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- Title
Metacognitive Therapy versus Exposure and Response Prevention for Pediatric Obsessive-Compulsive Disorder.
- Authors
Michael Simons; Silvia Schneider; Beate Herpertz-Dahlmann
- Abstract
AbstractBackground: Exposure with ritual prevention (ERP) is the psychotherapeutic treatment of choice for pediatric obsessive-compulsive disorder (OCD). In the present study, a new treatment rationale – metacognitive therapy (MCT) for children – was developed and evaluated. Methods: Ten children and adolescents with OCD were randomly assigned to either MCT or ERP therapy condition. Patients were assessed before and after treatment and at the 3-month and 2-year follow-up by means of symptom severity interviews. Depressive symptoms were also assessed. Manualized treatment involved up to 20 sessions on a weekly basis. Results: We found clinically and statistically significant improvements in symptom severity after treatment. At the 3-month and 2-year follow-up, the attained improvements during treatment were retained. Conclusions:Despite some methodological limitations, results showed that MCT proved to be a promising psychotherapeutic alternative to the well-established ERP in the treatment of pediatric OCD. Further investigations into the efficacy of MCT are necessary to answer questions as to the working mechanisms underlying therapy for OCD.Copyright © 2006 S. Karger AG, Basel
- Subjects
METACOGNITION; PSYCHOTHERAPY; OBSESSIVE-compulsive disorder; MENTAL depression; SELF-control
- Publication
Psychotherapy & Psychosomatics, 2006, Vol 75, Issue 4, p257
- ISSN
0033-3190
- Publication type
Article
- DOI
10.1159/000092897