Moderators and predictors of outcomes in telephone delivered compared to face-to-face cognitive behaviour therapy for paediatric obsessive–compulsive disorder: preliminary evidence from a non-inferiority RCT
| Autor: | Karina Lovell, Georgina Krebs, Cynthia Turner, Richard O'Kearney, A. Nair, Isobel Heyman, Katie Lang, David Mataix-Cols, Sarah Byford |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Obsessive-Compulsive Disorder 050103 clinical psychology Adolescent Psychological intervention behavioral disciplines and activities law.invention Treatment and control groups 03 medical and health sciences Face-to-face obsessive–compulsive obsessive–compulsive disorder 0302 clinical medicine Randomized controlled trial law mental disorders Humans Medicine Single-Blind Method 0501 psychology and cognitive sciences moderators Child cognitive behaviour therapy Cognitive Behavioral Therapy business.industry 05 social sciences Cognition disorder Moderation Delivery mode Cognitive behaviour therapy Telephone 030227 psychiatry Clinical Psychology predictors Treatment Outcome Female business Clinical psychology |
| Zdroj: | Nair, A, Turner, C, I., H, Mataix-Cols, D, Lovell, K, Krebs, G, Lang, K, Byford, S & O Kearney, R 2018, ' Moderators and predictors of outcomes in telephone delivered compared to face-to-face cognitive behaviour therapy for paediatric obsessive–compulsive disorder: preliminary evidence from a non-inferiority RCT ', Cognitive Behaviour Therapy . https://doi.org/10.1080/16506073.2018.1513555 Nair, A, Turner, C, Heyman, I, Mataix-Cols, D, Lovell, K, Krebs, G, Lang, K, Byford, S & O’Kearney, R 2018, ' Moderators and predictors of outcomes in telephone delivered compared to face-to-face cognitive behaviour therapy for paediatric obsessive–compulsive disorder : preliminary evidence from a non-inferiority RCT ', Cognitive Behaviour Therapy . https://doi.org/10.1080/16506073.2018.1513555 |
| ISSN: | 1651-2316 1650-6073 |
| DOI: | 10.1080/16506073.2018.1513555 |
| Popis: | This study provides a preliminary exploration of factors which differentially predict treatment response to telephone-delivered cognitive behavioural therapy (TCBT) compared to face-to-face CBT (CBT) in a randomised non-inferiority controlled trial of 72 children (aged 11–18 years) with obsessive–compulsive disorder (OCD). Potential moderator variables, their interaction with treatment group (CBT, TCBT) and baseline levels of OCD severity were entered into separate regression models where the primary outcome measure was the post-intervention Children’s Yale–Brown Obsessive–Compulsive Scale total score (CYBOCS). Separate regressions were also used to test associations between predictors and outcome controlling for pretreatment CYBOCS. Only pretreatment level of parent-rated child peer problems moderated the effects of the two interventions on CYBOCS severity at post-treatment. After controlling for baseline CYBOCS, only family accommodation rated by mothers predicted poorer outcomes in both groups. While CBT and TCBT may be equally effective for adolescents with OCD, the current results tentatively suggest that higher baseline level of peer problems strengthened the response to therapy for youth receiving TCBT and the predictor analyses reinforce the importance of directly addressing family accommodation during CBT for paediatric OCD regardless of delivery mode. Limitations of the current findings and directions for future work are discussed. |
| Databáze: | OpenAIRE |
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