Effectiveness of online group cognitive behavioral therapy for adolescents with obsessive-compulsive disorder: a pilot study.

IF 3.6 3区医学 Q1 PSYCHIATRY

Revista Brasileira de Psiquiatria Pub Date : 2024-01-01 Epub Date: 2024-02-19 DOI:10.47626/1516-4446-2023-3376

Cristiane Flores Bortoncello, Nicolas de Oliveira Cardoso, Sophia Ronchetti Martins Xavier, Ygor Arzeno Ferrão

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Abstract

Objective: To evaluate the effectiveness of online group cognitive behavioral therapy (CBT) based on the CAMALEO TOC manual in the treatment of adolescents with obsessive-compulsive disorder (OCD).

Methods: This is a quasi-experimental study with a single-group pretest-posttest intervention. Over a 12-week period, 11 adolescents aged 11 to 17 years with OCD participated in weekly online group CBT sessions based on the CAMALEO TOC manual. We used several assessment tools, including the Children's Yale-Brown Obsessive-Compulsive Scale to assess the severity of OCD symptoms, the Family Accommodation Scale for Obsessive-Compulsive Disorder-Interviewer-Rated to measure family accommodation, the Children's Depression Inventory to assess depression symptoms, the Revised Children's Manifest Anxiety Scale to assess anxiety, and the Multidimensional Students' Life Satisfaction Scale to measure satisfaction with life.

Results: OCD symptoms decreased significantly (d = -1.55) after online group CBT, and a strong effect size (d = -1.03) was found for family accommodation. After controlling for variables (e.g., engagement in psychotherapeutic treatment, medication use, or psychiatric comorbidities), no significant differences were found for OCD symptoms and family accommodation scores. In addition, there was insufficient evidence to support the effectiveness of online group CBT in reducing symptoms of depression or anxiety or improving overall quality of life.

Conclusion: Our study demonstrates the feasibility of short-term online group CBT as an effective therapeutic approach for adolescents with OCD.

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在线认知行为疗法对强迫症青少年的疗效：一项试点研究。

研究目的本研究旨在评估以CAMALEO TOC手册为指导的在线团体认知行为疗法（GCBT）治疗青少年强迫症（OCD）的效果：方法：这是一项准实验性研究，采用单组前-后测干预方法。在为期12周的时间里，11名11至17岁的强迫症青少年每周接受一次基于CAMALEO TOC手册的GCBT在线治疗。儿童耶鲁-布朗强迫症量表用于评估强迫症症状的严重程度，强迫症家庭调适量表由受访者对家庭调适情况进行评分，儿童抑郁量表用于评估抑郁症状，修订版儿童显性焦虑量表用于评估焦虑情况，多维学生生活满意度量表用于评估生活满意度：强迫症症状明显减轻（d = -1.55）。结果：强迫症症状明显减少（d =-1.55），家庭住宿方面也有很强的效果（d =-1.03）。在控制接受心理治疗、药物使用或精神病合并症之间的差异后，强迫症症状和家庭适应性得分没有发现明显差异。此外，也没有证据表明干预措施能有效减轻抑郁、焦虑症状或提高生活质量：我们证明了短期在线 GCBT 作为强迫症青少年有效治疗方法的可行性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.