Internet-delivered CBT for Adolescents With OCD: A Randomized Controlled Study (BiPOCD)

Karolinska Institute

Status: Completed

Conditions: Obsessive-Compulsive Disorder

Treatments: Behavioral: Internet-delivered Cognitive Behavior Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02191631

BiPOCD RCT

Details and patient eligibility

About

The effect of Internet-delivered Cognitive Behavior Therapy (ICBT) on adolescents (12 to 17 years) with Obsessive-Compulsive Disorder is studied. Participants are randomized to either ICBT or a no-treatment condition. We expect ICBT to be superior over the no-treatment condition.

Full description

The primary objective of this study is to test the efficacy of Internet-delivered cognitive behavior therapy (ICBT) for adolescents (12 - 17 years) with OCD. We aim to conduct a randomized controlled study with N = 66 participants. Participants will be randomly assigned to ICBT or a wait list condition, either lasting 12 weeks. The primary outcome measure is the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Study participants will be followed up 3 and 12 months after treatment. ICBT is expected to yield significantly better symptom reduction than the wait list condition.

Enrollment: 67 patients

Sex: All

Ages: 12 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• a primary diagnosis of OCD as defined by DSM-5
• a total score of ≥ 16 on the Children's Yale-Brown Obsessive-Compulsive Scale, CY-BOCS
• age between 12 and 17 years
• ability to read and write Swedish
• daily access to the internet
• a parent that is able to co-participate in the treatment
• Participants on psychotropic medication must have been on a stable dose for the last 6 weeks prior to baseline assessment

Exclusion criteria

• diagnosed autism spectrum disorder, psychosis or bipolar disorder, severe eating disorder
• suicidal ideation
• ongoing substance dependence
• subject not able to read or understand the basics of the ICBT material
• completed CBT for OCD within last 12 months (defined as at least 5 sessions of CBT including exposure and response prevention)
• ongoing psychological treatment for OCD or another anxiety disorder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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67 participants in 2 patient groups

Internet-delivered CBT

Experimental group

Description:

Participants will receive 12 weeks of internet-delivered cognitive behavior therapy with psychologist support.

Treatment:

Behavioral: Internet-delivered Cognitive Behavior Therapy

Wait list

No Intervention group

Description:

Participants will receive no treatment for 12 weeks. After that period participants will receive Internet-delivered Cognitive Behavior Therapy.