Evidence base update for psychosocial treatments for pediatric obsessive-compulsive disorder
Open accessAbstract
Pediatric obsessive-compulsive disorder (OCD) is a chronic and impairing condition that often persists into adulthood. Barrett, Farrell, Pina, Peris, and Piacentini (2008), in this journal, provided a detailed review of evidence-based psychosocial treatments for youth with OCD. The current review provides an evidence base update of the pediatric OCD psychosocial treatment literature with particular attention to advances in the field as well as to the methodological challenges inherent in evaluating such findings. Psychosocial treatment studies conducted since the last review are described and evaluated according to methodological rigor and evidence-based classification using the JCCAP evidence-based treatment evaluation criteria (Southam-Gerow & Prinstein, this issue). Findings from this review clearly converge in support of cognitive-behavioral therapy as an effective and appropriate first line treatment for youth with OCD (either alone or in combination with medication). Although no treatment for pediatric OCD has yet to be designated as "well-established," both individual and individual family-based treatments have been shown to be "probably efficacious." Moderators and predictors of treatment outcome are discussed as are the areas where we have advanced the field and the areas where we have room to grow. The methodological and clinical challenges inherent in a review of the evidence base are reviewed. Finally, future research directions are outlined.
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ERP is the gold-standard psychotherapy for pediatric OCD.
“RI may be particularly relevant to OCD treatment involving exposure and response prevention (ERP), the gold-standard psychotherapy for pediatric OCD (Freeman et al., 2014).”
From Response Inhibition in Youth Undergoing Intensive Treatment for Obsessive Compulsive Disorder (2023) · cites this paper as Freeman et al., 2014
The Theoretical Foundation section describes ERP as a critical component of CBT for pediatric OCD, and the Evaluative Conclusions identify CBT as an appropriate first-line treatment. The paper does not designate ERP alone as the gold-standard psychotherapy; it also notes that no pediatric OCD treatment had yet been classified as well established. Page numbers were not available in our copy. (LLM, conf=0.86)
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The etiology of acrophobia and its relationship to severity and individual response patterns
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Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts
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Cognitive-Behavioral Treatment of Childhood OCD
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Treatment of Obsessive Compulsive Disorder in Young Children: An Intervention Model and Case Series
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Behavioral Group Treatment for Obsessive-Compulsive Disorder in Adolescence: A Pilot Study
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Confirmatory factor analysis of the fear questionnaire in injured workers with chronic pain
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Flagged first, then by citations
Research works printed but not linked: 1
- March J Mulle K OCD in children and adolescents: A cognitive-behavioral treatment manual 1998 Guilford Press New York, NY
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Evidence-Based Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth
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“This classification is consistent with other EBT Updates in this series (e.g., Freeman et al., 2014).”
ResultEvidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth
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Implementing evidence-based treatment protocols: flexibility within fidelity
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Self-citationTime course of clinical change following neurofeedback
Rance, M., Walsh, C., Sukhodolsky, D. G., Pittman, B., Qiu, M., Kichuk, S. A., Wasylink, S., Koller, W. N., Bloch, M., Gruner, P., et al. (2018) · NeuroImage · doi:10.1016/j.neuroimage.2018.05.001 · Cited by 124 · see citing works
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Test-based versus parent ratings of executive function in pediatric Obsessive-Compulsive Disorder
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Response Inhibition in Youth Undergoing Intensive Treatment for Obsessive Compulsive Disorder
Conelea, C. A., Morris, S., McLaughlin, N., Mamaril, E., Benito, K., Case, B., & Garcia, A. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100764 · Cited by 4 · see citing works
Self-citation
- Authors
- Freeman, J., Garcia, A., Frank, H., Benito, K., Conelea, C., Walther, M., & Edmunds, J.
- Affiliations
- Brown University (US)
- Corresponding author
- Freeman, Jennifer
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2013-06-09
- Volume
- 43
- Issue
- 1
- Pages
- 7-26
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC3815743
- OpenAlex
- W2090269537
- Cited by
- 139
- References
- 107
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 18 · 2023: 4 · 2022: 14 · 2021: 12 · 2020: 8 · 2019: 12 · 2018: 17 · 2017: 11 · 2016: 11 · 2015: 15 · 2014: 9 · 2013: 1
- FWCI
- 13.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F32MH095274)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- pediatric obsessive-compulsive disorder, psychosocial interventions, cognitive behavioral therapy, family-based treatment, predictors of treatment outcome
- MeSH terms
- Adolescent, Child, Humans, Obsessive-Compulsive Disorder, Psychotherapy, Cognitive Behavioral Therapy, Treatment Outcome, Evidence-Based Medicine
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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