title: CBT Specific Process in Exposure-Based Treatments: Initial Examination in a Pediatric OCD Sample.
abstract: Cognitive-Behavioral theory and empirical support suggest that optimal activation of fear is a critical component for successful exposure treatment. Using this theory, we developed coding methodology for measuring CBT-specific process during exposure. We piloted this methodology in a sample of young children (N = 18) who previously received CBT as part of a randomized controlled trial. Results supported the preliminary reliability and predictive validity of coding variables with 12 week and 3 month treatment outcome data, generally showing results consistent with CBT theory. However, given our limited and restricted sample, additional testing is warranted. Measurement of CBT-specific process using this methodology may have implications for understanding mechanism of change in exposure-based treatments and for improving dissemination efforts through identification of therapist behaviors associated with improved outcome.
authors.affiliation: Brown University Medical School and Rhode Island Hospital.
authors.forename: Kristen Grabill
authors.initials: KG
authors.lastname: Benito
authors.forename: Christine
authors.initials: C
authors.lastname: Conelea
authors.forename: Abbe M
authors.initials: AM
authors.lastname: Garcia
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Freeman