Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD: The Role of Dysfunctional Beliefs
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Reframing cognitions is assumed to play an important role in treatment for obsessive-compulsive disorder (OCD). However, there hardly is any empirical support for this assumption, especially for children. The aim of this study was to examine if changing dysfunctional beliefs is a mediating mechanism of cognitive behavioral therapy (CBT) for childhood OCD. Fifty-eight children (8-18 years) with OCD received CBT. Dysfunctional beliefs (OBQ-CV) and OCD severity (CY-BOCS) were measured pre-treatment, mid-treatment, post-treatment, and at 16-week follow-up. Results showed that OCD severity and dysfunctional beliefs decreased during CBT. Changes in severity predicted changes in beliefs within the same time interval. Our results did not support the hypothesis that changing dysfunctional beliefs mediates treatment effect. Future studies are needed to replicate these findings and shed more light on the role of explicit and implicit cognitions in treatment for childhood OCD.
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Substantial uncertainty remains about the psychological mechanisms that mediate the effects of CBT treatment.
“Finally, substantial uncertainty remains about the psychological mechanisms that mediate the effects of CBT treatment (Schubert et al., 2022; Wilhelm et al., 2015; Wolters et al., 2019).”
From TREATING GUILT-INDUCING SELF-TALK IN OCD WITH DRAMATIZED SOCRATIC DIALOGUE: A STEP BY STEP INTERVENTION (2024) · cites this paper as Wolters et al., 2019
The Introduction says the core mechanism of CBT is unknown and that mechanisms of change are rarely studied in childhood OCD treatment. The Discussion also describes research on mediating mechanisms in OCD treatment as still in its infancy. These passages support substantial uncertainty for CBT in OCD, but do not establish the claim across CBT treatments generally. (LLM, conf=0.82)
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“Finally, substantial uncertainty remains about the psychological mechanisms that mediate the effects of CBT treatment (Schubert et al., 2022; Wilhelm et al., 2015; Wolters et al., 2019).”
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- Authors
- Wolters, L. H., Prins, P. J. M., Garst, G. J. A., Hogendoorn, S. M., Boer, F., Vervoort, L., & de Haan, E.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- University of Amsterdam (NL)
- Ghent University (BE)
- Corresponding author
- Wolters, L. H.
- Venue
- Child Psychiatry & Human Development
- Published
- 2018-07-21
- Volume
- 50
- Issue
- 2
- Pages
- 173-185
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- PMC
- PMC6428795
- OpenAlex
- W2880175706
- Cited by
- 10
- References
- 74
- Citations by year
- 2026: 3 · 2024: 1 · 2022: 2 · 2020: 2 · 2019: 2
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Child Psychiatry & Human Development (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- pediatric obsessive-compulsive disorder, cognitive behavioral therapy, dysfunctional attitudes, mediating mechanisms, cognitive reframing, OCD severity, treatment effects, children
- MeSH terms
- Adolescent, Child, Cognition, Female, Humans, Male, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Psychotherapeutic Processes, Cognitive Behavioral Therapy, Treatment Outcome
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