Evidence-based psychosocial treatments for child and adolescent obsessive-compulsive disorder.

TitleEvidence-based psychosocial treatments for child and adolescent obsessive-compulsive disorder.
Publication TypeJournal Article
Year of Publication2008
AuthorsBarrett, PM, Farrell L, Pina AA, Peris TS, Piacentini J
JournalJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
Date Published2008 Jan
KeywordsAdolescent, Child, Cognitive Therapy, Combined Modality Therapy, Evidence-Based Medicine, family therapy, Humans, Implosive Therapy, Obsessive-Compulsive Disorder, Prognosis, Psychotherapy, Psychotherapy, Group

Child and adolescent obsessive-compulsive disorder (OCD) is a chronic and debilitating condition associated with a wide range of impairments. This article briefly discusses the phenomenology of OCD, the theory underlying current treatment approaches, and the extant psychosocial treatment literature for child and adolescent OCD relative to the criteria for classification as an evidence-based intervention. Studies were evaluated for methodological rigor according to the classification system of Nathan and Gorman (2002) and then were assessed relative to the criteria for evidence-based treatments specified by Chambless et al. (1998), Chambless et al. (1996), and Chambless and Hollon (1998). Results from exposure-based cognitive behavioral therapy (CBT) trials with children and adolescents have been consistent, with remission rates of the disorder ranging from 40% to 85% across studies. Findings from this review indicate that individual exposure-based CBT for child and adolescent OCD can be considered as a probably efficacious treatment. CBT delivered in a family-focused individual or group format can be considered as a possibly efficacious treatment. Moderators, mediators, and predictors of treatment outcome are discussed, as are implications and generalizability of extant findings to real-world settings. We conclude with recommendations for best practice and future research directions.

Alternate JournalJ Clin Child Adolesc Psychol