Cognitive-behavioral therapy plus motivational interviewing improves outcome for pediatric obsessive-compulsive disorder: A preliminary study
- 12 August 2009
- journal article
- research article
- Published by Taylor & Francis Ltd in Cognitive Behaviour Therapy
- Vol. 39 (1), 24-27
- https://doi.org/10.1080/16506070902831773
Abstract
Lack of motivation may negatively impact cognitive behavioral therapy (CBT) response for pediatric patients with obsessive–compulsive disorder (OCD). Motivational interviewing is a method for interacting with patients in order to decrease their ambivalence and support their self-efficacy in their efforts at behavior change. The authors present a preliminary randomized trial (N = 16) to evaluate the effectiveness of adding motivational interviewing (MI) as an adjunct to CBT. Patients aged 6 to 17 years who were participating in intensive family-based CBT for OCD were randomized to receive either CBT plus MI or CBT plus extra psychoeducation (PE) sessions. After four sessions, the mean Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) score for the CBT plus MI group was significantly lower than for the CBT plus psychoeducation group, t(14) = 2.51, p < .03, Cohen's d = 1.34. In addition, the degree of reduction in CY-BOCS scores was significantly greater, t(14) = 2.14, p = .05, Cohen's d = 1.02, for the CBT plus MI group (mean Δ = 16.75, SD = 9.66) than for the CBT plus psychoeducation group (mean Δ = 8.13, SD = 6.01). This effect decreased over time, and scores at posttreatment were not significantly different. However, participants in the MI group completed treatment on average three sessions earlier than those in the psychoeducation group, providing support for the utility of MI in facilitating rapid improvement and minimizing the burden of treatment for families.This publication has 9 references indexed in Scilit:
- A Brief Motivational Intervention for Treatment‐Refusing OCD PatientsCognitive Behaviour Therapy, 2005
- Intensive Cognitive Behavioral Therapy for Pediatric Obsessive Compulsive Disorder: A Treatment Protocol for Mental Health Providers.Psychological Services, 2005
- Managing resistance in cognitive behavioural therapy: The application of motivational interviewing in mixed anxiety and depressionCognitive Behaviour Therapy, 2004
- Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive DisorderJAMA, 2004
- Concurrent Validity of the Anxiety Disorders Section of the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent VersionsJournal of Clinical Child & Adolescent Psychology, 2002
- Cognitive-Behavioral Psychotherapy for Pediatric Obsessive-Compulsive DisorderJournal of Clinical Child & Adolescent Psychology, 2001
- Children's Yale-Brown Obsessive Compulsive Scale: Reliability and ValidityJournal of the American Academy of Child & Adolescent Psychiatry, 1997
- Power to detect differences between alternative treatments in comparative psychotherapy outcome research.Journal of Consulting and Clinical Psychology, 1989
- Power to detect differences between alternative treatments in comparative psychotherapy outcome research.Journal of Consulting and Clinical Psychology, 1989