6.117 COGNITIVE-BEHAVIOR TREATMENT FOR CHILD AND ADOLESCENT OBSESSIVE-COMPULSIVE DISORDER: ONE YEAR OUTCOMES FROM THE NORDIC LONG-TERM OBSESSIVE-COMPULSIVE DISORDER TREATMENT STUDY (NORDLOTS)

2016 ◽  
Vol 55 (10) ◽  
pp. S241-S242
Author(s):  
Davíð R.M.A. Højgaard ◽  
Katja Anna Hybel ◽  
Tord Ivarsson ◽  
Gudmundur A. Skarphedinsson ◽  
Sanne Jensen ◽  
...  
2016 ◽  
Vol 55 (10) ◽  
pp. S340-S341
Author(s):  
Tord Ivarsson ◽  
Gudmundur A. Skarphedinsson ◽  
Nor Christian Torp ◽  
Kitty Dahl ◽  
Per Hove Thomsen ◽  
...  

2014 ◽  
Vol 44 (13) ◽  
pp. 2877-2887 ◽  
Author(s):  
E. Andersson ◽  
S. Steneby ◽  
K. Karlsson ◽  
B. Ljótsson ◽  
E. Hedman ◽  
...  

BackgroundAs relapse after completed cognitive behavior therapy (CBT) for obsessive–compulsive disorder (OCD) is common, many treatment protocols include booster programs to improve the long-term effects. However, the effects of booster programs are not well studied. In this study, we investigated the long-term efficacy of Internet-based CBT (ICBT) with therapist support for OCD with or without an Internet-based booster program.MethodA total of 101 participants were included in the long-term follow-up analysis of ICBT. Of these, 93 were randomized to a booster program or no booster program. Outcome assessments were collected at 4, 7, 12 and 24 months after receiving ICBT.ResultsThe entire sample had sustained long-term effects from pre-treatment to all follow-up assessments, with large within-group effect sizes (Cohen's d = 1.58–2.09). The booster group had a significant mean reduction in OCD symptoms compared to the control condition from booster baseline (4 months) to 7 months, but not at 12 or 24 months. Participants in the booster group improved significantly in terms of general functioning at 7, 12 and 24 months, and had fewer relapses. Kaplan–Meier analysis also indicated a significantly slower relapse rate in the booster group.ConclusionsThe results suggest that ICBT has sustained long-term effects and that adding an Internet-based booster program can further improve long-term outcome and prevent relapse for some OCD patients.


2015 ◽  
Vol 64 ◽  
pp. 15-23 ◽  
Author(s):  
Nor Christian Torp ◽  
Kitty Dahl ◽  
Gudmundur Skarphedinsson ◽  
Per Hove Thomsen ◽  
Robert Valderhaug ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Fabian Lenhard ◽  
Erik Andersson ◽  
David Mataix-Cols ◽  
Christian Rück ◽  
Kristina Aspvall ◽  
...  

Abstract Cognitive behavior therapy (CBT) is the recommended first-line intervention for children and adolescents with obsessive-compulsive disorder (OCD), but is not broadly accessible. Internet-delivered CBT (ICBT) with minimal therapist support is efficacious and cost-effective, at least in the short term. Whether the therapeutic gains of ICBT for OCD are sustained in the long run is unknown. In this study, 61 adolescents with OCD who participated in a randomized trial of ICBT were followed-up 3 and 12 months after treatment. The proportion of treatment responders and remitters remained stable from post-treatment to 3-month follow-up and increased significantly from 3-month to 12-month follow-up. This study suggests that the gains of ICBT for youth with OCD are not only maintained long-term, but that further improvements continue to occur during follow-up.


2020 ◽  
Author(s):  
Fabian Lenhard ◽  
Erik Andersson ◽  
David Mataix-Cols ◽  
Christian Rück ◽  
Kristina Aspvall ◽  
...  

Cognitive behavior therapy (CBT) is the recommended first-line intervention for children and adolescents with obsessive-compulsive disorder (OCD), but is not broadly accessible. Internet-delivered CBT (ICBT) with minimal therapist support is efficacious and cost-effective, at least in the short term. Whether the therapeutic gains of ICBT for OCD are sustained in the long run is unknown. In the current study, 61 adolescents with OCD who participated in a randomized trial of ICBT were followed-up 3 and 12 months after treatment. The proportion of treatment responders and remitters remained stable from post-treatment to 3-month follow-up but significantly increased from 3-month to 12-month follow-ups. This study suggests that the gains of ICBT for youth with OCD are not only maintained long-term, but that further improvements continue to occur during follow-up.


1991 ◽  
Vol 36 (10) ◽  
pp. 723-727 ◽  
Author(s):  
Leslie Solyom ◽  
Carol Solyom ◽  
Barry Ledwidge

Two patients suffering from severe obsessive-compulsive disorder which had proven refractory to clomipramine and/or phenelzine treatment were successfully treated with fluoxetine, a new drug with a strong serotonin uptake inhibiting action. Outcome of treatment was measured on psychometric tests including the Leyton Obsessive Inventory, Hopkins Symptom Checklist-90, Beck Depression Inventory, and daily self-reports of the duration and degree of discomfort of their most severe obsessions. The delay in responding to fluoxetine, the continuing improvement even after one year on the drug, and the prompt relapse with abrupt withdrawal of treatment were noted.


2005 ◽  
Vol 19 (4) ◽  
pp. 392-394 ◽  
Author(s):  
Donatella Marazziti ◽  
Chiara Pfanner ◽  
Bernardo Dell’osso ◽  
Antonio Ciapparelli ◽  
Silvio Presta ◽  
...  

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