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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

14-07-2020

Understanding Anxiety and Symptom Impact as Mediators Explaining Cognitive-Behavior Therapy and Pharmacotherapy Response in Childhood Obsessive-Compulsive Disorder

Auteurs: Se-Kang Kim, Dean McKay, Wayne K. Goodman, Brent J. Small, Joseph P. McNamara, Tanya K. Murphy, Eric A. Storch

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2020

Abstract

Obsessive-compulsive disorder (OCD) is a debilitating psychiatric condition with an onset typically during childhood. Evidence-based treatments include cognitive-behavioral therapy (CBT) and serotonin reuptake inhibitors. This study evaluates the extent that anxiety and OCD-related impairment may mediate symptom improvement during treatment. Data from a randomized treatment trial comparing CBT with placebo, CBT with standard sertraline dosing, and CBT with slowly titrated sertraline were evaluated to understand the extent to which anxiety and OCD-related impairment were systematically associated with improvement. Using correspondence analysis techniques, results generally supported that anxiety and OCD-related impairment mediated OCD symptom improvement. Anxiety and OCD-related impairment had attenuated effects on symptom improvement in those receiving CBT with slowly titrated sertraline, while both CBT with placebo and CBT with sertraline were comparable in efficacy. In addition to targeting OCD severity, treatment should also focus on anxiety and OCD-related impairment.

vorige artikel Response-to-Treatment for Comorbid Post-Traumatic Stress and Substance Use Disorders: the Value of Combining Person- and Variable-Centered Approaches

volgende artikel Increasing Anticipatory Pleasure in Major Depression through Enhancing Episodic Future Thinking: a Randomized Single-Case Series Trial

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Titel: Understanding Anxiety and Symptom Impact as Mediators Explaining Cognitive-Behavior Therapy and Pharmacotherapy Response in Childhood Obsessive-Compulsive Disorder
Auteurs: Se-Kang Kim
Dean McKay
Wayne K. Goodman
Brent J. Small
Joseph P. McNamara
Tanya K. Murphy
Eric A. Storch
Publicatiedatum: 14-07-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2020
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-020-09824-5

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