title: Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: long-term follow-up and predictors of outcome.
abstract: OBJECTIVE
  The aims were to (1) evaluate the long-term durability of individual and group cognitive-behavioral family therapy for childhood obsessive-compulsive disorder and (2) investigate pretreatment predictors of long-term outcome.
  
  
  METHODS
  Undertaken at a university-based clinic, this study involved 48 participants (8-19 years old) who had received individual or group cognitive-behavioral family therapy. Participants and parents were assessed at 12 and 18 months following treatment with standardized assessments, including diagnostic and symptom severity interviews, child self-report measures of anxiety and depression, and parental self-report of distress. Pretreatment data were used for the prediction of long-term outcome.
  
  
  RESULTS
  Analyses indicated treatment gains were maintained, with a total of 70% of participants in individual therapy and 84% in group therapy diagnosis free at follow-up. There were no significant differences between the individual or group conditions across measures. Results indicated that higher pretreatment severity and higher family dysfunction predicted worse long-term outcome.
  
  
  CONCLUSIONS
  The results suggest that cognitive-behavioral family therapy for obsessive-compulsive disorder provides long-term relief that it is equally effective in individual and group-based therapy. Focusing on family dysfunction may improve long-term prognosis.
authors.affiliation: School of Applied Psychology, Griffith University, Mount Gravatt Campus, Brisbane, Queensland, Australia. p.barrett@griffith.edu.au
authors.forename: Paula
authors.initials: P
authors.lastname: Barrett
authors.forename: Lara
authors.initials: L
authors.lastname: Farrell
authors.forename: Mark
authors.initials: M
authors.lastname: Dadds
authors.forename: Natalie
authors.initials: N
authors.lastname: Boulter
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D016896:Treatment Outcome