Internet-delivered CBT for Adolescents With OCD: A Randomized Controlled Study

N/ACompletedNCT02191631

Karolinska Institutet67 enrolled

Overview

The effect of Internet-delivered Cognitive Behavior Therapy (ICBT) on adolescents (12 to 17 years) with Obsessive-Compulsive Disorder is studied. Participants are randomized to either ICBT or a no-treatment condition. We expect ICBT to be superior over the no-treatment condition.

The primary objective of this study is to test the efficacy of Internet-delivered cognitive behavior therapy (ICBT) for adolescents (12 - 17 years) with OCD. We aim to conduct a randomized controlled study with N = 66 participants. Participants will be randomly assigned to ICBT or a wait list condition, either lasting 12 weeks. The primary outcome measure is the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Study participants will be followed up 3 and 12 months after treatment. ICBT is expected to yield significantly better symptom reduction than the wait list condition.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Obsessive-Compulsive Disorder

Interventions

Internet-delivered Cognitive Behavior TherapyBEHAVIORAL

The treatment consists of standard cognitive behavior therapy for obsessive-compulsive disorder and is delivered via an internet plattform and regular therapist contact several times per week via email and telephone. The treatment is 12 weeks.

Eligibility

Sex: ALLMin age: 12 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * a primary diagnosis of OCD as defined by DSM-5 * a total score of ≥ 16 on the Children's Yale-Brown Obsessive-Compulsive Scale, CY-BOCS * age between 12 and 17 years * ability to read and write Swedish * daily access to the internet * a parent that is able to co-participate in the treatment * Participants on psychotropic medication must have been on a stable dose for the last 6 weeks prior to baseline assessment Exclusion Criteria: * diagnosed autism spectrum disorder, psychosis or bipolar disorder, severe eating disorder * suicidal ideation * ongoing substance dependence * subject not able to read or understand the basics of the ICBT material * completed CBT for OCD within last 12 months (defined as at least 5 sessions of CBT including exposure and response prevention) * ongoing psychological treatment for OCD or another anxiety disorder

Locations (1)

Karolinska Institutet

Stockholm, Sweden

Outcomes

Primary Outcomes

Children's Yale Brown Obsessive Compulsive Scale, CY-BOCS

Change from Baseline of obsessions and compulsions after 12 weeks and at 3- and 12 months after treatment