The vast majority of children and adolescents who receive cognitive behavioural therapy treatment for OCD thrive and live without symptoms a year after the end of treatment. This is shown by new research from Aarhus University’s Centre for Child and Adolescent Psychiatry in Risskov.
Some children and adolescents think that they will have an accident if they do not count all the lampposts on their way to school. Or cannot leave the house unless they have washed their hands precisely twenty-five times. They suffer from OCD, Obsessive Compulsive Disorder, which is an extremely stressful psychiatric disorder that affects between 0.25 and 4 per cent of all children. Fortunately, the treatment method – cognitive behavioural therapy – is both effective and well-documented. The hitherto largest research study of OCD treatment for children and adolescents aged 7-17 now shows that cognitive behavioural therapy also has a long-lasting effect. The Nordic research project, which involves researchers from Aarhus University and child and adolescent psychiatry clinics in Norway and Sweden, has shown that children and adolescents who benefited from the therapy were also free of patterns of compulsive behaviour and compulsive thoughts one year after the treatment ended.
“The study makes clear that cognitive behavioural therapy reaches beyond the treatment period. This knowledge is important, both for the practitioners, but not least for the affected children and their families,” says Per Hove Thomsen, one of the researchers behind the study and professor at Aarhus University and consultant at the Centre for Child and Adolescent Psychiatry, Risskov. He is also the final author of the results, which have just been published in the scientific journal Journal of the American Academy of Child and Adolescent Psychiatry.
Normal development difficult with OCD
“OCD is a very difficult disorder which demands a colossal amount of the child in question. It is almost impossible to live a normal life as a child and teenager with a normal level of development, if you need to wash your hands a hundred times a day in a particular way in order not to be killed, which is something that compulsive thinking can dictate. For the same reason, early intervention is necessary before the disorder has disabling consequences in adulthood,” says Per Hove Thomsen.
The children from the study were treated with cognitive behavioural therapy, which is a behavioural psychological treatment. Fundamentally it involves getting help to refrain from acting on compulsive thoughts and instead incorporating new thought patterns. The method also involves the whole family, as the effect is strengthened by the mother and father supporting the methods that the child is given to overcome the OCD.
Furthermore, according to Psychologist and PhD David R.M.A Højgaard, who is the lead author of the scientific article, once the treatment is completed a watchful eye should still be kept on the child or teenager.
“The results of the study indicate that to maintain the effect in the longer term you need to remain aware and detect OCD symptoms so you can nip them in the bud before they develop and become worse. This is done by offering booster sessions to refresh the treatment principles and thereby prevent OCD from getting a foothold again,” says David R.M.A Højgaard.
Not enough therapists
The collaboration with the Norwegian and Swedish child and adolescent psychiatry clinics has added knowledge that can be significant for the organisation of OCD treatment.
“The biggest challenge facing OCD treatment is that there are not enough specially trained therapists and treatment facilities to meet needs. The study shows that if the level of training of therapists is consolidated and if supervision is provided, then it is possible to provide treatment in an isolated corner of Norway that is just as effective as the treatment provided at a university clinic,” says Per Hove Thomsen.
The study is part of The Nordic Long Term OCD Treatment Study (NordLOTS) and comprises 269 children and adolescents with OCD from Denmark, Norway and Sweden.
The results showed that 92 per cent of the 177 children and teenagers who immediately benefited from the treatment were still healthy and free of symptoms one year after the treatment ended. Of these, 78 per cent had no clinical symptoms of OCD.
The Latest on: Cognitive behavioural therapy
- Anxiety symptoms: How does cognitive behavioural therapy soothe signs of anxiety?on November 21, 2020 at 5:32 am
We will use your email address only for sending you newsletters. Please see our Privacy Notice for details of your data protection rights. Signs of anxiety include worry and apprehension, restlessness ...
- Almost half of people who get 10 Medicare therapy sessions use three or feweron November 17, 2020 at 10:19 am
Doctors also defended their treatment practices after a Productivity Commission report found mental health care 'requires improvement'.
- Replacing anxiety with certainty: expecting spiders reduces phobia - studyon November 16, 2020 at 11:50 am
"It is possible that if we can increase the feeling of certainty, the sense of anxiety among the public could be moderated." ...
- Psychotherapist offers cognitive tools to look after your mental healthon November 13, 2020 at 12:29 am
These cognitive restructuring tips can help you get through this in a way that will not reduce any psychological harm to yourself, but leave you healthier and better adjusted.
- James Arthur wrote 52 songs in lockdown after seeking therapy for anxietyon November 12, 2020 at 2:00 am
James Arthur has revealed he got through lockdown and his "fear of dying young" by doing CBT and writing lots of new music for his new album.
- Seven ways to combat seasonal affective disorderon November 12, 2020 at 12:33 am
Around 29% of the UK suffers from seasonal affective disorder (SAD) each year, also known as “winter depression” ...
- James Arthur: I used therapy to help lockdown anxiety and now I’m ready to release new musicon November 11, 2020 at 10:49 pm
James Arthur has revealed he underwent therapy to deal with anxiety brought on by the coronavirus pandemic, but is now ready to release his lockdown album and launch an acting career.
- Podcast of the Ottawa Institute of CBT Interviews Robert Whitakeron November 11, 2020 at 9:51 am
The Thoughts on Record podcast speaks with Whitaker about the core themes of his book Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America.
- Study may help develop recovery and prevention paths for gambling addictionon November 10, 2020 at 10:11 pm
For the first time, new research conducted by SISSA and by the University of Roma Tre identifies narrative markers of gambling addiction and paves the way to innovative approaches for therapy and ...
- Treatment Guidance for ME Proposes Curbs on Graded Exercise Therapyon November 10, 2020 at 7:07 am
Experts in chronic fatigue syndrome say they are worried that new NICE guidance could make it harder for patients to access available treatments.
via Google News and Bing News