SPACE: a Parent-based Treatment for Pediatric OCD

Summary

This study will investigate the parent-based treatment SPACE: Supportive Parenting for Anxious Childhood Emotions. The aim of this study is to investigate whether SPACE is effective in reducing family accommodation (FA) and OCD symptoms in children with a complex obsessive-compulsive disorder (OCD), that did not or cannot benefit from first line treatment.

Eligibility

Inclusion Criteria:

* The child ages between 7 - 18 years old
* The child meets the DSM-5 criteria for OCD (as primary classification)
* The child did not benefit from psychological treatment for OCD (either followed 8 to 12 sessions of CBT or other psychotherapy), aborted treatment early or was unable/not motivated to receive treatment due to high levels of anxiety/OCD)
* At time of baseline still meets the clinical cut-off of 16 or higher for OCD on the Child Yale-Brown Obsessive Compulsive Scale \[CY-BOCS\].
* Psychiatric comorbidity is allowed, provided that OCD is the primary treatment target
* Parents report high levels of Family Accommodation (FA) at time of baseline (meeting the cut-off of 10 or higher on the Family Accommodation Scale Anxiety \[FASA\])
* Medication use is allowed. Selective serotonin reuptake inhibitors (SSRI) use (for OCD symptoms) is allowed as well, provided that the medication regime has been stable 4 weeks prior to participation and remains unchanged during participation.

Exclusion Criteria:

* The child needs inpatient treatment
* Acute suicidality
* Psychotic symptoms
* No participating parents
* Parents have insufficient mastery of the Dutch language
* Parents or child have an estimated IQ below 75

Conditions5

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