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07-02-2023 | Original Article

Examining the Effectiveness of an Intensive Telemental Health Treatment for Pediatric Anxiety and OCD During the COVID-19 Pandemic and Pediatric Mental Health Crisis

Auteurs: Daniel Ian Gittins Stone, R. Meredith Elkins, Melissa Gardner, Kathryn Boger, Jacqueline Sperling

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2024

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Abstract

Despite research supporting the efficacy of weekly outpatient videoconferencing-based cognitive behavioral therapy (VCBT), limited evidence exists about the benefits of leveraging VCBT for brief intensive formats. We examined the effectiveness of an intensive outpatient VCBT targeting pediatric anxiety and OCD. Quasi-experimental design was used to compare outcomes of intensive, in-person, group-based cognitive-behavioral therapy with medication management and caregiver guidance pre-pandemic, to a similar VCBT peri-pandemic (n = 130). Pretreatment and posttreatment assessments included patient- and caregiver-report of anxiety and functional impairment. Analyses of covariance were conducted, examining changes in anxiety and impairment between treatment groups, controlling for admission levels. No significant differences in posttreatment anxiety or impairment were observed between conditions. This study illustrates that intensive, group-based treatment for pediatric anxiety and OCD using VCBT is associated with comparable reductions in anxiety and impairment. It marks a crucial step toward providing broader access to quality care for youth in need.
Literatuur
4.
go back to reference Zohar AH (1999) The epidemiology of obsessive-compulsive disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 8(3):445–460CrossRefPubMed Zohar AH (1999) The epidemiology of obsessive-compulsive disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 8(3):445–460CrossRefPubMed
10.
go back to reference Dell’Osso B, Benatti B, Hollander E et al (2016) Childhood, adolescent and adult age at onset and related clinical correlates in obsessive–compulsive disorder: a report from the international college of obsessive-compulsive spectrum disorders (ICOCS). Int J Psychiatr Clin Pract 20(4):210–217. https://doi.org/10.1080/13651501.2016.1207087CrossRef Dell’Osso B, Benatti B, Hollander E et al (2016) Childhood, adolescent and adult age at onset and related clinical correlates in obsessive–compulsive disorder: a report from the international college of obsessive-compulsive spectrum disorders (ICOCS). Int J Psychiatr Clin Pract 20(4):210–217. https://​doi.​org/​10.​1080/​13651501.​2016.​1207087CrossRef
49.
go back to reference Sigurvinsdóttir AL, Jensínudóttir KB, Baldvinsdóttir KD, Smárason O, Skarphedinsson G (2020) Effectiveness of cognitive behavioral therapy (CBT) for child and adolescent anxiety disorders across different CBT modalities and comparisons: a systematic review and meta-analysis. Nord J Psychiatr 74(3):168–180. https://doi.org/10.1080/08039488.2019.1686653CrossRef Sigurvinsdóttir AL, Jensínudóttir KB, Baldvinsdóttir KD, Smárason O, Skarphedinsson G (2020) Effectiveness of cognitive behavioral therapy (CBT) for child and adolescent anxiety disorders across different CBT modalities and comparisons: a systematic review and meta-analysis. Nord J Psychiatr 74(3):168–180. https://​doi.​org/​10.​1080/​08039488.​2019.​1686653CrossRef
52.
go back to reference Ost LG, Svensson L, Hellström K, Lindwall R (2001) One-session treatment of specific phobias in youths: a randomized clinical trial. J Consult Clin Psychol 69(5):814–824CrossRefPubMed Ost LG, Svensson L, Hellström K, Lindwall R (2001) One-session treatment of specific phobias in youths: a randomized clinical trial. J Consult Clin Psychol 69(5):814–824CrossRefPubMed
59.
go back to reference Grabill K, Storch EA, Geffken GR (2007) Intensive cognitive-behavioral therapy for pediatric obsessive-compulsive disorder. Behav Ther 30:19–21 Grabill K, Storch EA, Geffken GR (2007) Intensive cognitive-behavioral therapy for pediatric obsessive-compulsive disorder. Behav Ther 30:19–21
84.
go back to reference Matsumoto K, Hamatani S, Nagai K, Sutoh C, Nakagawa A, Shimizu E (2020) Long-Term effectiveness and cost-effectiveness of videoconference-delivered cognitive behavioral therapy for obsessive-compulsive disorder panic disorder, and social anxiety disorder in japan: one-year follow-up of a single-arm trial. JMIR Ment Health. https://doi.org/10.2196/17157CrossRefPubMedPubMedCentral Matsumoto K, Hamatani S, Nagai K, Sutoh C, Nakagawa A, Shimizu E (2020) Long-Term effectiveness and cost-effectiveness of videoconference-delivered cognitive behavioral therapy for obsessive-compulsive disorder panic disorder, and social anxiety disorder in japan: one-year follow-up of a single-arm trial. JMIR Ment Health. https://​doi.​org/​10.​2196/​17157CrossRefPubMedPubMedCentral
88.
go back to reference Pinciotti CM, Bulkes NZ, Horvath G, Riemann BC (2022) Efficacy of intensive CBT telehealth for obsessive-compulsive disorder during the COVID-19 pandemic. J Obsessive-Compuls Relat Disord 32:100705CrossRefPubMed Pinciotti CM, Bulkes NZ, Horvath G, Riemann BC (2022) Efficacy of intensive CBT telehealth for obsessive-compulsive disorder during the COVID-19 pandemic. J Obsessive-Compuls Relat Disord 32:100705CrossRefPubMed
100.
go back to reference Rivard JC, Ganju VK, Roberts KA, Lane GM Jr (2012) The dissemination of evidence-based practices by federal and state mental health agencies. MDissemination and Implementation of Evidence-Based Psychological Interventions. Oxford University Press, Oxford, pp 141–165 Rivard JC, Ganju VK, Roberts KA, Lane GM Jr (2012) The dissemination of evidence-based practices by federal and state mental health agencies. MDissemination and Implementation of Evidence-Based Psychological Interventions. Oxford University Press, Oxford, pp 141–165
109.
go back to reference U.S. Department of Health and Human Services Office of Human Rights. FAQs on Telehealth and HIPAA during the COVID-19 nationwide public health emergency. :6. U.S. Department of Health and Human Services Office of Human Rights. FAQs on Telehealth and HIPAA during the COVID-19 nationwide public health emergency. :6.
Metagegevens
Titel
Examining the Effectiveness of an Intensive Telemental Health Treatment for Pediatric Anxiety and OCD During the COVID-19 Pandemic and Pediatric Mental Health Crisis
Auteurs
Daniel Ian Gittins Stone
R. Meredith Elkins
Melissa Gardner
Kathryn Boger
Jacqueline Sperling
Publicatiedatum
07-02-2023
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 5/2024
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-023-01500-5