Family-Based Treatment of Pediatric Obsessive-Compulsive Disorder: Clinical Considerations and Application

Lindsay M Anderson; Jennifer B Freeman; Martin E Franklin; Jeffrey J Sapyta

doi:10.1016/j.chc.2015.02.003

Family-Based Treatment of Pediatric Obsessive-Compulsive Disorder: Clinical Considerations and Application

Child Adolesc Psychiatr Clin N Am. 2015 Jul;24(3):535-55. doi: 10.1016/j.chc.2015.02.003. Epub 2015 May 6.

Authors

Lindsay M Anderson¹, Jennifer B Freeman², Martin E Franklin³, Jeffrey J Sapyta⁴

Affiliations

¹ Department of Psychology & Neuroscience, Duke University, 2608 Erwin Road, Suite 300, Durham, NC 27705, USA.
² Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI 02912, USA.
³ Department of Psychiatry, University of Pennsylvania Medical School, 3535 Market Street, 6th Floor Philadelphia, PA 19104, USA.
⁴ Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Road, Suite 300, Durham, NC 27705, USA. Electronic address: jeffrey.sapyta@duke.edu.

PMID: 26092738
DOI: 10.1016/j.chc.2015.02.003

Abstract

Pediatric obsessive-compulsive disorder (OCD) can be effectively treated with family-based intervention by expanding and enhancing family members' behavioral repertoire to more effectively manage OCD symptoms and affected family interactions. This article provides an overview and practical understanding of the implementation of family-based treatment of pediatric OCD. Special attention is given to relevant contextual family processes that influence symptom presentation, current empirical support for family-based treatment, and the clinical application of family-based cognitive-behavioral therapy. Case vignettes illustrate important clinical considerations for providers.

Keywords: Cognitive-behavioral family-based treatment; Family accommodation; Family-based treatment; Obsessive-compulsive disorder; Pediatric OCD.

Publication types

Review

MeSH terms

Adolescent
Child
Cognitive Behavioral Therapy / methods*
Family / psychology*
Family Therapy / methods*
Female
Humans
Obsessive-Compulsive Disorder / therapy*