( cademic life and it can impact psychos...)Cognitive Behavioral Therapy Helps Children with Obsessive Compulsive Disorder,Health

cademic life, and it can impact psychosocial development. Children and teens who struggle with this problem also have heightened risk for clinically significant psychiatric and psychosocial problems as adults.

Cognitive behavioral therapy, which has been shown to work for adults, now appears to benefit children as well. The treatment includes a variety of techniques to help children challenge some of their unhelpful thoughts about threat, danger or the importance of controlling thoughts.

Exposure with response prevention technique is a core aspect of contemporary CBT treatment. Children with compulsive washing, for example, would be required in a graded way to touch objects that they fear lead to contamination, and prevent the washing, which neutralizes their fear.

O’Kearney said he was surprised to find so few high-quality studies that evaluated the effectiveness of pediatric CBT. The final review comprised four studies of randomized controlled trials or quasi-randomized trials, and three of these suggested at least some risk of bias.

In all, the studies looked at 222 children and adolescents ranging in age from 7 to 18 years, with about an equal number of boys and girls. The participants were Australian, Dutch or American. CBT interventions ranged from 12 hours to 30 hours.

There was no direct assessment of negative effects in these CBT studies, which were funded entirely by The Australian National University. The low drop-out rate of participants suggests that CBT may have been an acceptable approach to families involved, the researchers say.

Carol A. Mathews, M.D., with the department of psychiatry at the University of California, San Francisco, called the systematic review "excellent" and said it represents an important step forward in the understanding of the effectiveness of various types of treatment for pediatric OCD. Pediatric OCD is frequently underdiagnosed and undertreated, she sai
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