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. 2023 Mar 15:32:100613.
doi: 10.1016/j.invent.2023.100613. eCollection 2023 Apr.

Long-term effect of stepped-care vs in-person cognitive behavioral therapy for pediatric obsessive-compulsive disorder

Klara Olofsdotter Lauri  1   2 , Erik Andersson  1 , David Mataix-Cols  2   3 , Lisa Norlin  4 , Viktor Eriksson  2 , Karin Melin  4   5 , Fabian Lenhard  3 , Eva Serlachius  3   6 , Kristina Aspvall  2   3
Affiliations

Long-term effect of stepped-care vs in-person cognitive behavioral therapy for pediatric obsessive-compulsive disorder

Klara Olofsdotter Lauri et al. Internet Interv. .

Abstract

Long-term follow-up data from trials of digital mental health interventions are rare. This study reports 2-year follow-up data from a non-inferiority trial (N = 152) comparing stepped-care (internet-delivered cognitive behavioral therapy [CBT] followed by traditional in-person CBT if needed) vs in-person CBT for pediatric obsessive-compulsive disorder. Both treatment groups had comparable long-term effects, with the majority of participants being responders (stepped-care 66 %; in-person CBT 71 %) 2 years after the end of treatment.

Keywords: Adolescent; Child; Cognitive behavior therapy; Long-term; Obsessive-compulsive disorder; Stepped care.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Prof Mataix-Cols receives royalties for contributing articles to UpToDate, Inc., outside the submitted work. Dr Andersson receives royalties from Natur & Kultur for a self-help book on health anxiety.

Figures

Fig. 1
Fig. 1
Obsessive-compulsive symptom severity over the total study period. Effect of treatment on the primary outcome measure (CY-BOCS). Scores are shown at pretreatment, posttreatment, 3-month follow-up, 6-month follow-up (primary end point), 1-year follow-up and 2-year follow-up. The circles represent the mean values and the whiskers the 95 % confidence intervals. Abbreviations: CBT, cognitive behavioral therapy; CY-BOCS, Children's Yale-Brown Obsessive-Compulsive Scale.
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