Abstract:
BACKGROUND AND OBJECTIVES:Paediatric obsessive-compulsive disorder (OCD) and tic disorders (TD) often present together. However, there has been relatively little research on whether comorbid tic disorders influence response to cognitive behaviour therapy (CBT) for OCD. This study aimed to examine the outcomes of CBT for paediatric patients with OCD and a tic disorder compared to a matched group of children with OCD and no tics. Outcomes were compared post-treatment and at 3 or 6 month follow-up. METHODS:Participants were 29 young people with tic disorders and OCD (OCD + TD) and 29 young people with OCD without tic disorders (OCD-TD) who were matched according to age, gender and baseline OCD symptom severity. All participants received a course of CBT and outcomes were assessed using the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). RESULTS:OCD symptoms reduced over the course of CBT to an equivalent extent in the OCD + TD and OCD-TD groups. Response or remission rates did not differ significantly at either post-intervention or follow-up between those with OCD + TD and those with OCD-TD. For both groups, response rates were high - 72% of both groups were classified as responders post-intervention and, at follow-up, 81% of the OCD + TD group and 82% of the OCD no tics group responded. Those with OCD + TD responded in significantly fewer sessions than those with OCD without tics. LIMITATIONS:A number of potential confounding factors were not assessed and therefore could not be controlled for, such as other comorbidities and stability of medication. CONCLUSIONS:Paediatric patients with OCD and tic disorders respond equally well to standard CBT for OCD as compared to those with OCD and no tics.
journal_name
J Behav Ther Exp Psychiatryjournal_title
Journal of behavior therapy and experimental psychiatryauthors
Bennett S,Stark D,Shafran R,Heyman I,Krebs Gdoi
10.1016/j.jbtep.2015.03.004subject
Has Abstractpub_date
2015-12-01 00:00:00pages
223-229issue
Pt Beissn
0005-7916issn
1873-7943pii
S0005-7916(15)00034-8journal_volume
49pub_type
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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journal_title:Journal of behavior therapy and experimental psychiatry
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