Universität zu Köln

Beig, Inga, Doepfner, Manfred, Goletz, Hildegard, Plueck, Julia, Dachs, Lydia, Kinnen, Claudia and Walter, Daniel ORCID: 0000-0002-2430-7117 (2017). Effectiveness of cognitive-behavioral therapy in children and adolescents with obsessive-compulsive disorders treated in an outpatient clinic. Z. Kinder-und Jugendpsy. Psychother., 45 (3). S. 219 - 236. BERN 9: VERLAG HANS HUBER. ISSN 1664-2880

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Abstract

Background: Cognitive-behavioral therapy (CBT) is considered as treatment of fi rst choice for children and adolescents with obsessive- compulsive disorders (OCD). However, its effectiveness has so far mostly been examined in randomized controlled trials with strictly manualized interventions. Only few studies have examined whether the effectiveness of CBT for juvenile OCD generalizes to clinical practice. Method: To test the effectiveness of CBT under routine care conditions, data of n = 53 patients with parent-ratings and n = 53 patients with self-ratings that were treated in a university-based outpatient clinic for child and adolescent psychotherapy was analyzed. Pre-post-mean-comparisons, effect sizes and the clinical signifi cance of changes of the symptoms were examined. Results: OCD and comorbid symptoms were signifi cantly reduced during treatment. Strong effect sizes (Cohen's d) were found for parent rated (d = 0.91) and patient rated (d = 0.88) OCD symptoms. Moderate to strong pre-post-effect sizes were found for the reduction of parent rated (d = 0.55 to d = 0.87) and patient rated (d = 0.46 to d = 0.74) comorbid symptoms. The percentage of children and adolescents who achieved clinically signifi cant improvements and no longer showed dysfunctional OCD symptoms post-treatment was 46.3 % according to the parent-ratings and 59.4 % according to the self-ratings. Concerning comorbid symptoms the same was reached for between 22.5 % and 45.5 % of the patients (parent-ratings) and between 32.0 % and 81.8 % (self-ratings) respectively. Conclusions: Signifi cant reductions in both OCD and comorbid symptoms were demonstrated over the course of cognitive-behavioral therapy of juvenile OCD disorders in a university outpatient clinic for child and adolescent psychotherapy. These results indicate that routine CBT treatment is an effective way to treat juvenile OCD disorders in clinical practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Beig, Inga UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Goletz, Hildegard UNSPECIFIED UNSPECIFIED UNSPECIFIED Plueck, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Dachs, Lydia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kinnen, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Daniel UNSPECIFIED orcid.org/0000-0002-2430-7117 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-232260
DOI:	10.1024/1422-4917/a000416
Journal or Publication Title:	Z. Kinder-und Jugendpsy. Psychother.
Volume:	45
Number:	3
Page Range:	S. 219 - 236
Date:	2017
Publisher:	VERLAG HANS HUBER
Place of Publication:	BERN 9
ISSN:	1664-2880
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language METAANALYSIS; PSYCHOTHERAPIES; CHILDHOOD; EFFICACY; TRIALS Multiple languages Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23226