Abstract：
:Cognitive-behavioral therapy (CBT) is considered first-line treatment for childhood obsessive-compulsive disorder (OCD). Despite CBT's efficacy, too many children and adolescents do not fully respond to treatment, making the identification of predictors of treatment response highly relevant. Executive functions (EF) have been suggested to constitute such predictors, but studies with pediatric samples are scarce. In the present study, we investigated latent level EF test performance and ratings of daily life EF behavior as predictors of CBT response in pediatric OCD. We further examined the stability of EF from pre-to post-treatment and the association of EF changes with OCD severity change. EF test performance significantly predicted exposure-based CBT outcome. Patients with better EF test performance had significantly elevated risk of non-response relative to patients with poorer performance. Daily life EF behavior in OCD probands improved after treatment relative to controls. The findings suggest that EF performance impacts CBT outcome, and that exposure-based CBT is well-suited for children and adolescents with OCD and poorer EF test performance. This study supports the relevance of EF in CBT for childhood OCD and denotes a possible need for development of enhanced treatments for children and adolescents with OCD and superior EF performance.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Hybel KA,Mortensen EL,Lambek R,Højgaard DRMA,Thomsen PHdoi
10.1016/j.brat.2017.08.009subject
Has Abstractpub_date
2017-12-01 00:00:00pages
11-18eissn
0005-7967issn
1873-622Xpii
S0005-7967(17)30167-5journal_volume
99pub_type
杂志文章abstract：:The relationships between self-reported worry and obsessional-compulsive symptoms were examined among 145 hospital outpatients. Subjects completed the Penn State Worry Questionnaire and the Padua Inventory. Despite moderately strong correlations, the scales measured distinct constructs. Eliminating five items from the...
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journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
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更新日期：2015-10-01 00:00:00
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journal_title：Behaviour research and therapy
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pub_type： 杂志文章
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
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更新日期：2014-12-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.11.010
更新日期：2007-07-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2009.07.010
更新日期：2009-11-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1994-11-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2009.02.003
更新日期：2009-05-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2017.01.016
更新日期：2017-04-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2008.06.007
更新日期：2008-09-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(89)90094-6
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2008.06.013
更新日期：2008-10-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2017.01.013
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doi：10.1016/j.brat.2017.02.007
更新日期：2017-06-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2013.05.015
更新日期：2013-09-01 00:00:00
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journal_title：Behaviour research and therapy
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更新日期：1997-02-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2013.12.007
更新日期：2014-03-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(92)90046-j
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2008.05.012
更新日期：2008-10-01 00:00:00
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journal_title：Behaviour research and therapy
pub_type： 杂志文章,meta分析
doi：10.1016/j.brat.2018.05.013
更新日期：2018-08-01 00:00:00
abstract：:Ost (2008) recently compared the methodological rigor of studies of acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). He concluded that the ACT studies had more methodological deficiencies, and thus the treatment did not qualify as an "empirically supported treatment." Although ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2009.07.020
更新日期：2009-12-01 00:00:00
abstract：:The cognitive-behavioural theory of Obsessive Compulsive Disorder (OCD) proposes that a key factor influencing obsessional behaviour is the way in which the intrusive cognitions are interpreted. The present paper reports an investigation of links between clinical symptoms (of anxiety, depression and obsessionality) an...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(99)00071-6
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