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Kognitiv beteendeterapi med familjestöd för barn och ungdomar med tvångssyndrom - en behandlingsstudie

Petersson, Yrsa LU and Ekenberg, Josefin LU (2010) PSPT01 20092
Department of Psychology
Abstract (Swedish)
Studien syftade till att undersöka om en speciellt utformad kognitiv beteendeterapi med familjestöd, som konstruerats för barn och ungdomar med tvångssyndrom inom barn- och ungdomspsykiatrin i Lund, effektivt minskade barnens symtom. Dessutom undersöktes hur följande variabler påverkade behandlingen: föräldraanpassning, komorbiditet, medicinering, väntetid, ålder och kön, samt om deltagarna sökte för annan psykiatrisk problematik efter behandling. I studien deltog 45 barn och ungdomar (21 pojkar, 24 flickor) i åldrarna 8-18 år. Före behandling, efter behandling och vid ett års uppföljning mättes symtom med the Children´s Yale-Brown Obsessive Compulsive scale (CY-BOCS), samt familjens anpassning med Familjeanpassningsskala för barn och... (More)
Studien syftade till att undersöka om en speciellt utformad kognitiv beteendeterapi med familjestöd, som konstruerats för barn och ungdomar med tvångssyndrom inom barn- och ungdomspsykiatrin i Lund, effektivt minskade barnens symtom. Dessutom undersöktes hur följande variabler påverkade behandlingen: föräldraanpassning, komorbiditet, medicinering, väntetid, ålder och kön, samt om deltagarna sökte för annan psykiatrisk problematik efter behandling. I studien deltog 45 barn och ungdomar (21 pojkar, 24 flickor) i åldrarna 8-18 år. Före behandling, efter behandling och vid ett års uppföljning mättes symtom med the Children´s Yale-Brown Obsessive Compulsive scale (CY-BOCS), samt familjens anpassning med Familjeanpassningsskala för barn och ungdomar med tvångssyndrom (FAS). Behandlingen visade sig vara effektiv. Medelvärdet för symtomminskningen var 49 % efter behandling och effektstorleken var stor (d = 1.65). Symtomen minskade ytterligare vid uppföljning. Familjeanpassning, komorbiditet, medicinering, väntetid, ålder och kön påverkade inte behandlingsutfallet på en statistiskt signifikant nivå. Mer symtom i inled-ningen hade samband med fler sessioner. Tretton barn och ungdomar kontaktade psykiatrin efter behandling och en del av dem fick nya diagnoser. Mest förekommande var att de sökte på grund av depression, suicidtankar och/eller ångest. Slutsatsen kan dras att behandlingen hjälper barn och ungdomar med tvångssyndrom och att dessa bör få tillgång till behandlingen. (Less)
Abstract
The study aimed to investigate if a cognitive behavioral therapy with family support, specifically designed for children and adolescents with obsessive-compulsive dis-order (OCD) undergoing assessment and treatment at a psychiatric clinic in Lund, Sweden, was effective in reducing symptoms. There was also analysis into whether family accommodation, co-morbidity, medication, time on waiting list, age and sex, influenced the treatment result and if new psychiatric symptoms appeared post-treatment. The participants were 45 children and adolescents (21 boys and 24 girls) aged between 8-18 years. OCD-symptoms and family accommodation were measured before and after treatment and at a one year follow-up with Swedish versions of the Children’s... (More)
The study aimed to investigate if a cognitive behavioral therapy with family support, specifically designed for children and adolescents with obsessive-compulsive dis-order (OCD) undergoing assessment and treatment at a psychiatric clinic in Lund, Sweden, was effective in reducing symptoms. There was also analysis into whether family accommodation, co-morbidity, medication, time on waiting list, age and sex, influenced the treatment result and if new psychiatric symptoms appeared post-treatment. The participants were 45 children and adolescents (21 boys and 24 girls) aged between 8-18 years. OCD-symptoms and family accommodation were measured before and after treatment and at a one year follow-up with Swedish versions of the Children’s Yale-Brown Obsessive Compulsive scale (CY-BOCS) and the Family Accommodation Scale for Obsessive-Compulsive Disorder (FAS). The treatment proved to be effective with a mean symptom reduction at 49 % post-treatment and a large effect size (Cohen’s d = 1.65). At follow-up the symptoms had decreased further. Neither family accommodation, co-morbidity, medication, time on waiting list, age nor sex influenced the results significantly. Children and adolescents presenting more symptoms before treatment were also given more sessions. Thirteen of the children and adolescents were under further psychiatric care after the treatment because of new diagnoses or other psychiatric problems, the most frequent of which were depression, thoughts of suicide and/or anxiety disorders. The results point towards the conclusion that the treatment is beneficial for children and adolescents with OCD, indicating its viability as a form of therapy within this area. (Less)
Please use this url to cite or link to this publication:
author
Petersson, Yrsa LU and Ekenberg, Josefin LU
supervisor
organization
course
PSPT01 20092
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
obsessive-compulsive disorder, familjeanpassning, behandling, kognitiv beteendeterapi, FAS, CY-BOCS, ungdomar, barn, tvångssyndrom, OCD, children, adolescents, cognitive-behavioral therapy, treatment, family accommodation
language
Swedish
id
1536138
date added to LUP
2010-02-17 17:08:34
date last changed
2010-02-17 17:08:34
@misc{1536138,
  abstract     = {The study aimed to investigate if a cognitive behavioral therapy with family support, specifically designed for children and adolescents with obsessive-compulsive dis-order (OCD) undergoing assessment and treatment at a psychiatric clinic in Lund, Sweden, was effective in reducing symptoms. There was also analysis into whether family accommodation, co-morbidity, medication, time on waiting list, age and sex, influenced the treatment result and if new psychiatric symptoms appeared post-treatment. The participants were 45 children and adolescents (21 boys and 24 girls) aged between 8-18 years. OCD-symptoms and family accommodation were measured before and after treatment and at a one year follow-up with Swedish versions of the Children’s Yale-Brown Obsessive Compulsive scale (CY-BOCS) and the Family Accommodation Scale for Obsessive-Compulsive Disorder (FAS). The treatment proved to be effective with a mean symptom reduction at 49 % post-treatment and a large effect size (Cohen’s d = 1.65). At follow-up the symptoms had decreased further. Neither family accommodation, co-morbidity, medication, time on waiting list, age nor sex influenced the results significantly. Children and adolescents presenting more symptoms before treatment were also given more sessions. Thirteen of the children and adolescents were under further psychiatric care after the treatment because of new diagnoses or other psychiatric problems, the most frequent of which were depression, thoughts of suicide and/or anxiety disorders. The results point towards the conclusion that the treatment is beneficial for children and adolescents with OCD, indicating its viability as a form of therapy within this area.},
  author       = {Petersson, Yrsa and Ekenberg, Josefin},
  keyword      = {obsessive-compulsive disorder,familjeanpassning,behandling,kognitiv beteendeterapi,FAS,CY-BOCS,ungdomar,barn,tvångssyndrom,OCD,children,adolescents,cognitive-behavioral therapy,treatment,family accommodation},
  language     = {swe},
  note         = {Student Paper},
  title        = {Kognitiv beteendeterapi med familjestöd för barn och ungdomar med tvångssyndrom - en behandlingsstudie},
  year         = {2010},
}