Incompleteness and Disgust Predict Treatment Outcome in Pediatric Obsessive-Compulsive Disorder☆
Section snippets
procedure and participants
Between January 2016 and December 2018, all new patients seeking treatment for OCD at an outpatient child and adolescent mental health clinic in the South of Sweden were invited to participate in a funded research project about etiological and maintaining mechanisms in pediatric OCD. Children ages 6–17 years were included if they had a primary or secondary diagnosis of OCD according to a DSM-5-adjusted structured diagnostic interview, the Mini International Neuropsychiatric Interview for
treatment received and associations with outcome
All 111 participants who were followed-up had been offered OCD-specific CBT that included ERP. Of these, 85 (74.8%) completed a course of CBT, averaging 10.8 sessions (SD = 7.9). The remaining 26 participants (23%) attended CBT treatment sessions but refused to engage in ERP exercises. The latter group had an average of 6.04 (SD = 5.54) sessions with a clinical psychologist where the impact of symptoms was discussed and efforts made to motivate the client to engage in ERP. Half (n = 13) of the
Discussion
The primary aim of the present study was to fill an important knowledge gap in the literature by examining whether the involvement of fear, incompleteness, or disgust in baseline OCD symptoms predicted outcomes in a large sample of clinically referred youth entering treatment for OCD. Overall, having OCD symptoms that involved high levels of incompleteness and disgust, but not fear, predicted poorer outcome. Importantly, incompleteness and disgust predicted outcome after controlling for several
Conflict of Interest Statement
The authors declare no conflict of interest.
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The study was funded in part by research grants awarded to Matti Cervin from L. J. Boëthius Foundation, Lindhaga Foundation, the Sven Jerring Foundation, and Region Skåne. The funding sources had no role in study design, data collection, analysis and interpretation of the data, writing of the article, or the decision to submit the article for publication.