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12-12-2022 | Original Article

Specific Contamination Symptoms are Associated with Experiencing a Limited Response of Cognitive-Behavioral Therapy in Pediatric Patients with OCD

Auteurs: Charlotte Steen Duholm, Sanne Jensen, Charlotte Ulrikka Rask, Per Hove Thomsen, Tord Ivarsson, Gudmundur Skarphedinsson, Nor Christian Torp, Bernhard Weidle, Judith Becker Nissen, Davíð R. M. A. Højgaard

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2024

Abstract

A recent study identified three distinct treatment-response trajectories in pediatric OCD where higher levels of contamination symptoms predicted a limited response to cognitive-behavioral therapy (CBT). This study extends these findings by examining which specific symptoms characterize limited CBT response from baseline to 3-year follow-up, with an emphasis on contamination symptoms. The study sample comprised 269 pediatric patients with OCD, all receiving stepped-care treatment with manualized CBT. Differences in single item-reporting between the three trajectory groups were examined using linear mixed-effect modeling. Limited responders displayed a higher symptom load across all OCD symptom categories at 3-year follow-up, dominated by contamination symptoms. Five of these (obsessions about dirt and germs, about bodily fluids, about the feeling of contamination and compulsions regarding handwashing and showering) showed persistence from baseline to 3-year follow-up. The results indicate that presence of specific contamination symptoms may influence long-term symptom severity trajectories in young patients with OCD.

vorige artikel Peer Appearance Teasing and Restrained Eating Among Chinese Adolescent Girls: A Mediation Model of Fear of Negative Appearance Evaluation and Body Surveillance

volgende artikel Sensation Seeking in Children and Adults with Pediatric-Onset Bipolar Disorder

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Titel: Specific Contamination Symptoms are Associated with Experiencing a Limited Response of Cognitive-Behavioral Therapy in Pediatric Patients with OCD
Auteurs: Charlotte Steen Duholm
Sanne Jensen
Charlotte Ulrikka Rask
Per Hove Thomsen
Tord Ivarsson
Gudmundur Skarphedinsson
Nor Christian Torp
Bernhard Weidle
Judith Becker Nissen
Davíð R. M. A. Højgaard
Publicatiedatum: 12-12-2022
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2024
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-022-01480-y

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Specific Contamination Symptoms are Associated with Experiencing a Limited Response of Cognitive-Behavioral Therapy in Pediatric Patients with OCD

Abstract

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