Skip to main content Accessibility help
×
Home
Hostname: page-component-684899dbb8-rbzxz Total loading time: 0.285 Render date: 2022-05-23T18:58:32.221Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation

Published online by Cambridge University Press:  04 April 2018

B. Butlin*
Affiliation:
School of Psychology, Trinity College Dublin, Dublin 2, Ireland
C. Wilson
Affiliation:
School of Psychology, Trinity College Dublin, Dublin 2, Ireland
*
*Correspondence to B. Butlin, School of Psychology, Trinity College Dublin, Dublin 2, Ireland. E-mail: butlinb@tcd.ie

Abstract

Background: How we conceptualize mental health conditions is important as it impacts on a wide range of mediators of treatment outcome. We do not know how children intuitively conceptualize obsessive-compulsive disorder (OCD), nor do we know the relative impact of biomedical or cognitive behavioural conceptual explanations, yet both are being widely used in psychoeducation for children with OCD. Aims: This study identified children's naive concepts of OCD, and the comparative impact of biomedical versus cognitive behavioural psychoeducation on perceived prognosis. Method: A within- and between-subjects experimental design was used. After watching a video of a young person describing their OCD, 202 children completed a questionnaire examining their concepts of the condition. They repeated the questionnaire following a second equivalent video, this time preceded by either biomedical or cognitive behavioural psychoeducation. Results: Participants’ naive concepts of OCD reflected predominant models of OCD in healthcare. Even at the minimal dose of psychoeducation, participants’ conceptualizations of OCD changed. Prior exposure to OCD resulted in a stronger alignment with the biomedical model. Exposure to biomedical psychoeducation resulted in participants predicting a slower recovery with less chance of complete remission. Conclusion: Psychoeducation for childhood OCD is impactful. Despite its wide use by clinicians and mental health services, biomedical psychoeducation appears to have deleterious effects. Children's concepts of OCD merit attention but caution should be applied in how they are targeted.

