Catholic University of Murcia.
Psicothema. 2022 Aug;34(3):353-364. doi: 10.7334/psicothema2021.478.
Although some meta-analyses have identified potential moderators associated with treatment outcomes for pediatric obsessive-compulsive disorder (OCD), there is as yet no consensus regarding the influence of anxiety and depression symptoms on the recovery from pediatric OCD. A meta-analysis was conducted to investigate the effects of depression and anxiety symptoms and their comorbidities on the efficacy of CBT in pediatric OCD, as well as other potential moderators that may be associated with outcomes.
An exhaustive literature search from 1983 to March 2021 located 22 published articles that applied cognitive-behavioral therapy (CBT) to pediatric OCD, producing a total of 26 treatment groups. Some of the moderator variables analyzed included age, gender, comorbidity baseline in anxiety, depression and obsession, and methodological quality.
Results showed that the psychological treatment of OCD achieves clinically significant effectiveness, both for measures of obsessions and compulsions ( d + = 2.030), and for anxiety ( d + = 0.613) and depression ( d + = 0.451). An explanatory model for the CY-BOCS effect sizes showed that three moderator variables were statistically related: the mean of the CY-BOCS (Children´s Yale Brown Obsessive Compulsive Scale) in pretest, the effect size for anxiety, and the mean age of the sample.
CBT reduced obsessive-compulsive symptoms and, to a lesser extent, anxiety and depression symptoms. Since anxiety symptoms are reduced with the same therapy, resources would be saved compared to other treatments.
虽然一些荟萃分析已经确定了与儿童强迫症（OCD）治疗结果相关的潜在调节因素，但焦虑和抑郁症状对儿童 OCD 恢复的影响仍未达成共识。本荟萃分析旨在调查抑郁和焦虑症状及其共病对认知行为疗法（CBT）治疗儿童 OCD 疗效的影响，以及可能与结果相关的其他潜在调节因素。
从 1983 年到 2021 年 3 月进行了全面的文献检索，找到了 22 篇应用认知行为疗法（CBT）治疗儿童 OCD 的已发表文章，共产生了 26 个治疗组。分析的一些调节变量包括年龄、性别、焦虑、抑郁和强迫的共病基线，以及方法学质量。
结果表明，心理治疗对 OCD 具有临床显著疗效，对强迫和强迫观念的测量（ d + = 2.030），以及对焦虑（ d + = 0.613）和抑郁（ d + = 0.451）的疗效显著。CY-BOCS 效应量的解释模型表明，三个调节变量具有统计学相关性：前测中 CY-BOCS（儿童耶鲁布朗强迫症量表）的平均值、焦虑的效应量和样本的平均年龄。
CBT 减少了强迫症状，在较小程度上也减少了焦虑和抑郁症状。由于焦虑症状与相同的治疗一起减轻，与其他治疗相比，可以节省资源。
