CBT specific process in exposure-based treatments: Initial examination in a pediatric OCD sample

Kristen Grabill Benito, Christine Conelea, Abbe M. Garcia, Jennifer B. Freeman

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Cognitive-behavioral theory and empirical support suggest that optimal activation of fear is a critical component for successful exposure treatment. Using this theory, we developed coding methodology for measuring CBT-specific process during exposure. We piloted this methodology in a sample of young children (N=18) who previously received CBT as part of a randomized controlled trial. Results supported the preliminary reliability and predictive validity of coding variables with 12 weeks and 3 months treatment outcome data, generally showing results consistent with CBT theory. However, given our limited and restricted sample, additional testing is warranted. Measurement of CBT-specific process using this methodology may have implications for understanding mechanism of change in exposure-based treatments and for improving dissemination efforts through identification of therapist behaviors associated with improved outcome.

Original languageEnglish (US)
Pages (from-to)77-84
Number of pages8
JournalJournal of Obsessive-Compulsive and Related Disorders
Volume1
Issue number2
DOIs
StatePublished - Apr 2012
Externally publishedYes

Keywords

  • Anxiety
  • Children
  • Cognitive-behavioral therapy
  • Mechanism of change
  • OCD
  • Process

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