Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA USA.
Department of Psychology, University of Denver, Denver, CO USA.
Psychiatry Res. 2021 May;299:113854. doi: 10.1016/j.psychres.2021.113854. Epub 2021 Mar 3.
Although exposure-based cognitive behavior therapy (CBT) and pharmacotherapy have demonstrated efficacy for obsessive-compulsive disorder (OCD), the lack of clinicians effectively trained in these treatments significantly limit effective intervention options for affected youth. This is very unfortunate since child onset is reported by 50% of adults with OCD. To ameliorate this serious global issue the 14 nation International Obsessive-Compulsive Disorders Accreditation Task Force (ATF) of The Canadian Institute for Obsessive Compulsive Disorders (CIOCD) has developed knowledge and competency standards recommended for specialized treatments for OCD through the lifespan. Currently available guidelines are considered by experts to be essential but insufficient because there are not enough clinicians with requisite knowledge and competencies to effectively treat OCD. This manuscript presents knowledge and competency standards recommended for specialized cognitive behavior therapy (CBT) for pediatric OCD, derived from comprehensive literature review and expert synthesis. In addition to standards covering the elements of individual CBT-based assessment and treatment, family and school interventions are addressed given the critical role these domains play in the psychosocial development of youths. The ATF standards presented in these phase two papers will be foundational to the upcoming development of certification (individuals) and accreditation (sites) for specialized treatments in OCD through the lifespan.
虽然暴露为基础的认知行为疗法（CBT）和药物治疗已被证明对强迫症（OCD）有效，但缺乏接受过这些治疗方法有效培训的临床医生，严重限制了受影响的青少年的有效干预选择。这非常不幸，因为据报道，50%的成年 OCD 患者发病于儿童时期。为了改善这一严重的全球性问题，加拿大强迫症研究所（CIOCD）的 14 个国家国际强迫症认证工作组（ATF）制定了通过终生治疗 OCD 的专业治疗知识和能力标准。目前的专家指南被认为是必要的，但还不够，因为没有足够的具有必要知识和能力的临床医生来有效治疗 OCD。本文介绍了从全面文献综述和专家综合分析中得出的、针对儿科 OCD 的专门认知行为疗法（CBT）的知识和能力标准。除了涵盖基于个体 CBT 的评估和治疗的标准外，还涉及家庭和学校干预，因为这些领域在青少年的社会心理发展中起着关键作用。在这些第二期论文中提出的 ATF 标准将为终生 OCD 专业治疗的认证（个人）和认证（机构）的即将发展奠定基础。
