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A Pilot Study of Telephone Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder in Young People

Published online by Cambridge University Press:  23 June 2009

Cynthia Turner ,
Isobel Heyman ,
Annabel Futh  and
Karina Lovell
Cynthia Turner*
Affiliation:
South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London, UK
Isobel Heyman
Affiliation:
South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London, UK
Annabel Futh
Affiliation:
Institute of Psychiatry, King's College London, UK
Karina Lovell
Affiliation:
University of Manchester, UK
*
Reprint requests to Cynthia Turner, Michael Rutter Centre for Children, Maudsley Hospital, De Crespigny Park, London SE5 8AZ, UK. E-mail: [email protected]
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Abstract

Background: Cognitive-behaviour therapy (CBT) is the recommended psychological treatment for obsessive compulsive disorder (OCD) in young people. Access to CBT may be limited by a number of factors, including lack of trained therapists, and geographic or financial factors preventing access to a specialized service. Telephone delivery of CBT represents one way of overcoming some of these accessibility issues. This pilot study describes outcomes for a telephone-based cognitive-behavioural treatment for obsessive-compulsive disorder (OCD) in young people. Method: Ten participants, aged 13 to 17 years, and their parents received up to 16 sessions of telephone CBT (TCBT). Measures of OCD symptoms were obtained using multiple informants and a repeated measures design. Assessments were conducted at pre-treatment, post-treatment, and at 6- and 12-month follow-up. Results: Improvements were found for OCD symptoms across all informants. Family satisfaction with treatment over the telephone was high. Conclusions: The findings suggest that TCBT is a clinically effective, feasible and acceptable means of service delivery that offers the potential to make CBT a more accessible treatment for young people. TCBT requires further evaluation in randomized, controlled trials to compare effectiveness with face-to-face CBT, which currently represents the usual care model.

Keywords

Obsessive-compulsive disorderchildren and adolescentscognitive behaviour therapy
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 4 , July 2009 , pp. 469 - 474
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Heyman, I., Fombonne, E., Simmons, H., Ford, T., Meltzer, H. and Goodman, R. (2001). Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health. British Journal of Psychiatry, 179, 324–329.CrossRefGoogle ScholarPubMed
Lovell, K., Cox, D., Haddock, G., Jones, C., Raines, D., Garvey, R., Roberts, C. and Hadley, S. (2006). Telephone administered cognitive behaviour therapy for treatment of obsessive compulsive disorder: randomized controlled non-inferiority trial. British Medical Journal, 333, 883.CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence (NICE) (2005). Core Interventions in the Treatment of Obsessive-Compulsive Disorder (OCD) and Body Dysmorphic Disorder (BDD). London: Stanley Hunt.Google Scholar
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., Cicchetti, D. and Leckman, J. F. (1997). The Children's Yale-Brown Obsessive-Compulsive Scale: preliminary report of reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–853.CrossRefGoogle Scholar
Uher, R., Heyman, I., Turner, C. and Shafran, R. (2008). Self-, parent-report and interview measures of obsessive-compulsive disorder in children and adolescents. Journal of Anxiety Disorders, 22, 979–990.CrossRefGoogle ScholarPubMed
Turner, C. M. (2006). Cognitive-behavioural theory and therapy for children and adolescents with obsessive-compulsive disorder: current status and future directions. Clinical Psychology Review, 27, 912–938.CrossRefGoogle Scholar
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