Cristin-resultat-ID: 1151833
Sist endret: 30. oktober 2017 11:05
NVI-rapporteringsår: 2014
Resultat
Vitenskapelig oversiktsartikkel/review
2014

Standard individual cognitive behaviour therapy for paediatric obsessive compulsive disorder: A systematic review of effect estimates across comparisons

Bidragsytere:
  • Gudmundur Águst Skarphedinsson
  • Ketil Hanssen-Bauer
  • Hege Kornør
  • Einar Heiervang
  • Nils Inge Landrø
  • Brynhildur Axelsdottir
  • mfl.

Tidsskrift

Nordic Journal of Psychiatry
ISSN 0803-9488
e-ISSN 1502-4725
NVI-nivå 1

Om resultatet

Vitenskapelig oversiktsartikkel/review
Publiseringsår: 2014
Publisert online: 2014
Trykket: 2015
Volum: 69
Hefte: 2
Sider: 81 - 92

Importkilder

Scopus-ID: 2-s2.0-84919970541

Beskrivelse Beskrivelse

Tittel

Standard individual cognitive behaviour therapy for paediatric obsessive compulsive disorder: A systematic review of effect estimates across comparisons

Sammendrag

Background: Previous meta-analyses of paediatric obsessive – compulsive disorder (OCD) have shown much higher effect size for standard individual cognitive behaviour therapy (SI-CBT) compared with control conditions than for serotonin reuptake inhibitors (SRIs) compared with placebo. Other factors, such as systematic differences in the provided care or exposure to factors other than the interventions of interest (performance bias) may be stronger confounders in psychotherapy research than in pharmacological research. Aims: These facts led us to review SI-CBT studies of paediatric OCD with the aim to compare the effect estimates across different comparisons, including active treatments. Method: We included only randomized controlled trials (RCTs) or cluster RCTs with treatment periods of 12 – 16 weeks. Outcome was post-test score on the Children ’ s Yale – Brown Obsessive Compulsive Scale (CYBOCS). Results: Thirteen papers reporting from 13 RCTs with 17 comparison conditions were included. SI-CBT was superior to wait-list and placebo therapy but not active treatments. Effect estimates for SI-CBT in wait-list comparison studies were signifi cantly larger than in placebo-therapy comparison studies. In addition, the SI-CBT effect estimate was not signifi cantly different when compared with SRIs alone or combined SRIs and CBT. Conclusions: Performance bias may have infl ated previous effect estimates for SI-CBT when comparison contingencies included wait-list. However, the calculated SI-CBT effect estimate was lower but signifi cant when compared with placebo therapy. The effects of SI-CBT and active treatments were not signifi cantly different. In conclusion, our data support the current clinical guidelines, although better comparisons between SI-CBT and SRIs are needed.

Bidragsytere

Gudmundur Águst Skarphedinsson

  • Tilknyttet:
    Forfatter
    ved RBUP Øst og Sør

Ketil Hanssen-Bauer

  • Tilknyttet:
    Forfatter
    ved RBUP Øst og Sør
Aktiv cristin-person

Hege Kornør

  • Tilknyttet:
    Forfatter
    ved RBUP Øst og Sør

Einar Heiervang

  • Tilknyttet:
    Forfatter
    ved Klinikk psykisk helse og avhengighet ved Oslo universitetssykehus HF
Aktiv cristin-person

Nils Inge Landrø

  • Tilknyttet:
    Forfatter
    ved Psykologisk institutt ved Universitetet i Oslo
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