title: A baseline controlled examination of a 5-day intensive treatment for pediatric obsessive-compulsive disorder.
abstract: This study extends support for a 5-day intensive exposure and response prevention (ERP) treatment protocol for pediatric obsessive compulsive disorder (OCD). Twenty-two children with OCD received ERP treatment twice daily for 5 days. The treatment also emphasized teaching children and parents how to conduct ERP independently after they returned home. Symptoms were assessed at four time-points: Baseline, 4 weeks later at pre-treatment, one week after the intensive treatment 5-day treatment, and at 3 month follow-up. Changes on the primary outcome measure, clinician severity ratings on the Anxiety Disorders Interview Schedule for Children, and secondary measures, indicated that OCD symptoms remained stable from the evaluation to baseline and improved significantly from baseline to follow-up. Moreover, parental accommodation of OCD decreased significantly from baseline to post-treatment and from post-treatment to follow-up. These data suggest that the 5-day intervention demonstrates efficacy in reducing OCD symptoms and may initiate change in parent accommodation that continues to improve after the family returns home.
authors: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
authors: Stephen P H
authors: SP
authors: Whiteside
authors: Department of Psychology, Fordham University, Bronx, NY, USA.
authors: Dean
authors: D
authors: McKay
authors: Departments of Pediatrics and Psychiatry & Behavioral Neurosciences, University of South Florida, St. Petersburg, FL, USA.
authors: Alessandro S
authors: AS
authors: De Nadai
authors: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
authors: Michael S
authors: MS
authors: Tiede
authors: Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
authors: Chelsea M
authors: CM
authors: Ale
authors: Departments of Pediatrics and Psychiatry & Behavioral Neurosciences, University of South Florida, St. Petersburg, FL, USA; Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA; All Children׳s Hospital - Johns Hopkins Medicine, St. Petersburg, FL, USA.
authors: Eric A
authors: EA
authors: Storch
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods* / Q000639:trends; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D010290:Parents / Q000193:education* / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome
keywords: Anxiety disorders; Child; Cognitive behavioral therapy; Exposure/response prevention; Outcome study