Internet-based Cognitive-behavior Therapy for Children With Obsessive-compulsive Disorder

Karolinska Institutet11 enrolled

Overview

The purpose of this study is to evaluate the feasibility and effectiveness of Internet-delivered Cognitive Behavior Therapy (ICBT) for children (7-11 years) with Obsessive-Compulsive Disorder (OCD).

The primary objective of this study is to investigate if Internet-delivered Cognitive Behavior Therapy (ICBT) is a feasible and effective treatment for children (7-11 years) with Obsessive-Compulsive Disorder (OCD). The design of the study is a pilot study with 16 participants. The treatment duration is 12 weeks. The primary outcome measure is the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Study participants will be followed up 3 months after treatment.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Obsessive-Compulsive Disorder

Interventions

Internet-delivered Cognitive Behavioral TherapyBEHAVIORAL

The treatment consists of a standard cognitive behavioral therapy for obsessive-compulsive disorder. The treatment is delivered through an Internet platform. The child and his/her parent(s) work through the treatment with regular therapist contact several times per week.

Eligibility

Sex: ALLMin age: 7 YearsMax age: 11 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Primary DSM-5 diagnosis of OCD * Total score of ≥16 on the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) * Age between 7-11 years * Ability to understand Swedish * Daily access to the Internet * A parent that can co-participate in the treatment * Participants on psychotropic medication must had been on a stable dose for the last 6 weeks prior to baseline assessment Exclusion Criteria: * Diagnosed autism spectrum disorder, psychosis, bipolar disorder, severe eating disorder, organic brain disorder, learning disability * Suicidal ideation * Not able to understand the basics of the ICBT self-help material * Have completed a course of CBT for OCD within last 12 months (defined as at least 5 sessions CBT including exposure and response prevention) * On-going psychological treatment for OCD or another anxiety disorder

Locations (1)

BUP CPF

Stockholm, Sweden

Outcomes

Primary Outcomes

Children´s Yale Brown Compulsive Scale (CY-BOCS)

Change in obsessions and compulsions from baseline to week 12 and at 3 months after treatment has ended

Time frame: week 0, week 12, at 3 months follow up

Secondary Outcomes

Children's Global Assessment Scale (C-GAS)

Time frame: week 0, week 12, at 3 months follow up

Clinical Global Impression - Severity (CGI-S)

Time frame: week 0, week 12, at 3 months follow up

Clinical Global Impression - Improvement (CGI-I)

Time frame: week 12, at 3 months follow up

Obsessive-Compulsive Inventory - Child Version (OCI-CV)

Time frame: week 0, week 12, at 3 months follow up and weekly during treatment

Children's Obsessional Compulsive Inventory Revised - Parent version (ChOCI-R-P)

Time frame: week 0, week 12, at 3 months follow up and weekly during treatment

Family Accommodation Scale - Self Rated (FAS-SR)

Time frame: week 0, week 12, at 3 months follow up

Euroqol - Youth (EQ-5D-Y)

Time frame: week 0, week 12, at 3 months follow up

Autism Spectrum Quotient (AQ-10)

Time frame: week 0

Education, Work and Social Adjustment Scale - child and parent version (EWSAS)

Time frame: week 0, week 12, at 3 months follow up

Data from ClinicalTrials.gov

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