Treatment of Pediatric Obsessive-Compulsive Disorder: A Review

Mancuso, Elizabeth Krumrei; Faro, Alyssa L.; Joshi, Gagan; Geller, Daniel

doi:10.1089/cap.2010.0040

Cited by 52 publications

(19 citation statements)

References 87 publications

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“…15 Other types of psychotherapy, alone and in combination with medications, may be indicated for patients with ADHD and comorbid disorders, eg, habit-reversal training for tic disorders, 18 multisystemic family therapy for disruptive behavior disorders, 19 or cognitive behavior therapy for obsessive-compulsive disorders. 20 A recent systematic review and meta-analysis of nonpharmacological interventions, including dietary, behavioral, cognitive, and neurofeedback modalities, found small but significant symptom reductions produced by free fatty acid supplementation, but cautioned that better evidence from blinded assessment is needed before nonpharmacological interventions can be supported as treatments for core ADHD symptoms. 21 Pharmacotherapy plays a fundamental role in ADHD treatment of children and adolescents.…”

Section: Current Treatment Options For Adhdmentioning

confidence: 99%

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Bussing¹,

Mehta²

2013

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Increasing numbers of families must learn to manage their child's attention deficit/ hyperactivity disorder (ADHD) through multimodal interventions that may include psychosocial, educational, and medication treatments. Like others with mental disorders, youth with ADHD face significant stigma in its various forms, including public (expressed as prejudice and discrimination), courtesy (stigma suffered by family members or associates of individuals with ADHD), and self-stigma (stigmatized individual's acceptance of negative views by others). Successful ADHD management requires awareness of stigma and of its potential adverse consequences on treatment initiation and persistence, but also calls for effective means to combat it. This review on stigmatization and self-perception of youth with ADHD first considers the current context of management and treatment options. Next, we appraise recent research in ADHD stigma measurement, identifying a dearth of validated tools and a need for additional instrument development, especially brief measures suitable for clinical encounters. The review then addresses studies of public stigma from the perspectives of youth and adults. A number of qualitative studies document the ubiquitous nature of public stigma experiences associated with ADHD from the perspectives of caregivers. Notably, impressions gathered in qualitative research are confirmed through quantitative studies of representative youth and adult samples, such as the National Stigma Study -Children, which report considerable stigmatization of ADHD by the general public. Unlike public stigma, courtesy stigma has not been examined through large-scale quantitative studies. However, courtesy stigma has been amply documented in qualitative research as a phenomenon experienced at various ecological levels, within the dyadic relationship with the affected child to interactions with immediate and extended family, community, and health and educational systems. Very limited research could be identified for self-stigma of youth affected by ADHD, with reports of lowered self-esteem in response to public stigma. General societal antistigma programs have been developed and implemented, consisting of three paradigms -protest, education, and contact -but insufficient guidance exists for ADHD treatment providers on how to combat stigma experienced by individual patients with ADHD and their families. Keywords: attention deficit/hyperactivity disorder, stigma, public stigma, courtesy stigma, self-stigma, treatment barriers Management issues in attention deficit/ hyperactivity disorderAttention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder with childhood onset, characterized by severe and pervasive patterns of inattention, hyperactivity, and impulsivity in more than one setting, and associated with significant functional impairment.1 Increasing numbers of families must learn to manage their child's ADHD, because this disorder is among the most commonly diagnosed neurobehavioral 2 An important aspec...

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Section: Current Treatment Options For Adhdmentioning

confidence: 99%

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Bussing¹,

Mehta²

2013

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“…Obsessive-compulsive symptom severity was accompanied with diminished psychological health, adverse psycho-social functioning and inappropriate health-related quality of life with an emphasis on the tailored intervention [4]. Psychotherapeutic interventions, in general, are the principal therapeutic procedures for severity and course management of obsessive-compulsive disorder [5].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the clearness of the CAT formulation and stages of change for patients with OCD and the acceptance of the CAT procedure, there are too little researches of the effectiveness of this treatment in routine clinical practice [5]. CAT has been recommended as a possible treatment option for OCD as a collection of severe obsessions, severe compulsions, symptom interference, avoidance and symptoms resistance [6].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Cognitive Analytic Therapy on the Severity of Symptoms in Patients with Obsessive-Compulsive Disorder

Ameri¹,

Yousefi²,

Rad³

et al. 2017

IJIET

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Abstract-This study was aimed to examine the effectiveness of cognitive analytic therapy on symptoms severity of obsessive-compulsive disorder. This was a empirical study. Twenty patients with obsessive compulsive disorder were selected by inconvenience sampling and randomly assigned to experimental and control group. Participants initially completed the Socio-demographic Questionnaire and interviewed by the Structured Clinical Interview for DSM-IV-TR Axis I Disorders. Then, the Yale-Brown Obsessive-Compulsive Scale was administered in baseline, post-treatment and follow-up. Mixed analysis of variance with repeated measures showed that symptoms severity of obsessive compulsive disorder was significantly decreased at post-treatment and three-month follow-up in the treatment group as compared to the control group (F1,18 = 15.05, P < 0.001). The interaction of intervention and factor of time resulted in decreased symptoms severity in post-treatment and follow-up (F2,36 = 22.53, P < 0.001).The group cognitive analytic therapy is an effective and longstanding therapy for symptoms management of obsessive compulsive disorder.

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“…Both group and individual cognitive-behavior therapy (CBT) have demonstrated efficacy in the treatment of OCD children, adolescents and adults, and are recommended as first-line psychotherapeutic interventions according to many guidelines and reviews (24,25,38,107,108). Not only intensive (daily) but weekly CBT are effective treatments for childhood-onset OCD (108,109).…”

Section: Cognitive-behavioral Therapymentioning

confidence: 99%

“…Fluoxetine, fluvoxamine and sertraline are efficient and well tolerated drugs for OCD in children (29,107,112) and are approved by the Food and Drug Administration (FDA) for this use in the pediatric population. The average effect size of these drugs in OCD children and adolescents, compared to placebo was 0.7 (113).…”

Section: Pharmacological Therapymentioning

confidence: 99%

Sintomas obsessivo-compulsivos em escolares: prevalência, dimensões psicopatológicas, agregação familiar, comorbidades e fatores clínicos associados

Alvarenga¹

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Treatment of Pediatric Obsessive-Compulsive Disorder: A Review

Cited by 52 publications

References 87 publications

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

The Effectiveness of Cognitive Analytic Therapy on the Severity of Symptoms in Patients with Obsessive-Compulsive Disorder

Sintomas obsessivo-compulsivos em escolares: prevalência, dimensões psicopatológicas, agregação familiar, comorbidades e fatores clínicos associados

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