دستاوردهای ناگهانی در درمان رفتاری شناختی کودکان مبتلا به اختلال وسواس فکری
ترجمه نشده

دستاوردهای ناگهانی در درمان رفتاری شناختی کودکان مبتلا به اختلال وسواس فکری

عنوان فارسی مقاله: دستاوردهای ناگهانی در درمان رفتاری شناختی در کودکان و نوجوانان مبتلا به اختلال وسواس فکری-عملی
عنوان انگلیسی مقاله: Sudden gains in cognitive behavioral therapy among children and adolescents with obsessive compulsive disorder
مجله/کنفرانس: مجله رفتار درمانی و روانپزشکی تجربی - Journal Of Behavior Therapy And Experimental Psychiatry
رشته های تحصیلی مرتبط: روانشناسی، پزشکی
گرایش های تحصیلی مرتبط: روانپزشکی، روانشناسی بالینی کودک و نوجوان
کلمات کلیدی فارسی: دستاوردهای ناگهانی، اختلال وسواس فکری-عملی، درمان شناختی-رفتاری، کودکان
کلمات کلیدی انگلیسی: Sudden gains، Obsessive-compulsive disorder، Cognitive-behavioral therapy، Children
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: MedLine - Scopus - Master Journals List - JCR
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.jbtep.2019.03.003
دانشگاه: Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, USA
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2019
ایمپکت فاکتور: 2/366 در سال 2018
شاخص H_index: 66 در سال 2019
شاخص SJR: 1/382 در سال 2018
شناسه ISSN: 0005-7916
شاخص Quartile (چارک): Q1 در سال 2018
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 7
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: دارد
کد محصول: E13142
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست انگلیسی مطالب

Abstract


1- Introduction


2- Materials and methods


3- Results


4- Discussio


References

نمونه متن انگلیسی مقاله

Abstract


Background and objectives
This study examined the occurrence of sudden gains (or reversal of gains) among children with obsessive-compulsive disorder (OCD) during the course of cognitive-behavioral therapy (CBT), as well as the association of sudden gains with treatment response, treatment group, and pre-treatment clinical characteristics.
Methods
The sample consisted of 136 youth (ages 7–17) with a primary diagnosis of OCD who were randomized in a double-blinded fashion to 10 sessions of CBT with augmentation of either d-cycloserine or placebo. Sudden gain status was determined based on clinician-rated obsessive-compulsive symptom severity, which was collected on 9 occasions across the study period.
Results
42.6% of youth experienced at least one sudden gain, which tended to occur either after starting exposure and response prevention or towards the end of treatment. After applying the Benjamini-Hochberg procedure for multiple comparisons, there were no significant pre-treatment predictors of sudden gains and only reduced insight predicted the reversal of gains. Individuals with at least one sudden gain had improved overall treatment outcomes, measured both by reduction in OCD symptom severity, and by global illness severity.
Limitations
Several clinical constructs were not examined. Symptomatology was not assessed at every treatment session. Differences in those who achieved sudden gains and those who did not may be obscured. There is the possibility that a sudden gain reflected a scoring error generated by an optimistic or inaccurate report. Finally, a relatively homogenous sample may limit the generalizability of results.
Conclusions
The course of CBT for pediatric OCD is variable with many children experiencing sudden gains, but a sizable percentage experience a reversal of gains which was related to reduced insight. Sudden gains tended to occur after starting exposure and response prevention and towards the end of treatment.


Introduction


Cognitive behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD) has demonstrated considerable efficacy with average response rates extending upwards to 70% and 50% of youth experiencing clinical remission (McGuire et al., 2015). However, few investigations have been conducted examining the course of improvement associated with CBT for pediatric OCD and, among children and adolescents, there has been limited attention into the construct of sudden treatment gains over a short period of time (i.e., significant improvements relative to symptom severity prior to the gain, and symptom fluctuations before/after gain; Aderka, Nickerson, Boe, & Hofmann, 2012a, b; Tang & DeRubeis, 1999). The current report aims to address these gaps in the literature. Investigating sudden gains could have significant clinical relevance. Sudden gains may indicate that the child/family has acquired a meaningful understanding of the treatment model and ability to utilize core therapeutic components (Tang & DeRubeis, 1999).

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