Type
Empirically Grounded Clinical Interventions
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ader, H. and Mellenbergh, G. (2008). Advising on Research Methods: A Consultant's Companion. The Netherlands: Huizen.Google Scholar
Ahmari, S. E., Spellman, T., Douglass, N. L., Kheirbek, M. A., Simpson, H. B., Deisseroth, K. and Hen, R. (2013). Repeated cortico-striatal stimulation generates persistent OCD-like behaviour. Science, 340, 12341239CrossRefGoogle Scholar
Alibali, M. W. (1999). How children change their minds: strategy change can be gradual or abrupt. Developmental Psychology, 35, 127145.CrossRefGoogle ScholarPubMed
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Publications.Google Scholar
Baines, T. and Wittkowski, A. (2013). A systematic review of the literature exploring illness perceptions in mental health utilising the self-regulation model. Journal of Clinical Psychology in Medical Settings, 20, 263274.CrossRefGoogle ScholarPubMed
Broadbent, E., Petrie, K. J., Main, J. and Weinman, J. (2006). The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631637.CrossRefGoogle ScholarPubMed
Cameron, L. D., Leventhal, H., Kelly, K. M., Hertel, A. W. and Saioveyl, P. (2003). The Self-Regulation of Health and Illness Behaviour. Psychology Press.Google Scholar
Central Statistics Office (2011). Census 2011. Retrieved from CSO website: http://www.cso.ie/en/census/Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (ed Erlbaum, L.), Statistical Power Analysis for the Behavioral Sciences (vol. 2). Lawrence Erlbaum Associates.Google Scholar
Crystal, D. S. (2000). Concepts of deviance and disturbance in children and adolescents: a comparison between the United States and Japan. International Journal of Psychology, 35, 207218.CrossRefGoogle Scholar
Deacon, B. J. (2013). The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. Clinical Psychology Review, 33, 846861.CrossRefGoogle ScholarPubMed
Denys, D. (2006). Pharmacotherapy of obsessive-compulsive disorder and obsessive-compulsive spectrum disorders. Psychiatric Clinics of North America, 22, 189201.Google Scholar
Derisley, J., Libby, S., Clark, S. and Reynolds, S. (2005). Mental health, coping and family-functioning in parents of young people with obsessive-compulsive disorder and with anxiety disorders. British Journal of Clinical Psychology, 44, 439444.CrossRefGoogle ScholarPubMed
Diamond, L. M. and Savin-Williams, R. C. (2009). Handbook of Adolescent Psychology, pp. 479523. New York: Wiley.Google Scholar
Donker, T., Griffiths, K. M., Cuijpers, P. and Christensen, H. (2009). Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC Medicine, 7, 79.CrossRefGoogle ScholarPubMed
Duncan, G. (2000). Mind-body dualism and the biopsychosocial model of pain: what did Descartes really say? The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 25, 485513.CrossRefGoogle ScholarPubMed
Eddy, K. T., Dutra, L., Bradley, R. and Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24, 10111030.CrossRefGoogle ScholarPubMed
Fallon, C. (2004). Mary Immaculate Reading Attainment Test (MICRA-T). Curriculum Development Unit, Mary Immaculate College, Limerick, Ireland.Google Scholar
Field, A. P., Cartwright-Hatton, S., Reynolds, S. and Creswell, C. (2008). Future directions for child anxiety theory and treatment. Cognition and Emotion, 22, 385394.CrossRefGoogle Scholar
Figueiras, M. and Alves, N. (2007). Lay perceptions of serious illnesses: an adapted version of the Revised Illness Perception Questionnaire (IPQ-R) for healthy people. Psychology & Health, 22, 143158.CrossRefGoogle Scholar
Fox, C., Buchanan-Barrow, E. and Barrett, M. (2010). Children's conceptions of mental illness: a naive theory approach. British Journal of Developmental Psychology, 28, 603625.CrossRefGoogle ScholarPubMed
Freeman, J. B., Choate-Summers, M. L., Moore, P. S., Garcia, A. M., Sapyta, J. J., Leonard, H. L. and Franklin, M. E. (2007). Cognitive behavioral treatment for young children with obsessive-compulsive disorder. Biological Psychiatry, 61, 337343.CrossRefGoogle ScholarPubMed
Gause, C., Morris, C., Vernekar, S., Pardo-Villamizar, C., Grados, M. A. and Singer, H. S. (2009). Antineuronal antibodies in OCD: comparisons in children with OCD-only, Journal of Neuroimmunology, 214, 118124.CrossRefGoogle ScholarPubMed
Gelman, S. A. (2004). Psychological essentialism in children. Trends in Cognitive Sciences, 8, 404409.CrossRefGoogle ScholarPubMed
Goossens, F., Bokhorst, K., Bruinsma, C. and van Boxtel, H. (2002). Judgments of aggressive, withdrawn and prosocial behavior: perceived control, anger, pity and sympathy in young Dutch children. Journal of School Psychology, 40, 309327.CrossRefGoogle Scholar
Hagger, M. S. and Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141184.CrossRefGoogle Scholar
