Cognitive-Behavioral Bibliotherapy for the Treatment of Obsessive Compulsive Disorder in Children and Adolescents
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Purpose
This 16-week program examines cognitive behavioral bibliotherapy to typical therapist-directed cognitive behavior therapy for children and adolescents with Obsessive Compulsive Disorder.
| Condition | Intervention |
|---|---|
|
Obsessive-Compulsive Disorder |
Behavioral: Cognitive Behavioral Bibliotherapy Behavioral: Cognitive Behavioral Therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Cognitive-Behavioral Treatment of Obsessive Compulsive Disorder in Children and Adolescents |
- Child Yale-Brown Obsessive Compulsive Scale [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- NIMH Clinician's Global Impression [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
- Children's Obsessional Compulsive Inventory [ Time Frame: weeks 4, 8, 12, and 16 ] [ Designated as safety issue: No ]
- Child OCD Impact Scale [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
- March Anxiety Scale for Children [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
- Children's Depression Inventory [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
- Child Behavior Checklist [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
- Family Assessment Measure III [ Time Frame: weeks 4, 8, 12, 16 ] [ Designated as safety issue: No ]
| Enrollment: | 22 |
| Study Start Date: | July 2005 |
| Study Completion Date: | August 2010 |
| Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Bibliotherapy - cognitive behavior therapy focusing on exposure and response prevention directed by the family
|
Behavioral: Cognitive Behavioral Bibliotherapy
Minimal therapist direction for self-guided bibliotherapy involving exposure and response prevention
|
|
Active Comparator: 2
Cognitive Behavioral Therapy - therapist-directed exposure response prevention over a 12-week period
|
Behavioral: Cognitive Behavioral Therapy
Therapist-directed exposure and response prevention
|
Detailed Description:
This study is designed to compare self-directed bibliotherapy and therapist-directed cognitive behavioral therapy for children and adolescents with Obsessive Compulsive Disorder (OCD). Both treatments involve exposure and response prevention (EX/RP), in which the child confronts OCD fears and is asked to refrain from compulsive rituals (such as repetitive handwashing, counting, etc.). Participants are requested to complete an initial evaluation to determine diagnosis, and four follow-up evaluations to assess symptom severity and change due to treatment for a total of 16 weeks. Participant involvement to self-directed bibliotherapy versus traditional cognitive-behavioral treatment will be determined through random assignment.
In the bibliotherapy condition, the child or adolescent will meet with a therapist twice over the course of treatment, along with a parent. The therapist will discuss a self-directed program of EX/RP to be implemented at a pace deemed appropriate by child and parent at their own home. The child and parent will be provided with a manual designed to instruct them how to cope with Obsessive Compulsive Disorder. This treatment involves the parent and child reading the book, performing exercises, and monitoring symptoms on a weekly basis for 8 weeks.
In the therapist-directed treatment condition, the child or adolescent will meet weekly with a therapist along with their parent. The therapist, parent, and child will work together to design and implement a program of EX/RP. This treatment involves performing exercises, monitoring symptoms on a weekly basis, and completing homework assignments. Parents will be asked to help coach their child with at-home exercises challenging the Obsessive Compulsive Disorder. This treatment lasts 12 weeks.
Evaluations will be conducted following the completion of each treatment to assess the efficacy of each treatment on OCD symptoms. The treatment and evaluations for OCD are provided free of charge.
Eligibility| Ages Eligible for Study: | 8 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Ages 8-18 years old
- Primary diagnosis of Obsessive Compulsive Disorder
- Both parent and child fluent in English
- Parents must read at least a 7th grade reading level
Exclusion Criteria:
- Primary psychiatric diagnosis other than OCD
- Current threat of harm to self or others
- New use or dosage change of OCD medication 60 days prior to starting program
- Current involvement with another psychosocial therapy
Contacts and Locations| United States, Connecticut | |
| Institute of Living | |
| Hartford, Connecticut, United States, 06106 | |
| University of Connecticut | |
| Storrs, Connecticut, United States, 06269 | |
| University of Connecticut | |
| Waterbury, Connecticut, United States, 06702 | |
| University of Connecticut | |
| West Hartford, Connecticut, United States, 06117 | |
| Principal Investigator: | Kimberli Treadwell, Ph.D. | University of Connecticut |
More Information
No publications provided
| Responsible Party: | Kimberli Treadwell/Assistant Professor, University of Connecticut |
| ClinicalTrials.gov Identifier: | NCT00690729 History of Changes |
| Other Study ID Numbers: | H06-170 |
| Study First Received: | June 3, 2008 |
| Last Updated: | August 26, 2010 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Obsessive-Compulsive Disorder Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013