Family-Based Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder

Storch, Eric A.; Geffken, Gary R.; Merlo, Lisa J.; Mann, Giselle; Duke, Danny C.; Munson, Melissa S.; Adkins, Jennifer W.; Grabill, Kristen M.; Murphy, Tanya K.; Goodman, Wayne K.

doi:10.1097/chi.0b013e31803062e7

Cited by 346 publications

(160 citation statements)

References 27 publications

Supporting

Mentioning

148

Contrasting

Order By: Relevance

“…Notably, providing reassurance is counter to the principles of evidence-based cognitivebehavioral treatment. Accordingly, family-based approaches would seem to have particular relevance in treating youth, particularly those for whom reassurance seeking and accommodation is clinically meaningful (e.g., [39,40]). The least common symptom on the C-FOCI Symptom Checklist was the fear of spreading an illness, which is not unexpected, as children's symptoms tend to be more self-focused.…”

Section: Treatment Sensitivitymentioning

confidence: 98%

Children’s Florida Obsessive Compulsive Inventory: Psychometric Properties and Feasibility of a Self-Report Measure of Obsessive–Compulsive Symptoms in Youth

Storch

Khanna

Merlo

et al. 2009

Child Psychiatry Hum Dev

Self Cite

View full text Add to dashboard Cite

This report describes the development and psychometric properties of the Children's Florida Obsessive Compulsive Inventory (C-FOCI). Designed specifically as a brief measure for assessing obsessive-compulsive symptoms, the C-FOCI was created for use in both clinical and community settings. Study 1 included 82 children and adolescents diagnosed with primary Obsessive-Compulsive Disorder, and their parents. The Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) was administered to assess symptom severity. Thereafter, parents completed the Child Obsessive-Compulsive Impact Scale-Parent Version and Child Behavior Checklist, and youth completed the C-FOCI, Child Obsessive-Compulsive Impact Scale-Child Version, Multidimensional Anxiety Scale for Children, and Children's Depression Inventory-Short Form. A subgroup of 21 individuals was retested with the C-FOCI after completing 14 sessions of intensive cognitive-behavioral therapy. Construct validity of the C-FOCI was supported vis-à-vis evidence of treatment sensitivity, and moderate relations with clinician-rated symptom severity, the CY-BOCS Symptom Checklist, child- and parent-rated functional impairment, child-rated anxiety, and parent-rated internalizing symptoms. Discriminant validity was evidenced by weak relationships with parent-reports of externalizing symptoms. For Study 2, 191 non-clinical adolescents completed the C-FOCI to assess the feasibility of internet administration. Overall, internal consistency was acceptable for the C-FOCI Symptom Checklist and Severity Scale, and respondents were able to complete the measure with little difficulty. Taken together, the findings of Studies 1 and 2 provide initial support for the reliability and validity of the C-FOCI for the assessment of pediatric obsessive-compulsive symptoms.

show abstract

Section: Treatment Sensitivitymentioning

confidence: 98%

Children’s Florida Obsessive Compulsive Inventory: Psychometric Properties and Feasibility of a Self-Report Measure of Obsessive–Compulsive Symptoms in Youth

Storch

Khanna

Merlo

et al. 2009

Child Psychiatry Hum Dev

Self Cite

View full text Add to dashboard Cite

show abstract

“…It may also serve as a benefit when negotiating with insurance companies that require such specifics prior to the onset of treatment (Sanderson 2003). Currently, most childhood anxiety disorder outcome studies are based on 12 sessions, although the number of sessions may range from 1 to 50 (Silverman et al 2008a, b), and alternative options are being studied (e.g., intensive CBT; Ollendick et al 2005;Storch et al 2007). With the healthcare system changing and managed care organizations demanding efficacious and time-limited treatments, social workers must demonstrate effective clinical outcomes to satisfy the needs of both clients and payers.…”

Section: Responsementioning

confidence: 98%

“…In fact, some studies include participant characteristics that are common in community clinic populations. For example, children with comorbid conditions such as ADHD, oppositional defiant disorder, depression, and conduct disorder were included in randomized clinical trials of youth with an anxiety disorder and OCD (Storch et al 2007). In both these studies, robust treatment gains were found at post-treatment and short-term follow-up.…”

Section: Responsementioning

confidence: 99%

Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Salloum

Sulkowski

Sirrine

et al. 2009

Child Adolesc Soc Work J

Self Cite

View full text Add to dashboard Cite

Anxiety disorders are among the most common psychiatric disorders in children and adolescents. Most empirically supported treatments (ESTs) for pediatric anxiety disorders include various cognitive-behavioral methods. Although demonstrated efficacious in controlled and clinic settings, there are barriers to implementing these types of therapies in social work settings due to beliefs about the usefulness of ESTs in community settings; limitations of treatment manuals; time constraints of implementing ESTs; fidelity and flexibility of implementing ESTs; and limited training opportunities. This article provides an overview of ESTs for childhood anxiety disorders, highlighting options for overcoming common barriers to implementing ESTs. Collaborative multi-method approaches to advance implementation of ESTs in social work practice are suggested.

show abstract

“…Although effective psychological and pharmacological treatments exist (see Abramowitz et al 2005 for a review), pediatric OCD runs a chronic and impairing course into adulthood if it is not appropriately treated (Piacentini et al 2003;Pinto et al 2006), during which time it has been associated with considerable functional impairment (Steketee 1997). Similar to many other childhood psychiatric disorders, pediatric OCD is a condition that often impairs both the affected child and his or her family (Freeman et al 2003;Storch et al 2007a) requiring adaptations in assessment (Merlo et al 2005) and treatment approaches (e.g., Freeman et al 2003;Storch et al 2007b).…”

Section: Introductionmentioning

confidence: 97%

Parental Experiences of Having a Child with Obsessive-Compulsive Disorder: Associations with Clinical Characteristics and Caregiver Adjustment

et al. 2008

Self Cite

View full text Add to dashboard Cite

We examined parental experience of having a child with obsessive-compulsive disorder (OCD) in 62 parent-child dyads. Youth with a primary diagnosis of OCD and their parent(s) were administered the CY-BOCS jointly by a trained clinician. Parents completed several measures about their child's OCD-related impairment and accommodation, emotional and behavioral functioning, parental distress, caregiver stress, and parental experiences of having a child with OCD. Results indicated that parents of children with OCD are considerably distressed about their child's condition. As expected, negative parental experiences (e.g., anxiety about child's condition, uncertainty about their future) were directly related to OCD symptom severity and impairment, as well as child internalizing and externalizing problems, family accommodation of symptoms, and caregiver strain. The presence of emotional resources was negatively related to most outcomes, although some of these relationships did not achieve statistical significance. The presence of internalizing symptoms mediated the relationship between parental experiences and parental distress. Given these findings, addressing parental experiences as part of a family based cognitive-behavioral treatment program for pediatric OCD may help reduce parental distress and improve patient prognosis.

show abstract

Family-Based Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder

Cited by 346 publications

References 27 publications

Children’s Florida Obsessive Compulsive Inventory: Psychometric Properties and Feasibility of a Self-Report Measure of Obsessive–Compulsive Symptoms in Youth

Children’s Florida Obsessive Compulsive Inventory: Psychometric Properties and Feasibility of a Self-Report Measure of Obsessive–Compulsive Symptoms in Youth

Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Parental Experiences of Having a Child with Obsessive-Compulsive Disorder: Associations with Clinical Characteristics and Caregiver Adjustment

Contact Info

Product

Resources

About