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

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