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<p>Pediatric obsessive-compulsive disorder (OCD) is a neuropsychiatric condition characterized by distressing cyclical obsessions and compulsions. Cognitive-behavioral therapy with exposure and response prevention (CBT/ERP) is a first-line treatment, and increasing research focus has explored the role of caregiver involvement and varied delivery formats (i.e., group, virtual). We piloted an 8-week group for youth and their caregivers offered via a format of family choice to determine effectiveness, acceptability, and feasibility. Participants included 16 youth and their caregivers, and we found good acceptability and feasibility. Mean OCD severity on the CY-BOCS significantly decreased from baseline (M = 21.93, SD = 7.96) to post-treatment (M = 16.62, SD = 5.53) while controlling for other mental health services. This study shows promise for group CBT/ERP with caregiver involvement using a patient-centered approach to select delivery format. Further research is needed to understand how to maximize caregiver integration and virtual options to increase access to care.</p>

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A pilot study of group Exposure Response Prevention for Pediatric Obsessive-Compulsive Disorder: In-Person and Virtual Delivery with Caregiver Involvement

  • 期刊论文

  • 发表日期：

    2026年2月28日

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  • Lilia Mucka Andrew,
  • Irene Zhang,
  • Nicholas Lohman,
  • Laura Willing,
  • Perrine Heymann,
  • Tiffany Kichline,
  • Sanchita Sharma,
  • Mi-Young Ryee

摘要

Pediatric obsessive-compulsive disorder (OCD) is a neuropsychiatric condition characterized by distressing cyclical obsessions and compulsions. Cognitive-behavioral therapy with exposure and response prevention (CBT/ERP) is a first-line treatment, and increasing research focus has explored the role of caregiver involvement and varied delivery formats (i.e., group, virtual). We piloted an 8-week group for youth and their caregivers offered via a format of family choice to determine effectiveness, acceptability, and feasibility. Participants included 16 youth and their caregivers, and we found good acceptability and feasibility. Mean OCD severity on the CY-BOCS significantly decreased from baseline (M = 21.93, SD = 7.96) to post-treatment (M = 16.62, SD = 5.53) while controlling for other mental health services. This study shows promise for group CBT/ERP with caregiver involvement using a patient-centered approach to select delivery format. Further research is needed to understand how to maximize caregiver integration and virtual options to increase access to care.