Assessing Acute Secondary Treatment Outcomes in Early-Onset Obsessive-Compulsive Disorder.

Journal Article (Journal Article)

Obsessive-compulsive disorder (OCD) in children under 8 years of age, referred to as early-onset OCD, has similar features to OCD in older children, including moderate to severe symptoms, impairment, and significant comorbidity. Family-based cognitive behavioral therapy (FB-CBT) has been found efficacious in reducing OCD symptoms and functional impairment in children ages 5-8 years with OCD; however, its effectiveness on reducing comorbid psychiatric symptoms in this same population has yet to be demonstrated. This study examined the acute effects of FB-CBT vs. family-based relaxation treatment over 14 weeks on measures of secondary treatment outcomes (non-OCD) in children with early-onset OCD. Children in the FB-CBT condition showed significant improvements from pre- to post-treatment on secondary outcomes, with a decrease in overall behavioral and emotional problems, internalizing symptoms, as well as overall anxiety symptom severity. Neither condition yielded significant change in externalizing symptoms. Clinical implications of these findings are considered.

Full Text

Duke Authors

Cited Authors

  • Cancilliere, MK; Freeman, J; Garcia, A; Benito, K; Sapyta, J; Franklin, M

Published Date

  • October 2018

Published In

Volume / Issue

  • 49 / 5

Start / End Page

  • 718 - 729

PubMed ID

  • 29435695

Pubmed Central ID

  • 29435695

Electronic International Standard Serial Number (EISSN)

  • 1573-3327

Digital Object Identifier (DOI)

  • 10.1007/s10578-018-0786-8


  • eng

Conference Location

  • United States