1- Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , snasiry@sbmu.ac.ir
2- Department of Social Sciences, Faculty of Letters and Human Sciences, Shahid Beheshti University, Tehran, Iran.
3- Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (3229 Views)
Objective: Numerous children with Obsessive-Compulsive Disorder (OCD) either have no access to its main treatment, i.e. Cognitive Behavioral Therapy (CBT), or fail to respond to it. Cognitive Bias Modification of Interpretation (CBMI) is a novel and promising intervention that targets the incorrect interpretation of intrusive thoughts and impulses, i.e. the characteristics of OCD. The present study aimed to determine the effects of CBMI in children with OCD for the first time. Besides, we evaluated the possibility of online implementation of this intervention.
Methods: A sample of 35 children with OCD (aged 7-12 years) were randomly assigned to two study groups. The experimental group (n=18) received CBMI and the controls (n=17) received placebo treatment. Interpretation bias and OCD severity were assessed at pre-test, post-test, and 2-month follow-up stages, using the Obsessive Compulsive Inventory-Child Version (OCICV), Obsessive Beliefs Questionnaire-Child Version (OBQCV), and Ambiguous Scenarios Task (AST). The present study results were analyzed using two-way repeated-measures Analysis of Variance (ANOVA) and Paired Samples t-test.
Results: The collected findings demonstrated that after receiving CBMI, children’s propensity to positively interpret ambiguous situations was increased, their tendency towards negative interpretation and OCD severity was also decreased. There was no such significant change in the control group. Furthermore, the effects of CBMI was sustained at the 2-month follow-up step.
Conclusion: This study provided preliminary evidence that suggests CBMI is capable of modifying interpretation bias in children with OCD, can reduce the severity of their disorder, and works as an online intervention. This brief and inexpensive intervention could be considered as an auxiliary or standalone treatment for OCD in children.
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● CBMI successfully reduced interpretation bias in children with OCD.
● Reduction in interpretation bias resulted in decreased OCD severity.
● Online implementation of CBMI was effective in children with OCD.
Plain Language Summary
Intrusive and troubling thoughts and impulses are experienced by almost everyone; however, individuals with Obsessive-Compulsive Disorder (OCD) interpret these thoughts and impulses as more important and more threatening than they are. This condition is called interpretation bias, i.e. an essential factor in OCD. Interpretation bias can be modified using different methods which are collectively known as Cognitive Bias Modification of Interpretation (CBMI). Previous research has suggested that CBMI can reduce interpretation bias in adults with OCD and decrease the severity of their disorder; however, no study has investigated the effects of this method in children. Therefore, this study aimed to determine the effects of CBMI on children with OCD; we also examined whether an online version of this intervention can be effective for children. We delivered this online intervention to 18 children and compared them with 17 other children who received a placebo intervention. The present study results reflected that online CBMI is capable of reducing interpretation bias in children with OCD and decreasing the severity of their disorder. So many children with OCD have no access to or fail to benefit from the common interventions for this disorder. Furthermore, this new treatment is so much more brief and inexpensive and does not even require leaving the hou
Type of Study:
Applicable |
Subject:
Cognitive behavioral Received: 2020/01/20 | Accepted: 2020/04/20 | Published: 2020/10/1