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The Feasibility and Acceptability of a Cognitive-Behavioural Self-help Intervention for Adolescents with Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  16 August 2012

Sarah Robinson ,
Cynthia Turner ,
Isobel Heyman  and
Lorna Farquharson
Sarah Robinson*
Affiliation:
Oxleas Phoenix Children's Resource Centre, Bromley, UK
Cynthia Turner
Affiliation:
Michael Rutter Centre for Children and Adolescents, London, UK
Isobel Heyman
Affiliation:
Michael Rutter Centre for Children and Adolescents, London, UK
Lorna Farquharson
Affiliation:
Royal Holloway University London, Surrey, UK
*
Reprint requests to Sarah Robinson, Oxleas Phoenix Children's Resource Centre – CAMHS, 40 Masons Hill, Bromley, Kent BR2 9JG, UK. E-mail: [email protected]
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Abstract

Background:Breaking Free from OCD is a cognitive behavioural self-help book for young people with obsessive compulsive disorder (OCD). The book is written for 11–16 year olds as a first step intervention for reducing mild to moderate symptoms of OCD. Aims: This report describes a preliminary evaluation of the feasibility and acceptability of the book as a self-help intervention. Method: Using a case-series design, eight 11–16 year olds with OCD were monitored for symptom stability 3 weeks prior to receiving Breaking Free from OCD for use over an 8-week period. Weekly telephone calls were received to complete the CY-BOCS for symptom severity and to monitor adherence to the intervention. The CHOCI and SDQ were sent to participants and their parents pre-, mid- and post-intervention. Results: There was a significant reduction in CY-BOCS symptom severity over the course of the intervention; however, there were no statistically significant changes on the self-report measures. The intervention was well received by the majority of young people who took part. Conclusions:Breaking Free from OCD may help young people with OCD and is an acceptable low intensity intervention. This evaluation is the first step in developing low intensity approaches for child OCD.

Keywords

Cognitive behavioural interventionOCD in childrenadolescentsself-help
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 41 , Issue 1 , January 2013 , pp. 117 - 122
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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References

Derisley, J., Heyman, I., Robinson, S. and Turner, C. (2008). Breaking Free from OCD: a CBT guide for young people and their families. London and Philadelphia: Jessica Kingsley Publishers.Google Scholar
Goodman, R. (1999). The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. Journal of Child Psychology and Psychiatry, 40, 791–799.CrossRefGoogle ScholarPubMed
Mataix-Cols, D. and Marks, I. M. (2006). Self-help with minimal therapist contact for obsessive-compulsive disorder: a review. European Psychiatry, 21, 75–80.CrossRefGoogle ScholarPubMed
Morley, S. and Adams, M. (1991). Graphical analysis of single-case time series data. British Journal of Clinical Psychology, 30, 97–115.CrossRefGoogle ScholarPubMed
National Institute for Health and Clinical Excellence (NICE) (2005). Obsessive Compulsive Disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. NICE Clinical Guideline 31. London: NICE.Google Scholar
Piacentini, J., Bergman, R. L., Keller, M. and McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13, Suppl 1, S61–9.CrossRefGoogle ScholarPubMed
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., et al. (1997). Children's Yale-Brown Obsessive Compulsive Scale: reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.CrossRefGoogle ScholarPubMed
Shafran, R., Frampton, I., Heyman, I., Reynolds, M., Teachman, B., & Rachman, S. (2003). The preliminary development of a new self-report measure for OCD in young people. Journal of Adolescence, 26, 137–142.CrossRefGoogle ScholarPubMed
Tolin, D. F., Hannan, S., Maltby, N., Diefenbach, G. J., Worhunsky, P. and Brady, R. E. (2007). A randomized controlled trial of self-directed versus therapist-directed cognitive-behavioral therapy for obsessive-compulsive disorder patients with prior medication trials. Behaviour Therapy, 38, 179–191.CrossRefGoogle ScholarPubMed
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