Concentrated Exposure and Response Prevention for Children With Obsessive-compulsive Disorder

Uppsala University Hospital

Status: Enrolling

Conditions: Obsessive-Compulsive Disorder

Treatments: Behavioral: Concentrated exposure and response prevention

Study type: Interventional

Funder types: Other

Identifiers

NCT06621381

2023-07331-01

Details and patient eligibility

About

The goal of this clinical trial is to evaluate the preliminary outcomes of concentrated exposure and response prevention for children with obsessive-compulsive disorder (OCD) in regular clinical practice. It is a non-randomised open label evaluation where children 6-12 years with OCD who are patients at the Child and Adolescent Psychiatry (CAP) at Uppsala University Hospital will be rectruited together with their legal guardians. The treatment will be delivered by trained therapists in regular outpatient care.

The main question the study aims to answer is:

What are the preliminary treatment effects of concentrated exposure and response prevention with regards to OCD-symptoms, functional impact, family accomodation and clinician ratings of severity and improvement?

Participants will receive psychoeducation (in group format) and exposure and response prevention (9-12h concentrated to one week, individual format).

Outcomes will be measured on structured interviews, clinician ratings, and validated questionnaires pre-treatment, post-treatment and at a six month follow-up.

Enrollment: 20 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The patient fulfills the diagnostic criteria of obsessive-compulsive disorder
• The patient and the legal guardians have said yes to receiving the concentrated exposure with response prevention - treatment

Exclusion criteria

• The patient/legal guardians are unable to communicate in Swedish

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Concentrated exposure and response prevention

Experimental group

Description:

The intervention consists of: Psychoducation for the patients (1 session, 2-3h in group format), psychoeducation for the legal guardians (1 session, 3h in group format), exposure and response prevention (3-4 sessions, 9-12h over the course of one week, individual format), group reunions for sharing experiences, motivational work and relapse prevention ( 2 sessions, 3h)

Treatment:

Behavioral: Concentrated exposure and response prevention