Navigation Links
Young children with OCD benefit from family-based treatment
Date:5/15/2008

PROVIDENCE, R.I. Although children as young as 5 can be diagnosed with obsessive-compulsive disorder (OCD), few research studies have looked at treatments specifically geared toward young children with this disorder. Now, a new study from the Bradley Hasbro Childrens Research Center provides some of the first evidence-based data on a successful intervention for early childhood OCD.

According to the studys findings, published in the May issue of the Journal of the American Academy of Child and Adolescent Psychiatry, children with OCD between the ages of 5 and 8 may benefit from a form of psychotherapy, known as family-based cognitive behavioral therapy (CBT), that is uniquely tailored to the childs developmental needs and family context. The overall focus of family-based CBT is to provide both child and parents with a set of tools to help them understand, manage and reduce OCD symptoms.

If left untreated, early childhood OCD can severely disrupt and impair a childs development and functioning and can extend into adulthood. Despite this risk, clinicians do not have a proven treatment model for these young children, says lead author Jennifer B. Freeman, Ph.D., of the Bradley Hasbro Childrens Research Center and an assistant professor of psychiatry/human behavior (research) at The Warren Alpert Medical School of Brown University.

Based on our findings, we believe that family-based cognitive behavioral therapy for early childhood OCD offers a promising intervention that may help to minimize the chronic nature of OCD and decrease the morbidity of this debilitating illness, she adds.

Researchers worked with 42 young children with OCD who were randomized to receive 12 sessions completed over 14 weeks of either family-based CBT or family-based relaxation treatment (RT), an approach that teaches the family and child relaxation techniques aimed at reducing some of the stress inherent with OCD. Just over half of the patients were randomly assigned to CBT and 48 percent were assigned to RT. Overall, 74 percent of patients completed all 14 weeks of treatment.

The CBT program was found to be significantly more effective than RT in decreasing OCD symptoms and, most importantly, helping a large number of children achieve clinical remission. Specifically, 69 percent of the children who completed all 14 weeks of CBT treatment achieved remission compared to 20 percent who fully completed the RT program. Even those children who started, but did not complete, the CBT program did well, with 50 percent achieving clinical remission

An important takeaway from this study is that children in this age range can actively participate in and benefit from CBT that is appropriately tailored to their cognitive developmental level, Freeman says. And from a research perspective, these findings are particularly promising because they demonstrate that its possible to recruit, treat and collect data about young children with OCD.

The family-based CBT method modeled in the study draws on successful approaches used with older children but also contains innovative elements that have been specifically tailored to children ages 5 to 8, with special attention paid to the childs cognitive and developmental level and awareness of a childs involvement in and dependence on a family system.

Freeman points out that there are a number of reasons why younger children experiencing OCD require this kind of tailored approach. Developmentally, younger children generally have less sophisticated emotion awareness and expression skills than older children. Also, younger children rely on parents for guidance and direction more so than older children and parents may be more likely to inadvertently reinforce or even actively accommodate a young childs rituals, she says.

Based on the studys findings, Freeman and colleagues offer the following clinical considerations and recommendations:

  • Treatment of children experiencing early childhood-onset OCD will be most effective if parents are involved in all phases of treatment.

  • Clinicians should consider the childs unique developmental characteristics and tailor psychoeducation, exposures and homework accordingly.

  • Clinicians should take time to understand the family context and, in particular, the parents response to their childs anxieties.

  • Teach parents to tolerate their own anxiety about their childs level of distress.

  • Use humor generously.

According to the American Academy of Child and Adolescent Psychiatry, as many as 1 in 200 children and adolescents struggle with OCD, an anxiety disorder characterized by recurrent, intense obsessions and/or compulsions that cause severe discomfort and interfere with daily functioning. Compulsions are repetitive behaviors such as hand washing, counting, checking, or cleaning and they are often performed with the hope of preventing obsessive thoughts or making them go away. Performing these so-called rituals, however, provides only temporary relief, and not performing them can cause significant anxiety or distress and can interfere with a child's normal routine, academic functioning, social activities, or relationships.


'/>"/>

Contact: Jessica Collins Grimes
jgrimes2@lifespan.org
401-432-1328
Lifespan
Source:Eurekalert

Related medicine news :

1. Air pollution linked to cardiovascular risk indices in healthy young adults
2. Urban Smog Tough on Young Adults Hearts
3. Male deer are born to live fast, die young
4. Bipolar Diagnoses in Younger People Show Huge Increase
5. HealthInsuranceFinders.com Launches Video Contest for Young Directors
6. Nuclear medicine approach can be first choice for excluding pulmonary embolism in young women
7. New HIV diagnoses rising in New York City among young men who have sex with men
8. Especially Yours and Paula Young Team up with Diahann Carroll and Jaclyn Smith in the Fight Against Breast Cancer
9. Office-Based Medical Treatment and Internet Resources Are Potential Solution to Rising Painkiller Misuse Among Teens, Young Adults
10. Young Children Thrive on 30,000 Words a Day
11. Young Twin Cities Boy Shows There is Life After Cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/9/2016)... ... December 09, 2016 , ... The Pennsylvania Athletic Trainers’ ... during the summer of 2016. The program was made possible by a Pennsylvania ... Department of Health and Human Services Administration. The broadcast, Use Your Head: ...
(Date:12/8/2016)... ... December 08, 2016 , ... Russ DiGilio ... the first national #QuackGivesBack campaign which supported local breast cancer organizations during National ... Quack Gives Back initiative, and we’re very pleased with the participation ...
(Date:12/8/2016)... ... December 08, 2016 , ... CURE Media Group, the ... advocacy groups, has aligned with Upstage Lung Cancer in efforts to combat lung cancer, ... Michael J. Hennessy, Jr said, “CURE Media Group is honored to team up with ...
(Date:12/8/2016)... Fla (PRWEB) , ... December 08, 2016 , ... ... smarter modes of access for customers and employees that are both engaging and ... 7 with Service Smart Technology, the software company revealed today its plans to ...
(Date:12/8/2016)... ... December 08, 2016 , ... STAT courier is pleased to announce ... service for Texas, they are expanding their presence in Dallas. One of the most ... will bring new jobs to the Dallas and Forth Worth market. STAT takes pride ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... 2016 Australia Glaucoma Surgery Devices Market ... report, "Australia Glaucoma Surgery Devices Market Outlook to ... Glaucoma Surgery Devices market. The report provides value, ... and average prices (USD) within market segement - ... company shares and distribution shares data for each ...
(Date:12/8/2016)... 8, 2016 Global Interventional Radiology Market: ... global interventional radiology market analyzes the current and ... an elaborate executive summary, including a market snapshot ... sub-segments. The research is a combination of ... bulk of our research efforts along with information ...
(Date:12/8/2016)... 8, 2016  Diplomat Pharmacy, Inc. (NYSE: DPLO) has been recognized ... Top Workplaces National Standard. To learn more about ... ... Inc.) ... survey administered by WorkplaceDynamics, LLC, a research firm specializing in organizational ...
Breaking Medicine Technology: