Cognitive-Behavioral Therapy and Anxiety and Depression Level in Pediatric Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Ángel Rosa-Alcázar, Julio Sánchez-Meca, María Rubio-Aparicio, Cristina Bernal-Ruiz, Ana I Rosa-Alcázar
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引用次数: 1

Abstract

Background: Although some meta-analyses have identified potential moderators associated with treatment outcomes for pediatric obsessive-compulsive disorder (OCD), there is as yet no consensus regarding the influence of anxiety and depression symptoms on the recovery from pediatric OCD. A meta-analysis was conducted to investigate the effects of depression and anxiety symptoms and their comorbidities on the efficacy of CBT in pediatric OCD, as well as other potential moderators that may be associated with outcomes.

Method: An exhaustive literature search from 1983 to March 2021 located 22 published articles that applied cognitive-behavioral therapy (CBT) to pediatric OCD, producing a total of 26 treatment groups. Some of the moderator variables analyzed included age, gender, comorbidity baseline in anxiety, depression and obsession, and methodological quality.

Results: Results showed that the psychological treatment of OCD achieves clinically significant effectiveness, both for measures of obsessions and compulsions ( d + = 2.030), and for anxiety ( d + = 0.613) and depression ( d + = 0.451). An explanatory model for the CY-BOCS effect sizes showed that three moderator variables were statistically related: the mean of the CY-BOCS (Children´s Yale Brown Obsessive Compulsive Scale) in pretest, the effect size for anxiety, and the mean age of the sample.

Conclusions: CBT reduced obsessive-compulsive symptoms and, to a lesser extent, anxiety and depression symptoms. Since anxiety symptoms are reduced with the same therapy, resources would be saved compared to other treatments.

儿童强迫症的认知行为治疗与焦虑和抑郁水平:一项系统回顾和荟萃分析。
背景:虽然一些荟萃分析已经确定了与儿童强迫症(OCD)治疗结果相关的潜在调节因子,但关于焦虑和抑郁症状对儿童强迫症康复的影响尚未达成共识。我们进行了一项荟萃分析,以调查抑郁和焦虑症状及其合并症对CBT治疗儿童强迫症疗效的影响,以及其他可能与结果相关的潜在调节因子。方法:从1983年到2021年3月,对22篇已发表的将认知行为疗法(CBT)应用于儿科强迫症的文章进行了详尽的文献检索,共产生了26个治疗组。分析的一些调节变量包括年龄、性别、焦虑、抑郁和痴迷的共病基线以及方法质量。结果:强迫症心理治疗在强迫和强迫测量(d + = 2.030)、焦虑测量(d + = 0.613)和抑郁测量(d + = 0.451)方面均取得了显著的临床效果。CY-BOCS效应量的解释模型显示,三个调节变量:前测CY-BOCS(儿童耶鲁-布朗强迫量表)的平均值、焦虑的效应量和样本的平均年龄具有统计学相关性。结论:CBT减轻了强迫症状,并在较小程度上减轻了焦虑和抑郁症状。由于同样的治疗方法可以减轻焦虑症状,因此与其他治疗方法相比,可以节省资源。
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来源期刊
Psicothema
Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.50
自引率
16.70%
发文量
69
审稿时长
24 weeks
期刊介绍: La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.
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