Cited by 34Obsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

CBT specific process in exposure-based treatments: Initial examination in a pediatric OCD sample

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Benito, Kristen Grabill, Conelea, Christine, Garcia, Abbe M., Freeman, Jennifer B.·2012·Journal of Obsessive-Compulsive and Related Disorders

Abstract

Cognitive-Behavioral theory and empirical support suggest that optimal activation of fear is a critical component for successful exposure treatment. Using this theory, we developed coding methodology for measuring CBT-specific process during exposure. We piloted this methodology in a sample of young children (N = 18) who previously received CBT as part of a randomized controlled trial. Results supported the preliminary reliability and predictive validity of coding variables with 12 week and 3 month treatment outcome data, generally showing results consistent with CBT theory. However, given our limited and restricted sample, additional testing is warranted. Measurement of CBT-specific process using this methodology may have implications for understanding mechanism of change in exposure-based treatments and for improving dissemination efforts through identification of therapist behaviors associated with improved outcome.

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Authors
Benito, K. G., Conelea, C., Garcia, A. M., & Freeman, J. B.
Affiliations
Brown University (US)
Corresponding author
Benito, Kristen Grabill
Venue
Journal of Obsessive-Compulsive and Related Disorders
Publisher
Elsevier BV
Published
2012-04
Volume
1
Issue
2
Pages
77-84
ISSN
2211-3649 (ISSN-L)
OpenAlex
W2071920302
Cited by
34
References
52
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 1
FWCI
2.54
Type
journal article
Language
en
Open access
Locations
  • Journal of Obsessive-Compulsive and Related Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R21MH060669, T32MH019927)
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 › Psychotherapy Techniques and Applications
Keywords
cognitive behavioral therapy, exposure therapy, pediatric obsessive-compulsive disorder, mechanisms of change, therapist behavior, treatment outcome prediction, young children

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