Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD: The Role of Dysfunctional Beliefs

Child Psychiatry and Human Development
L H WoltersE de Haan

Abstract

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.

References

Jan 1, 1985·Behaviour Research and Therapy·P M Salkovskis
Jun 1, 1997·Journal of the American Academy of Child and Adolescent Psychiatry·L ScahillJ F Leckman
Jun 17, 1998·Journal of the American Academy of Child and Adolescent Psychiatry·J S MarchA Schulte
Jun 23, 2001·Behaviour Research and Therapy·P MurisJ Campbell
Aug 2, 2001·Behaviour Research and Therapy·UNKNOWN Obsessive Compulsive Cognitions Working Group
Aug 15, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·W K SilvermanA A Pina
Aug 2, 2002·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Jeffrey J WoodVelma Barrios
Aug 13, 2002·Annual Review of Psychology·Russell H Fazio, Michael A Olson
Aug 31, 2002·Child Psychiatry and Human Development·David W EvansJennifer L Ross
Jul 26, 2003·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Paula Barrett, Lara Healy-Farrell
Jul 1, 2004·Cognitive Behaviour Therapy·Iounn Magnúsdóttir, Jakob Smári
Jul 20, 2004·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Sarah LibbySarah Clark
Oct 23, 2004·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Alison Mather, Sam Cartwright-Hatton
Dec 6, 2005·Journal of Anxiety Disorders·Steven TaylorCheryl Carmin
Dec 13, 2005·Behaviour Research and Therapy·John E CalamariMelissa M Norberg
Jul 20, 2007·European Child & Adolescent Psychiatry·L M Verhaak, E de Haan
Dec 19, 2007·Psychotherapy and Psychosomatics·Gideon E AnholtAnton J L M van Balkom
Feb 21, 2008·The American Psychologist·Jeffrey J BorckardtPatrick O'Neil
Mar 14, 2008·Child Psychiatry and Human Development·Huan J YeEric A Storch
Apr 11, 2008·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Hunna J Watson, Clare S Rees
Apr 30, 2008·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Paula M BarrettJohn Piacentini
Aug 14, 2009·Cognitive Behaviour Therapy·Steven D Hollon, Robert J DeRubeis
Jun 26, 2010·Depression and Anxiety·Meredith E ColesStephen P Whiteside
Apr 19, 2011·Journal of Anxiety Disorders·Lidewij H WoltersElse de Haan
May 18, 2011·Clinical Psychology & Psychotherapy·Annemiek PolmanJohan A den Boer
Aug 10, 2011·Journal of Consulting and Clinical Psychology·Sheila R WoodyPeter D McLean
Mar 16, 2012·Clinical Child and Family Psychology Review·Marija MaricPier J M Prins
Sep 25, 2012·Journal of Psychiatric Research·Bunmi O OlatunjiJasper A J Smits
Feb 21, 2013·Journal of Consulting and Clinical Psychology·Bunmi O OlatunjiJasper A J Smits
May 28, 2014·Behaviour Research and Therapy·Michelle G CraskeBram Vervliet
Mar 17, 2015·Psychiatry Research·Martin E FranklinUNKNOWN Accreditation Task Force of The Canadian Institute for Obsessive Compulsive Disorders
May 24, 2015·Clinical Child and Family Psychology Review·Chelsea M AleStephen P H Whiteside
Jun 30, 2015·Journal of Behavior Therapy and Experimental Psychiatry·Ernst H W Koster, Amit Bernstein
Aug 11, 2015·Journal of Obsessive-compulsive and Related Disorders·Kristen G Benito, Michael Walther

❮ Previous
Next ❯

Methods Mentioned

BETA
cognitive behavioral therapy

Software Mentioned

SPSS
LISREL

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Related Papers

Journal of Behavior Therapy and Experimental Psychiatry
Shannon M BlakeyBradley C Riemann
Ryōikibetsu shōkōgun shirīzu
Satsuki Sumitani, Tetsuro Ohmori
© 2022 Meta ULC. All rights reserved