Psykologisk behandling av tvangslidelse (OCD) for barn og unge: Metaanalyse

Psychological treatment of obsessive-compulsive disorder in children and adolescents: a meta-analysis

Forfattere
Rosa-Alcazar, A. I. Sanchez-Meca, J. Rosa-Alcazar, A. Iniesta-Sepulveda, M. Olivares-Rodriguez, J. Parada-Navas, J. L.
Årstall
2015
Tidsskrift
Spanish Journal of Psychology
Volum
18
Sider
E20
Although several meta-analyses have investigated the efficacy of psychological treatments for pediatric obsessive-compulsive disorder (OCD), there is not yet a consensus on the most efficacious treatment components. A meta-analysis was carried out to examine the efficacy of the different treatment techniques used in the psychological interventions of pediatric OCD. An exhaustive literature search from 1983 to February 2014 enabled us to locate 46 published articles that applied some kind of cognitive-behavioral therapy (CBT). For each group the effect size was the standardized pretest-posttest mean change, and it was calculated for obsessive-compulsive symptoms and for other outcome measures. The results clearly showed large effect sizes for CBT in reducing obsessive-compulsive symptoms and, to a lesser extent, other outcome measures (d + = 1.860; 95% CI: 1.639; 2.081). The most promising treatments are those based on multicomponent programs comprising ERP, cognitive strategies, and relapse prevention. The analysis of other potential moderator variables and the implications for clinical practice are discussed.

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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Angstproblematikk

Tvangsforstyrrelser (OCD)

Aldersgruppe

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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