Addition of cognition behavioural therapy to drug treatment improved symptoms in paediatric OCD
Children and teens with obsessive-compulsive disorder (OCD) experienced a significantly greater reduction in OCD symptoms when cognitive behavioural therapy (CBT) was added to treatment with medication, according to a study published in the September 21 issue of JAMA.
Researchers from the University of Pennsylvania School of Medicine, Philadelphia, conducted a 12-week randomised controlled study at three academic medical centres between 2004 and 2009, involving 124 outpatients aged 7-17 years with OCD as a primary diagnosis. Patients were randomly assigned to one of three treatment strategies that included seven sessions over 12 weeks: medication management only (n=42), medication management plus instructions in CBT (n=42), and medication management plus CBT (n=42); the last included 14 concurrent CBT sessions.
At 12 weeks, the percentages of participants who had at least a 30 percent reduction in their Children’s Yale-Brown Obsessive Compulsive Scale baseline score were 68.6 percent in the plus CBT group, 34.0 percent in the plus instructions in CBT group, and 30.0 percent in the medication management onlygroup. Comparisons showed that the plus CBT strategy was superior to the other two groups.
The researchers said the findings from their study highlight the importance of disseminating CBT for paediatric OCD into community settings so that affected children have options beyond medication management alone. The study also indicates that the dissemination efforts should focus on making the full CBT protocol more widely available rather than disseminating the truncated versions of the form of treatment.
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