HealthDay News – According to a study published in May, Internet incremental cognitive behavioral therapy (CBT) and, where appropriate, personal CBT for children and adolescents with obsessive-compulsive disorder (OCD) is not inferior to personal CBT, according to 11 edition of the Journal of the American Medical Association.
Kristina Aspvall, Ph.D., of the Karolinska Institutet in Stockholm, and colleagues conducted a randomized clinical no-inferiority study to investigate whether the CBT provided on the internet, implemented in a tiered care model, was not inferior to personal CBT. One hundred and fifty-two people, ages 8 to 17, with obsessive-compulsive disorder were enrolled and randomly assigned to the steped care group (74 participants) who received an online CBT for 16 weeks with personal treatment for non-respondents after three years . Monthly follow-up or a control group (78 participants) who received personal CBT for 16 weeks.
The researchers found that after three months of follow-up, 46 percent and 30 percent of patients in the level and control groups, respectively, did not respond. After six months, the Yale-Brown Obsessive-Compulsive Scale score for children in the level and control group was 11.57 and 10.57 points, respectively, which corresponds to an estimated mean difference of 0.91 points (one-sided 97.5 percent Confidence) interval –∞ to 3.28; P for non-inferiority 0.02). In both groups, the most commonly reported adverse events were increased anxiety (30 to 36 percent) and depressive symptoms (20 to 28 percent).
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“Such combined approaches to mental health technology continue to grow in importance given the safety and engagement benefits,” write the authors of an accompanying editorial.
One author announced financial ties to the medical technology and publishing industries.
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Subjects:
Neurobehavioral Disorders Obsessive-Compulsive Disorder Treatments
