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eCBT Versus Standard Individual CBT for Paediatric Obsessive–Compulsive Disorder

eCBT Versus Standard Individual CBT for Paediatric Obsessive–Compulsive Disorder


Title: eCBT Versus Standard Individual CBT for Paediatric Obsessive–Compulsive Disorder
Author: Babiano-Espinosa, Lucía
Skarphedinsson, Gudmundur   orcid.org/0000-0002-8618-153X
Weidle, Bernhard
Wolters, Lidewij H.
Compton, Scott
Ivarsson, Tord
Skokauskas, Norbert
Date: 2022-04-22
Language: English
Scope: 10
Department: Faculty of Psychology
Series: Child Psychiatry and Human Development; ()
ISSN: 0009-398X
DOI: 10.1007/s10578-022-01350-7
Subject: Adolescents; Children; Cognitive behavioral therapy (CBT); Enhanced cognitive behavioral therapy (eCBT); Obsessive–compulsive disorder (OCD); Pediatrics, Perinatology and Child Health; Developmental and Educational Psychology; Psychiatry and Mental Health
URI: https://hdl.handle.net/20.500.11815/3984

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Citation:

Babiano-Espinosa , L , Skarphedinsson , G , Weidle , B , Wolters , L H , Compton , S , Ivarsson , T & Skokauskas , N 2022 , ' eCBT Versus Standard Individual CBT for Paediatric Obsessive–Compulsive Disorder ' , Child Psychiatry and Human Development , pp. 1-10 . https://doi.org/10.1007/s10578-022-01350-7

Abstract:

Obsessive–compulsive disorder (OCD) is characterized by recurring obsessions and compulsions often with severe impairment affecting 1–3% of children and adolescents. Cognitive behavioural therapy (CBT) is the therapeutic golden standard for paediatric OCD. However, face-to-face CBT is limited by accessibility, availability, and quality of delivery. Enhanced CBT (eCBT) a combination of face-to-face sessions at the clinic and treatment at home via webcam and a supportive app system aims to address some of these barriers. In this pilot study, we compared eCBT outcomes of 25 paediatric patients with OCD benchmarked against traditional face-to-face CBT (n = 269) from the Nordic Long-term OCD Treatment Study, the largest paediatric OCD CBT study to date. Pairwise comparisons showed no difference between eCBT and NordLOTS treatment outcomes. Mean estimate difference was 2.5 in favour of eCBT (95% CI − 0.3 to 5.3). eCBT compared to NordLOTS showed no significant differences between response and remission rates, suggesting similar effectiveness.

Description:

Open access funding provided by NTNU Norwegian University of Science and Technology (incl St. Olavs Hospital - Trondheim University Hospital). The Liaison Committee for Education, Research and Innovation in Central Norway supported this work (Samarbeidsorganet mellom Helse Midt-Norge RHF og NTNU). Publisher Copyright: © 2022, The Author(s).

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