ERIC Number: EJ847628
Record Type: Journal
Publication Date: 2009-Aug
Abstractor: As Provided
Reference Count: 0
Intensive Family-Based Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder: Applications for Treatment of Medication Partial- or Nonresponders
Marien, Wendi E.; Storch, Eric A.; Geffken, Gary R.; Murphy, Tanya K.
Cognitive and Behavioral Practice, v16 n3 p304-316 Aug 2009
Serotonin reuptake inhibitor medications and cognitive-behavioral therapy (CBT) are both effective treatments for pediatric obsessive-compulsive disorder (OCD). Despite recommendations that youth with OCD be treated with CBT alone or together with serotonin reuptake inhibitor medication, many youth are treated with medication alone or with non-CBT psychotherapy initially. Although effective, symptom remission with medication alone is rare (e.g., only 21.4% of youth achieved remission with sertraline in the Pediatric OCD Treatment Study, 2004) and residual symptoms often remain (e.g., 58% of subjects in the March et al.  sertraline trial were not considered treatment responders). This paper reviews the literature on the efficacy of CBT for pediatric OCD, particularly as it relates to the treatment of youth with prior inadequate response to medication. It also describes an intensive, family-based CBT program for children and adolescents with OCD and support for its efficacy among those with prior partial- or nonresponse to medication. Finally, we present a case study of an adolescent girl with OCD who participated in the intensive treatment program after having limited benefit from medication and non-CBT psychotherapy and experienced a favorable response.
Descriptors: Outcomes of Treatment, Pediatrics, Psychotherapy, Mental Disorders, Cognitive Restructuring, Behavior Modification, Drug Therapy, Symptoms (Individual Disorders), Family Programs, Children, Adolescents, Females
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A