FAST CBT for pediatric OCD: A multiple-baseline controlled pilot trial of parent training in exposure and response prevention delivered via telehealth.

Autor:	Farrell LJ; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Nabinger de Diaz NA; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Mathieu S; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., McKenzie ML; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Miyamoto T; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Donovan CL; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, Mount Gravatt, QLD, Australia., Waters AM; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, Mount Gravatt, QLD, Australia., March S; Centre for Health Research & School of Psychology and Wellbeing, University of Southern Queensland (USQ), Darling Heights, QLD, Australia., Bothma N; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Kroon R; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Simcock G; School of Applied Psychology & Griffith University Centre for Mental Health, Griffith University, South Port, QLD, Australia., Ware RS; Menzies Health Institute Queensland, Griffith University, South Port, QLD, Australia., Selles RR; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada., Storch EA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States., Ollendick T; Child Study Centre, Virginia Polytechnic University, Blacksburg, VA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2022 Dec 13; Vol. 13, pp. 1009735. Date of Electronic Publication: 2022 Dec 13 (Print Publication: 2022).
DOI:	10.3389/fpsyg.2022.1009735
Abstrakt:	Objective: The current study utilized a single case series, non-concurrent multiple baseline design to examine the efficacy of training parents via telehealth videoconferencing in exposure and response prevention (ERP) for home delivery of the treatment for their children and adolescents with obsessive compulsive disorder (OCD). Method: There were nine participants aged 8 to 14  years who had received a primary diagnosis of OCD. The design involved a series of AB replications, whereby following pre-treatment assessments participants were randomly assigned to either a 2-week ( n  = 4) or 3-week ( n  = 5) baseline condition with weekly monitoring of their child's OCD symptoms. Following baseline, parents participated four weekly telehealth parent-training modules in delivering FAST ( F amilies A ccessing S kills T raining) cognitive behavior therapy (CBT) with ERP (CBT-ERP) to children with OCD via videoconferencing with the clinician. Primary outcome measures were OCD symptom severity, diagnostic severity, and global functioning, which were assessed post-treatment and at 2 month follow-up. Results: The stability of the baseline period from pre-treatment to week 2 (for the 2-week condition) or to week 3 (for the 3-week condition) was established as there were no significant differences across baseline scores for parent target obsessions or parent target compulsions ratings. Significant improvements on the primary outcomes of clinician assessed symptom severity, diagnostic ratings, and global functioning were observed from baseline to post-treatment, and continued to 2 months follow-up. Conclusion: These data suggest that brief, parent training in FAST CBT-ERP via telehealth provides an overall effective intervention that is likely to be of most benefit to children and youth who are mild to moderate in severity. Competing Interests: ES discloses the following relationships: consultant for Biohaven Pharmaceuticals and Brainsway; Book royalties from Elsevier, Springer, American Psychological Association, Wiley, Oxford, Kingsley, and Guilford; Stock valued at less than $5,000 from NView; Research support from NIH, IOCDF, Ream Foundation, and Texas Higher Education Coordinating Board. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Farrell, Nabinger de Diaz, Mathieu, McKenzie, Miyamoto, Donovan, Waters, March, Bothma, Kroon, Simcock, Ware, Selles, Storch and Ollendick.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu