Journal of the American Academy of Child and Adolescent Psychiatry
Journal of the American Academy of Child and Adolescent Psychiatry
5 years ago

One-Year Outcome for Responders of Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder

This study describes one-year treatment outcomes from a large sample of cognitive-behavioral therapy (CBT) responders, investigates age as a possible moderator of these treatment outcomes, and evaluates clinical relapse at the one-year follow-up. Method This study is the planned follow-up to the Nordic Long-term OCD [obsessive-compulsive disorder] Treatment Study (NordLOTS), which included 177 children and adolescents who were rated as treatment responders following CBT for OCD. Participants were assessed with the Children’s Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) at six and twelve months’ follow-up. Treatment response and remission were defined as CY-BOCS total scores ≤ 15 and ≤ 10, respectively. Linear mixed-effects models (LMEMs) were used to analyze all outcomes. Results At one year, 155 (87.6%) children and adolescents were available for follow-up assessment, with 142 of these (91.6%) rated below a total score of ≤15 on the CY-BOCS. At one-year follow-up, 121 (78.1%) were in remission. On average, CY-BOCS total scores dropped by 1.72 points during the first year after terminating treatment (p = .001). A total of 28 participants (15.8%) relapsed (CY-BOCS ≥ 16) at either the 6- or 12-month assessment; only two patients required additional CBT. Conclusion Results suggest that manualized CBT in a community setting for pediatric OCD has durable effects for those who respond to an initial course of treatment; children and adolescents who respond to such treatment can be expected to maintain their treatment gains for at least one year following acute care.

Publisher URL: www.sciencedirect.com/science

DOI: S0890856717312480

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