title: Psychological treatment of obsessive-compulsive disorder in children and adolescents: a meta-analysis.
abstract: Although several meta-analyses have investigated the efficacy of psychological treatments for pediatric obsessive-compulsive disorder (OCD), there is not yet a consensus on the most efficacious treatment components. A meta-analysis was carried out to examine the efficacy of the different treatment techniques used in the psychological interventions of pediatric OCD. An exhaustive literature search from 1983 to February 2014 enabled us to locate 46 published articles that applied some kind of cognitive-behavioral therapy (CBT). For each group the effect size was the standardized pretest-posttest mean change, and it was calculated for obsessive-compulsive symptoms and for other outcome measures. The results clearly showed large effect sizes for CBT in reducing obsessive-compulsive symptoms and, to a lesser extent, other outcome measures (d + = 1.860; 95% CI: 1.639; 2.081). The most promising treatments are those based on multicomponent programs comprising ERP, cognitive strategies, and relapse prevention. The analysis of other potential moderator variables and the implications for clinical practice are discussed.
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: Ana I
authors.initials: AI
authors.lastname: Rosa-Alcázar
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: Julio
authors.initials: J
authors.lastname: Sánchez-Meca
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: Ángel
authors.initials: Á
authors.lastname: Rosa-Alcázar
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: Marina
authors.initials: M
authors.lastname: Iniesta-Sepúlveda
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: José
authors.initials: J
authors.lastname: Olivares-Rodríguez
authors.affiliation: Universidad de Murcia (Spain).
authors.forename: José L
authors.initials: JL
authors.lastname: Parada-Navas
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D017063:Outcome Assessment, Health Care
keywords: meta-analysis