Navigation Links
Study finds family-based exposure therapy effective treatment for young children with OCD
Date:5/5/2014

PROVIDENCE, R.I. A new study from the Bradley Hasbro Children's Research Center has found that family-based cognitive behavioral therapy (CBT) is beneficial to young children between the ages of five and eight with Obsessive-Compulsive Disorder (OCD). The study, now published online in JAMA Psychiatry, found developmentally sensitive family-based CBT that included exposure/response prevention (EX/RP) was more effective in reducing OCD symptoms and functional impairment in this age group than a similarly structured relaxation program.

Jennifer Freeman, Ph.D., a staff psychologist at the Bradley Hasbro Children's Research Center and clinical co-director of the Intensive Program for OCD at Bradley Hospital, led the study. "CBT has been established as an effective form of OCD treatment in older children and adolescents, but its effect on young children has not been thoroughly examined," said Freeman. "These findings have significant public health implications, as they support the idea that very young children with emerging OCD can benefit from behavioral treatment."

During the 14-week randomized, controlled trial, which was conducted at three academic medical centers over a five-year period, the team studied 127 children between the ages of five and eight with a primary diagnosis of OCD. Each child received either family-based CBT with EX/RP or family-based relaxation therapy.

The family-based CBT focused on providing the child and parent "tools" to understand, manage and reduce OCD symptoms. This includes psychoeducation, parenting strategies, and family-based exposure treatment, so children can gradually practice facing feared situations while learning to tolerate anxious feelings. The family-based relaxation therapy focused on learning about feelings and implementing muscle relaxation strategies aimed at lowering the child's anxiety. At the end of the trial period, 72 percent of children receiving CBT with EX/RP were rated as "much improved" or "very much improved" on the Clinical Global Impression-Improvement scale, versus 41 percent of children receiving the family-based relaxation therapy.

According to Freeman, the traditional approach for children this young presenting with OCD symptoms has been to watch and wait. "This study has shown that children with early onset OCD are very much able to benefit from a treatment approach that is uniquely tailored to their developmental needs and family context," said Freeman. "Family-based EX/RP treatment is effective, tolerable and acceptable to young children and their families."

Freeman hopes that the family-based CBT model will become the first-line choice for young children with OCD in community mental health clinics where they first present for treatment. Earlier intervention may better address the chronic issues many children have with OCD, as well as the impact the debilitating illness can have on their overall development. "We use this family-based CBT model for treating children in this age range in both our Pediatric Anxiety Research Clinic and our Intensive Outpatient Program with much success," said Freeman. "My hope is that others will utilize this treatment model to the benefit of young children at the onset of their illness."

"The findings from this study support extending downward the age range that can benefit from CBT with EX/RP for pediatric OCD treatment," said Freeman. "With appropriate parental support, young children with OCD can make significant gains beyond what can be expected from having parents attempt to teach relaxation strategies to their children with OCD."


'/>"/>

Contact: Jill Reuter
jreuter@lifespan.org
401-444-6863
Lifespan
Source:Eurekalert

Related medicine news :

1. Study unveils new approach to treating brittle bone disease
2. Study points to potential revision of treatment guidelines for bleeding ulcers
3. Study examines effect of receiving Tdap vaccine during pregnancy
4. Study explores why gay, lesbian teens binge drink
5. Study shows lower verbal test score for toddlers who play non-educational games on touch screens
6. UH Rainbow to study African-Americans response to asthma medications
7. Study shows link between sleep apnea and hospital maternal deaths
8. Vanderbilt study explores genetics behind Alzheimers resiliency
9. Study: Custom-made mouthguards reduce athletes risk of concussion
10. Study: Low-fat diet helps fatigue in people with MS
11. Space Station study seeks how plants sense up and down
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... ... skills and infrastructure. Most providers, however, are unsure how to move forward, given ... to define a path forward tailored to an organization’s specific needs. , ...
(Date:6/24/2016)... ... June 24, 2016 , ... Today, InhaleLabs.com (Inhale) offilially launched its ... by matching users with high quality water pipes within an ideal price range. The ... Inhale was founded by two brothers, Nick and Mike Hunter, who use medical cannabis ...
(Date:6/24/2016)... ... 24, 2016 , ... Dr. Seema Daulat, a native Texan and University of ... location as of July 13, 2016. , Dr. Daulat earned her Doctorate of Medicine ... regularly volunteered at the Agape Clinic serving Dallas’ underprivileged community. , Following medical school, ...
(Date:6/23/2016)... Los Angeles, CA (PRWEB) , ... June 23, 2016 , ... ... being conducted that may expose a possible link between head and neck cancer in ... individuals participating in the study were evaluated based on whether they had gum disease, ...
(Date:6/23/2016)... ... June 23, 2016 , ... The Mechille Wilson Agency, a Texas-based insurance ... and the surrounding region, is initiating a charity drive to assist a student to ... for a scholarship fund that will be presented to the chosen student to help ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that ... PCT (procalcitonin) assay as a dedicated testing solution for ... clearance, Roche is the first IVD company in the ... risk assessment and management. PCT is a ... in blood can aid clinicians in assessing the risk ...
(Date:6/23/2016)... June 23, 2016 Bracket , a leading ... next generation clinical outcomes platform, Bracket eCOA (SM) 6.0, ... June 26 – 30, 2016 in Philadelphia ... Clinical Outcome Assessment product of its kind to fully integrate ... Bracket eCOA 6.0 is a flexible platform for electronic ...
(Date:6/23/2016)... Revolutionary technology includes multi-speaker listening ... industry leaders in advanced audiology and hearing aid technology, ... ™, the world,s first internet connected hearing aid that ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... ,world firsts,: , TwinLink™ - the first ...
Breaking Medicine Technology: