CBT vs Meds in treating OCD in kids

• De Haan, E., Hoogduin, K. A. L., Buitelaar, J. K. & Keijsers, G. P. J. (1998). Behavior therapy versus clomipramine for the treatment of obsessive-compulsive disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1022-1029.

(summary from the OCD Newsletter) This study compares the two main effective treatments for OCD, behavior therapy versus a potent serotonin reuptake inhibitor, in twenty-two children between 8 and 18 years of age. Treatment response was measured by the Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) and the Leyton Obsessional Inventory-Child Version (LOI-CV). Significant improvement was obtained with both treatments at 12 weeks. Behavior therapy produced greater therapeutic changes than clomipramine (Anafranil) on the CY-BOCS, whereas no significant difference between treatments was found on the LOI-CV. This study indicates that behavior therapy in children and adolescents with OCD is at least as effective as medication treatment over the short term.

Replies:

CBT for Childhood OCD, by Jim Pretzer, 09/01/02

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