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. 2012 Apr;1(2):77-84.
doi: 10.1016/j.jocrd.2012.01.001. Epub 2012 Jan 31.

CBT Specific Process in Exposure-Based Treatments: Initial Examination in a Pediatric OCD Sample

Kristen Grabill Benito  1 , Christine Conelea, Abbe M Garcia, Jennifer B Freeman
Affiliations

CBT Specific Process in Exposure-Based Treatments: Initial Examination in a Pediatric OCD Sample

Kristen Grabill Benito et al. J Obsessive Compuls Relat Disord. 2012 Apr.

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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