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Intensive family-based CBT similarly effective to weekly CBT for paediatric obsessive compulsive disorder

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Dr Eric A Storch

Department of Psychiatry, University of Florida, Box 100234, Gainesville, FL 32610, USA

QUESTION

Question:

Is intensive cognitive behavioural therapy (CBT) more effective than standard weekly CBT for children with obsessive compulsive disorder (OCD)?

Patients:

40 children aged 7–17 with a primary diagnosis of DSM-IV-TR OCD (Children’s Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) score ⩾16) who had one parent able to accompany them to all treatment sessions. Exclusions: psychosis (current or previous); psychotropic medication change within past 8 weeks; bipolar disorder; pervasive developmental disorder; suicidal ideation; mental retardation or other disorder that would prevent understanding of CBT.

Setting:

Participants self-presented to the OCD Program at University of Florida, USA; time period not stated.

Intervention:

Intensive CBT (90-min sessions on 5 days per week for 3 weeks) or standard weekly CBT (90 min on one day per week for 14 weeks) given in the presence of a family member. Intensive sessions were conducted by a team of three therapists according …

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