Harland, R., Antonova, E., Owen, G. S., Broome, M., Landau, S., Deeley, Q. and Murray, R. (2009). A study of psychiatrists’ concepts of mental illness. Psychological Medicine, 39, 967976.CrossRefGoogle ScholarPubMed
Hennessy, E. and Heary, C. (2009). The development of children's understanding of common psychological problems. Child and Adolescent Mental Health, 14, 4247.CrossRefGoogle Scholar
Horvath, A. O. and Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: a meta-analysis. Journal of Counseling Psychology, 38, 139149.CrossRefGoogle Scholar
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S. and Ustün, T. B. (2007). Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry, 20, 359364.CrossRefGoogle ScholarPubMed
Kuhn, D. and Franklin, S. (2006). The Second Decade: What Develops (and How). John Wiley and Sons, Inc.Google Scholar
Lam, D. C. K. and Salkovskis, P. M. (2007). An experimental investigation of the impact of biological and psychological causal explanations on anxious and depressed patients’ perception of a person with panic disorder. Behaviour Research and Therapy, 45, 405411.CrossRefGoogle ScholarPubMed
Legare, C. H., Gelman, S. A. and Wellman, H. M. (2010). Inconsistency with prior knowledge triggers children's causal explanatory reasoning. Child Development, 81, 929944.CrossRefGoogle ScholarPubMed
Lewison, G., Roe, P., Wentworth, A. and Szmukler, G. (2012). The reporting of mental disorders research in British media. Psychological Medicine, 42, 435441.CrossRefGoogle ScholarPubMed
Maas, E., Marecek, J. and Travers, J. R. (1978). Children's conceptions of disordered behavior. Child Development, 49, 146154.CrossRefGoogle Scholar
March, J. S. and Mulle, K. (1998). OCD in Children and Adolescents: A Cognitive-Behavioral Treatment Manual. Guilford Press.Google Scholar
Meyer, V. (1966). Modification of expectations in cases with obsessional rituals. Behaviour Research and Therapy, 4, 273280.CrossRefGoogle ScholarPubMed
NICE (2017). Obsessive-compulsive disorder and body dysmorphic disorder: treatment. Guidance and guidelines. Available at: https://www.nice.org.uk/guidance/cg31 (accessed 11 September 2017).Google Scholar
Öst, L.-G., Riise, E. N., Wergeland, G. J., Hansen, B. and Kvale, G. (2016). Cognitive behavioral and pharmacological treatments of OCD in children: a systematic review and meta-analysis. Journal of Anxiety Disorders, 43, 5869.CrossRefGoogle ScholarPubMed
Petrie, K. J., Broadbent, E. and Kydd, R. (1997). Illness perceptions in mental health: issues and potential applications. Causal Journal of Mental Health, 17, 559564.CrossRefGoogle Scholar
Reid, G. J., Shanley, D., Goffin, R., Belle Brown, J., Evans, B., Vanier Children, M., London, S. et al. (2008). Parents’ Perceptions of Child Mental Health Problems: Development of a Parent Report Measure. Centre of Excellence for Child and Youth Mental Health at CHEO: Final Report.Google Scholar
Rimes, K. A. and Salkovskis, P. M. (1998). Psychological effects of genetic testing for psychological disorders. Behavioural and Cognitive Psychotherapy, 26, 2942.CrossRefGoogle Scholar
Robinson, E. J. and Whitcombe, E. L. (2003). Children's suggestibility in relation to their understanding about sources of knowledge. Child Development, 74, 4862.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, S29–52.CrossRefGoogle ScholarPubMed
Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P. W., Grabe, H. J., Carta, M. G. and Angermeyer, M. C. (2012). Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125, 440452.CrossRefGoogle ScholarPubMed
Stewart, S. E., Geller, D. A., Jenike, M., Pauls, D., Shaw, D., Mullin, B. and Faraone, S. V. (2004). Long-term outcome of pediatric obsessive-compulsive disorder: a meta-analysis and qualitative review of the literature. Acta Psychiatrica Scandinavica, 110, 413.CrossRefGoogle ScholarPubMed
Taylor, S. (2011). Etiology of obsessions and compulsions: a meta-analysis and narrative review of twin studies. Clinical Psychology Review, 31, 13611372.CrossRefGoogle ScholarPubMed
Valderhaug, R. and Ivarsson, T. (2005). Functional impairment in clinical samples of Norwegian and Swedish children and adolescents with obsessive-compulsive disorder. European Child and Adolescent Psychiatry, 14, 164173.CrossRefGoogle ScholarPubMed
Waite, P. and Williams, T. (eds) (2009). Obsessive Compulsive Disorder: Cognitive Behaviour Therapy with Children and Young People. Routledge.Google Scholar
Winters, N. C., Hanson, G. and Stoyanova, V. (2007). The case formulation in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics, 16, 111132.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.
4
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *