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Treatment and 12-month outcome of children and adolescents with obsessive–compulsive disorder: A naturalistic study
Department of Child and Adolescent Psychiatry, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden & Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway.
Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Box 4623 Nydalen, N-0405 Oslo, Norway.
2015 (English)In: Journal of Obsessive-Compulsive and Related Disorders, ISSN 2211-3649, E-ISSN 2211-3657, Vol. 6, 1-16 p.Article in journal (Refereed) Published
Abstract [en]

Pediatric obsessive-compulsive disorder (OCD) is a disorder associated with distress and impairment in many domains. Moreover, there is a high risk of relapse and developing a chronic illness. Randomized-controlled trails (RCT), the gold-standard for evaluating treatments, show treatments to be efficacious, yet little is known about their generalizability and long-term durability in "usual-care" settings. The aim of the present study is to evaluate the feasibility and effectiveness of evidence-based pediatric OCD-treatments in regular practice. Participants were 109 children (aged 7-17 years) with aprimary diagnosis of OCD, recruited from a specialized OCD-clinic in Sweden. Few exclusion criteria were applied. The youths were assessed at baseline, 6 and 12 months following the first assessment, using Childre's Yale-Brown Obsessive Compulsive Scale and Children's OCD Impact Scale. They were treated with Cognitive Behavior Therapy, augmented with SSRI when indicated. The majority responded well to treatment i.e. were free from OCD or in remission at 12 month evaluation. Moreover, the participants psychosocial functioning significantly improved from baseline to evaluation at 6 and 12months. © 2015 Elsevier Inc.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2015. Vol. 6, 1-16 p.
Keyword [en]
Obsessive-compulsive disorder, Childhood adolescence, Treatment, Naturalistic study, Outcome
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-30011DOI: 10.1016/j.jocrd.2015.04.002ISI: 000359612400001ScopusID: 2-s2.0-84928734204OAI: oai:DiVA.org:hh-30011DiVA: diva2:882008
Available from: 2015-12-12 Created: 2015-12-12 Last updated: 2015-12-14Bibliographically approved

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Citation style
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