Griffith Health Institute, Griffith University, Gold Coast Campus, Gold Coast, Australia.
Griffith Health Institute, Griffith University, Gold Coast Campus, Gold Coast, Australia.
Psychiatry Res. 2016 Nov 30;245:186-193. doi: 10.1016/j.psychres.2016.08.033. Epub 2016 Aug 9.
Obsessive-compulsive disorder (OCD) is a debilitating mental health disorder, occurring in 1-2% of children and adolescents. Current evidence-based treatments produce promising rates of remission; however, many children and youth do not fully remit from symptoms. The current study explored predictors of treatment response to a group cognitive-behavioural treatment program for pediatric OCD (N=43). Higher levels of child depression and parental rejection at baseline were found to be associated with higher OCD symptoms at post-treatment. Family accommodation was found to be associated with OCD symptom severity at 12-months follow-up. Further, children who were classified as treatment responders at 12-months follow-up had fewer depressive symptoms at baseline than non-responders at 12-months. Results indicate that child depression and adverse family factors may contribute to poorer treatment response for children and youth with OCD. This finding suggests current treatments should be refined for these young people in order to better suit their individual needs.
强迫症（OCD）是一种使人衰弱的心理健康障碍，在儿童和青少年中的发生率为 1-2%。目前基于证据的治疗方法产生了有希望的缓解率；然而，许多儿童和青年并没有完全摆脱症状。本研究探讨了儿童强迫症（N=43）团体认知行为治疗方案治疗反应的预测因素。研究发现，治疗前儿童抑郁和父母拒绝程度较高与治疗后强迫症症状较高有关。家庭适应与 12 个月随访时的 OCD 症状严重程度有关。此外，在 12 个月随访时被归类为治疗反应者的儿童，在 12 个月随访时的抑郁症状比非反应者少。结果表明，儿童抑郁和不良家庭因素可能导致 OCD 儿童和青年的治疗反应较差。这一发现表明，目前的治疗方法应该针对这些年轻人进行改进，以更好地满足他们的个体需求。
