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. 2018 Apr 18;4(3):106-112.
doi: 10.1192/bjo.2018.10. eCollection 2018 May.

Internet-delivered cognitive behavioural therapy for young children with obsessive-compulsive disorder: development and initial evaluation of the BIP OCD Junior programme

Kristina Aspvall  1 , Per Andrén  1 , Fabian Lenhard  1 , Erik Andersson  2 , David Mataix-Cols  1 , Eva Serlachius  1
Affiliations

Internet-delivered cognitive behavioural therapy for young children with obsessive-compulsive disorder: development and initial evaluation of the BIP OCD Junior programme

Kristina Aspvall et al. BJPsych Open. .

Abstract

Background: Internet-delivered cognitive behavioural therapy (ICBT) is a promising approach for increasing access to evidence-based treatments.

Aims: To develop and evaluate the feasibility and preliminary efficacy of an ICBT programme for young children with obsessive-compulsive disorder (OCD), named BIP OCD Junior.

Method: Eleven children aged 7-11 years were enrolled in a 12-week open trial of parent- and therapist-guided ICBT for OCD. The primary outcome measure was the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS).

Results: There was a significant improvement in OCD symptoms post-treatment, with a large within-group effect size on the CY-BOCS (Cohen's d = 1.86, 95% CI 0.83 to 2.86). Results were maintained at 3-month follow-up. Both children and parents rated the treatment as credible and were highly satisfied with the intervention.

Conclusions: BIP OCD Junior is a feasible and credible treatment option for young children with OCD. Randomised controlled trials are needed to further establish its efficacy and cost-effectiveness relative to gold standard face-to-face CBT.

Declaration of interest: None.

Keywords: Cognitive behavioural therapy; child; early onset; internet-delivered therapy; obsessive-compulsive disorder.

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Figures

Fig. 1
Fig. 1
Study flow.
Fig. 2
Fig. 2
Clinician-, child- and parent-rated measures of OCD symptom severity. Follow-up was at 3 months.
See this image and copyright information in PMC

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