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Completed

NCT Number: NCT01809990

Internet-delivered CBT for Adolescents With Obsessive-Compulsive Disorder - a Pilot Study

The main goal of this trial is to study the feasibility and effectiveness of internet-delivered cognitive behavior therapy for adolescents with obsessive-compulsive disorder.

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Key information

Conditions

Obsessive-Compulsive Disorder Anxiety Disorders Mental Disorders

Age range

12 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Karolinska insititute

Stockholm, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • a primary diagnosis of OCD as defined by DSM-IV TR
  • a total score of above 15 on the 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
  • signed informed consent

Exclusion criteria

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

Treatment and study plan

Internet-delivered Cognitive Behavior Therapy

Behavioral

Primary outcomes

  1. Children's Yale Brown Obsessive Compulsive Scale, CY-BOCS

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Change from Baseline of obsessions and compulsions after 12 weeks and at 3- and 6 months after treatment.

Secondary outcomes

  1. Spence Child Anxiety Scale - Child and Parent version

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Spence Child Anxiety Scale - Child and Parent version (SCAS/P, Spence, 1998) will be used as a child and parent self-report measure of anxiety related psychopathology.

  2. Child Depression Inventory

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Symptom severity of depression in the adolescent will be assessed with Child Depression Inventory (CDI, Kovacs, 1985).

  3. Strengths Difficulties Questionnaire

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Strengths Difficulties Questionnaire (SDQ, Goodman, 1997) is a widely used self- and parent-report behavioral screening questionnaire with six subscales: emotional problems, conduct problems, hyperactivity-inattention, peer problems, prosocial behavior

  4. Children's Obsessional Compulsive Inventory Revised

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    The Children's Obsessional Compulsive Inventory Revised, (CHOCI-R, Shafran et al., 2003) is a self- and parent-report measure of pediatric OCD symptom severity.

  5. Child Obsessive-Compulsive Impact Scale - Revised

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Child Obsessive-Compulsive Impact Scale - Revised (COIS-R, Piacentini, Peris, Bergman, Chang, & Jaffer, 2007) is a self- and parent-report scale of OCD symptom impact on everyday life.

Other outcomes

  1. Patient Health Questionnaire PHQ-9

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Patient Health Questionnaire PHQ-9 (Kroenke, Spitzer, & Williams, 2001) is a brief self-report measure of depressive symptoms in adults. PHQ-9 will be used to measure parental depressive symptoms.

  2. GAD-7

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    GAD-7 (Spitzer, Kroenke, Williams, & Löwe, 2006) is a brief self-report measure of symptoms of general anxiety in adults. GAD-7 will be used to measure symptoms of anxiety in the parents.

  3. Obsessive Compulsive Inventory - Revised

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Obsessive Compulsive Inventory - Revised (OCI-R, Foa et al., 2002) is a reliable and valid 18-item self-report scale for screening of OCD in adults and will be used to measure parental OC symptoms of both parents.

  4. Family Accommodation Scale, Parent-Report

    Time frame: Baseline, 12 weeks after treatment starts, 3 and 6 months after treatment has ended

    Family Accommodation Scale, Parent-Report (FAS-PR, Flessner et al., 2009). The parent-report version of the FAS consists of 12 items focusing on accommodation behaviors of parents with a child with OCD.

Sponsors and collaborators

Lead sponsor

Eva Serlachius

Other

Collaborators

  • Region Stockholm

Registry information

Official study title

Internet-delivered Cognitive Behavior Therapy for Adolescents With Obsessive-Compulsive Disorder - a Pilot Study

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Mar 13, 2013
Registry last updated
Jun 30, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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