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Mediating mechanisms in cognitive behavioral therapy for childhood OCD : the role of dysfunctional beliefs

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Abstract
Reframing cognitions is assumed to play an important role in treatment for obsessive-compulsive disorder (OCD). However, there hardly is any empirical support for this assumption, especially for children. The aim of this study was to examine if changing dysfunctional beliefs is a mediating mechanism of cognitive behavioral therapy (CBT) for childhood OCD. Fifty-eight children (8-18years) with OCD received CBT. Dysfunctional beliefs (OBQ-CV) and OCD severity (CY-BOCS) were measured pre-treatment, mid-treatment, post-treatment, and at 16-week follow-up. Results showed that OCD severity and dysfunctional beliefs decreased during CBT. Changes in severity predicted changes in beliefs within the same time interval. Our results did not support the hypothesis that changing dysfunctional beliefs mediates treatment effect. Future studies are needed to replicate these findings and shed more light on the role of explicit and implicit cognitions in treatment for childhood OCD.
Keywords
Pediatric obsessive compulsive disorder, Cognitive behavioral therapy, Mediator of treatment, Obsessive beliefs, Cognitive theory, OBSESSIVE-COMPULSIVE DISORDER, PSYCHOMETRIC PROPERTIES, INTERVIEW SCHEDULE, LONGITUDINAL DATA, EXPOSURE THERAPY, DUTCH VERSION, DSM-IV, SYMPTOMS, ANXIETY, RELIABILITY

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MLA
Wolter, Lidewij et al. “Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD : the Role of Dysfunctional Beliefs.” CHILD PSYCHIATRY & HUMAN DEVELOPMENT 50.2 (2019): 173–185. Print.
APA
Wolter, L., Prins, P. J. M., Garst, G. J. A., Hogendoorn, S. M., Boer, F., Vervoort, L., & de Haan, E. (2019). Mediating mechanisms in cognitive behavioral therapy for childhood OCD : the role of dysfunctional beliefs. CHILD PSYCHIATRY & HUMAN DEVELOPMENT , 50(2), 173–185.
Chicago author-date
Wolter, Lidewij, Pier J.M. Prins, G.J.A. Garst, Sanne M. Hogendoorn, Frits Boer, Leentje Vervoort, and Else de Haan. 2019. “Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD : the Role of Dysfunctional Beliefs.” Child Psychiatry & Human Development 50 (2): 173–185.
Chicago author-date (all authors)
Wolter, Lidewij, Pier J.M. Prins, G.J.A. Garst, Sanne M. Hogendoorn, Frits Boer, Leentje Vervoort, and Else de Haan. 2019. “Mediating Mechanisms in Cognitive Behavioral Therapy for Childhood OCD : the Role of Dysfunctional Beliefs.” Child Psychiatry & Human Development 50 (2): 173–185.
Vancouver
1.
Wolter L, Prins PJM, Garst GJA, Hogendoorn SM, Boer F, Vervoort L, et al. Mediating mechanisms in cognitive behavioral therapy for childhood OCD : the role of dysfunctional beliefs. CHILD PSYCHIATRY & HUMAN DEVELOPMENT . 2019;50(2):173–85.
IEEE
[1]
L. Wolter et al., “Mediating mechanisms in cognitive behavioral therapy for childhood OCD : the role of dysfunctional beliefs,” CHILD PSYCHIATRY & HUMAN DEVELOPMENT , vol. 50, no. 2, pp. 173–185, 2019.
@article{8568992,
  abstract     = {Reframing cognitions is assumed to play an important role in treatment for obsessive-compulsive disorder (OCD). However, there hardly is any empirical support for this assumption, especially for children. The aim of this study was to examine if changing dysfunctional beliefs is a mediating mechanism of cognitive behavioral therapy (CBT) for childhood OCD. Fifty-eight children (8-18years) with OCD received CBT. Dysfunctional beliefs (OBQ-CV) and OCD severity (CY-BOCS) were measured pre-treatment, mid-treatment, post-treatment, and at 16-week follow-up. Results showed that OCD severity and dysfunctional beliefs decreased during CBT. Changes in severity predicted changes in beliefs within the same time interval. Our results did not support the hypothesis that changing dysfunctional beliefs mediates treatment effect. Future studies are needed to replicate these findings and shed more light on the role of explicit and implicit cognitions in treatment for childhood OCD.},
  author       = {Wolter, Lidewij and Prins, Pier J.M. and Garst, G.J.A. and Hogendoorn, Sanne M. and Boer, Frits and Vervoort, Leentje and de Haan, Else},
  issn         = {0009-398X },
  journal      = {CHILD PSYCHIATRY & HUMAN DEVELOPMENT },
  keywords     = {Pediatric obsessive compulsive disorder,Cognitive behavioral therapy,Mediator of treatment,Obsessive beliefs,Cognitive theory,OBSESSIVE-COMPULSIVE DISORDER,PSYCHOMETRIC PROPERTIES,INTERVIEW SCHEDULE,LONGITUDINAL DATA,EXPOSURE THERAPY,DUTCH VERSION,DSM-IV,SYMPTOMS,ANXIETY,RELIABILITY},
  language     = {eng},
  number       = {2},
  pages        = {173--185},
  title        = {Mediating mechanisms in cognitive behavioral therapy for childhood OCD : the role of dysfunctional beliefs},
  url          = {http://dx.doi.org/10.1007/s10578-018-0830-8},
  volume       = {50},
  year         = {2019},
}

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