title: "On My Own, but Not Alone" - Adolescents' Experiences of Internet-Delivered Cognitive Behavior Therapy for Obsessive-Compulsive Disorder.
abstract: BACKGROUND
  Childhood Obsessive-Compulsive Disorder (OCD) is a prevalent and impairing condition that can be effectively treated with Cognitive Behavior Therapy (CBT). However, a majority of children and adolescents do not have access to CBT. Internet-delivered CBT (ICBT) has been suggested as a way to increase availability to effective psychological treatments. Yet, the research on ICBT in children and adolescents has been lagging behind significantly both when it comes to quantitative as well as qualitative studies. The aim of the current study was to describe the experience of ICBT in adolescents with OCD.
  
  
  METHODS
  Eight adolescents with OCD that had received ICBT were interviewed with qualitative methodology regarding their experiences of the intervention. Data was summarized into thematic categories.
  
  
  RESULTS
  Two overarching themes were identified, autonomy and support, each consisting of three primary themes (self-efficacy, flexibility, secure self-disclosure and clinician support, parental support, identification/normalization, respectively).
  
  
  CONCLUSIONS
  The experiential hierarchical model that was identified in this study is, in part, transferrable to previous research. In addition, it highlights the need of further study of important process variables of ICBT in young patient populations.
authors.affiliation: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.|Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
authors.forename: Fabian
authors.identifier: http://orcid.org/0000-0003-0930-6412
authors.initials: F
authors.lastname: Lenhard
authors.affiliation: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.|Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
authors.forename: Sarah
authors.initials: S
authors.lastname: Vigerland
authors.affiliation: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Hedvig
authors.initials: H
authors.lastname: Engberg
authors.affiliation: Östersund Child and Adolescent Mental Health Service, Östersunds sjukhus, 831 83 Östersund, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Hallberg
authors.affiliation: Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
authors.forename: Hanna
authors.initials: H
authors.lastname: Thermaenius
authors.affiliation: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.|Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
authors.forename: Eva
authors.initials: E
authors.lastname: Serlachius
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000523:psychology* / Q000628:therapy*; D026684:Personal Autonomy; D012650:Self Disclosure; D020377:Self Efficacy; D012944:Social Support; D016896:Treatment Outcome