Department of Child and Adolescent Psychiatry, Academic Medical Center, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands.
Academic Center for Child and Adolescent Psychiatry, De Bascule, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands.
Child Psychiatry Hum Dev. 2019 Apr;50(2):173-185. doi: 10.1007/s10578-018-0830-8.
Reframing cognitions is assumed to play an important role in treatment for obsessive-compulsive disorder (OCD). However, there hardly is any empirical support for this assumption, especially for children. The aim of this study was to examine if changing dysfunctional beliefs is a mediating mechanism of cognitive behavioral therapy (CBT) for childhood OCD. Fifty-eight children (8-18 years) with OCD received CBT. Dysfunctional beliefs (OBQ-CV) and OCD severity (CY-BOCS) were measured pre-treatment, mid-treatment, post-treatment, and at 16-week follow-up. Results showed that OCD severity and dysfunctional beliefs decreased during CBT. Changes in severity predicted changes in beliefs within the same time interval. Our results did not support the hypothesis that changing dysfunctional beliefs mediates treatment effect. Future studies are needed to replicate these findings and shed more light on the role of explicit and implicit cognitions in treatment for childhood OCD.
重新构建认知被认为在强迫症（OCD）的治疗中起着重要作用。然而，几乎没有任何经验证据支持这一假设，尤其是对儿童而言。本研究旨在检验改变功能失调信念是否是认知行为疗法（CBT）治疗儿童 OCD 的中介机制。58 名患有 OCD 的儿童（8-18 岁）接受了 CBT。在治疗前、治疗中、治疗后和 16 周随访时测量了功能失调信念（OBQ-CV）和 OCD 严重程度（CY-BOCS）。结果表明，在 CBT 期间 OCD 严重程度和功能失调信念降低。同一时间间隔内严重程度的变化预测了信念的变化。我们的结果不支持改变功能失调信念介导治疗效果的假设。需要进一步的研究来复制这些发现，并更深入地了解明确和内隐认知在儿童 OCD 治疗中的作用。
