Castillo AR, Ito LM, Latorre MR, Moreira MN, Lotufo-Neto F. Group cognitive-behavioral therapy versus sertraline for the treatment of children and adolescents with obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry. 2005;44(11):1128–1136. doi: 10.1097/01.chi.0000177324.40005.6f. -PubMed
    1. Barrett P, Healy-Farrell L, March JS. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry. 2004;43(1):46–62. doi: 10.1097/00004583-200401000-00014. -PubMed
    1. Barrett PM, Dadds MR, Rapee RM. Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology. 1996;64(2):333–342. doi: 10.1037/0022-006X.64.2.333. -PubMed

Publication types

MeSH terms

LinkOut - more resources