title: A preliminary study of cognitive-behavioral family-based treatment versus parent training for young children with obsessive-compulsive disorder.
abstract: Cognitive-Behavioral Family-Based Treatment (CBFT) is the standard of care in young children with OCD. Developmental considerations, parent desires, and cost-effective advantages motivate research to explore the relative efficacy of parent-only interventions. The main goal in this study was to test the effectiveness and feasibility of a parent only intervention for OCD in young children, comparing, in a preliminary fashion the relative efficacy of reducing obsessive-compulsive symptoms through two treatment conditions: 1) an individual CBFT for early OCD involving both parents and children, and 2) the family component of the intervention involving only individual Parent Training (PT).
  
  
  
  Twenty treatment-seeking families from two private outpatient clinics in Spain were alternately assigned to one of the two treatment conditions. Participants had a primary diagnosis of OCD and a mean age of 6.62 years (65% males). Interventions were conducted by the same therapist and the assessments were administered by independent clinicians who were blind to the experimental conditions of the participants. Assessment time-points were pretreatment, posttreatment, and 3-month follow-up (including diagnosis, symptom severity, global functioning, family accommodation, externalizing and internalizing symptoms, and satisfaction measures).
  
  
  
  The two ways of implementation, involving child and parents (CBFT) or involving only parents (PT), produced clinical improvements and were well-accepted by parents and children. The CBFT condition was superior to the PT condition in reducing externalizing problems.
  
  
  
  reduced sample size and absence of randomization were the main limitations of this study.
  
  
  
  these results suggest, in a preliminary manner, that the need to have the child present at session with the clinician could be decreased for some children, as well as the overall feasibility of working only with parents for the implementation of CBT for OCD in very young children.
authors: Department of Personality, Assessment and Psychological Treatment, University of Murcia, Spain.
authors: Ana I
authors: AI
authors: Rosa-Alcázar
authors: Department of Psychology, Catholic University of Murcia, Spain; Department of Education, Catholic University of Murcia, Spain. Electronic address: miniesta@ucam.edu.
authors: Marina
authors: M
authors: Iniesta-Sepúlveda
authors: Department of Pediatrics, University of South Florida, United States; Rogers Behavioral Health - Tampa, United States; Department of Health Policy and Management, University of South Florida, United States; Department of Psychiatry and Behavioral Neurosciences, University of South Florida, United States; Department of Psychology, University of South Florida, United States; All Children's Hospital - Johns Hopkins Medicine, United States.
authors: Eric A
authors: EA
authors: Storch
authors: Department of Psychology, Catholic University of Murcia, Spain.
authors: Ángel
authors: Á
authors: Rosa-Alcázar
authors: Department of Personality, Assessment and Psychological Treatment, University of Murcia, Spain.
authors: José L
authors: JL
authors: Parada-Navas
authors: Department of Personality, Assessment and Psychological Treatment, University of Murcia, Spain.
authors: José
authors: J
authors: Olivares Rodríguez
mesh_terms: D002648:Child; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005196:Family Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D010290:Parents; D010865:Pilot Projects; D013030:Spain
keywords: Family-based treatment; Obsessive-compulsive disorder; Parent training; Young children