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A Pilot Study of Telephone Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder in Young People

Published online by Cambridge University Press:  23 June 2009

Cynthia Turner ,
Isobel Heyman ,
Annabel Futh  and
Karina Lovell
Cynthia Turner*
Affiliation:
South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London, UK
Isobel Heyman
Affiliation:
South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London, UK
Annabel Futh
Affiliation:
Institute of Psychiatry, King's College London, UK
Karina Lovell
Affiliation:
University of Manchester, UK
*
Reprint requests to Cynthia Turner, Michael Rutter Centre for Children, Maudsley Hospital, De Crespigny Park, London SE5 8AZ, UK. E-mail: cynthia.turner@slam.nhs.uk
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Abstract

Background: Cognitive-behaviour therapy (CBT) is the recommended psychological treatment for obsessive compulsive disorder (OCD) in young people. Access to CBT may be limited by a number of factors, including lack of trained therapists, and geographic or financial factors preventing access to a specialized service. Telephone delivery of CBT represents one way of overcoming some of these accessibility issues. This pilot study describes outcomes for a telephone-based cognitive-behavioural treatment for obsessive-compulsive disorder (OCD) in young people. Method: Ten participants, aged 13 to 17 years, and their parents received up to 16 sessions of telephone CBT (TCBT). Measures of OCD symptoms were obtained using multiple informants and a repeated measures design. Assessments were conducted at pre-treatment, post-treatment, and at 6- and 12-month follow-up. Results: Improvements were found for OCD symptoms across all informants. Family satisfaction with treatment over the telephone was high. Conclusions: The findings suggest that TCBT is a clinically effective, feasible and acceptable means of service delivery that offers the potential to make CBT a more accessible treatment for young people. TCBT requires further evaluation in randomized, controlled trials to compare effectiveness with face-to-face CBT, which currently represents the usual care model.

Keywords

Obsessive-compulsive disorderchildren and adolescentscognitive behaviour therapy
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 4 , July 2009 , pp. 469 - 474
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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