Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESCognitive-Behavioral Family Treatment of Childhood Obsessive-Compulsive Disorder: A Controlled Trial
Section snippets
METHOD
TREATMENT PROTOCOL
The treatment protocol (“Freedom From Obsessions and Compulsions Using Cognitive-Behavioral Strategies” [FOCUS]; Barrett et al., in preparation) used in the present study is a CBFT treatment protocol based on March and colleagues’ individual CBT protocol (“How I Ran OCD Off My Land”; March et al., 1994; March and Mulle, 1998). Adapted from March's original work, the FOCUS program includes a structured parent and sibling protocol, differentiating this CBFT protocol from typical CBT, and allows
PROCEDURE
Following referral, participants were screened for obsessive-compulsive symptomatology via a telephone interview with parents, and those children meeting the inclusion criteria were invited for an assessment at one of two university psychology clinics in the Brisbane and Gold Coast regions. On attending the clinic, the research aims were explained to all participants (parents and children) and written informed consent was gained from parents prior to assessments. Initial assessment interviews
Treatment Outcome
According to parents’ ADIS reports at posttreatment, 21 children (88% response rate) in the individual CBFT condition were without a diagnosis of OCD, compared to 22 children (76% response rate) in the group CBFT condition. All children in the waitlist condition continued to meet criteria for OCD at post-waitlist. A χ2 analysis was used to test differences in treatment response rates for individual and group conditions and revealed no significant difference in the frequency of children without
DISCUSSION
Both active CBFT conditions produced significant reductions in diagnostic status and severity ratings of obsessive-compulsive symptomatology in contrast to the waitlist control condition. Significant improvements occurred as early as week 6 in the treatment and continued across time to week 11, with improvements in child diagnostic status and obsessive-compulsive symptomatology maintained up to 6 months posttreatment. Measures of associated anxiety and depression in children declined for all
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This study was supported by a National Health and Medical Research Council Grant. The authors acknowledge the assistance of Belinda Kelly in the preparation of this manuscript and the research assistance of Peta Hartmann, Rachelle O’Malley, Natalie Boulter, and Keri Pavia.
Readers interested in obtaining a copy of the FOCUS treatment manuals may contact the authors or Australian Academic Press at [email protected]; 32 Jeays Street, Bowen Hills 4006, Brisbane, Australia.