Quality of life in children with OCD before and after treatment

Verfasser / Beitragende:
[Bernhard Weidle, Tord Ivarsson, Per Thomsen, Stian Lydersen, Thomas Jozefiak]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/9(2015-09-01), 1061-1074
Format:
Artikel (online)
ID: 605476624
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024 7 0 |a 10.1007/s00787-014-0659-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0659-z 
245 0 0 |a Quality of life in children with OCD before and after treatment  |h [Elektronische Daten]  |c [Bernhard Weidle, Tord Ivarsson, Per Thomsen, Stian Lydersen, Thomas Jozefiak] 
520 3 |a Quality of life (QoL) is a well-established outcome measure. In contrast to adult obsessive-compulsive disorder (OCD), little is known about the effects of treatment on QoL in children with OCD. This study aimed to assess QoL after cognitive behavioural therapy (CBT) in children and adolescents with OCD compared with the general population and to explore factors associated with potential changes in QoL after treatment. QoL was assessed in 135 children and adolescents (ages 7-17; mean 13 [SD 2.7] years; 48.1% female) before and after 14 CBT sessions, using self-report and a caregivers proxy report of the Questionnaire for Measuring Health-related Quality of Life in Children and Adolescents (KINDL-R). QoL was compared with an age- and gender-matched sample from the general population. Before treatment, QoL was markedly lower in children with OCD compared with the general population. QoL improved significantly in CBT responders (mean score change 7.4), to the same range as QoL in the general population. Non-responders reported no QoL changes after treatment, except for one patient. Comorbidity, family accommodation and psychosocial functioning were not associated with changes in QoL after treatment. To our knowledge, this is the first study of the changes in QoL after treatment of paediatric OCD. The assessment of QoL beyond symptoms and function in children with OCD has been shown to be reliable and informative. The results of this study support the application of QoL assessment as an additional measure of treatment outcome in children and adolescents with OCD. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Paediatric OCD  |2 nationallicence 
690 7 |a Quality of life  |2 nationallicence 
690 7 |a Comorbidity  |2 nationallicence 
690 7 |a Cognitive behavioural therapy  |2 nationallicence 
690 7 |a Assessment  |2 nationallicence 
700 1 |a Weidle  |D Bernhard  |u Department of Child and Adolescent Psychiatry, St.Olavs University Hospital, Elgeseter, Post box 6810, 7433, Trondheim, Norway  |4 aut 
700 1 |a Ivarsson  |D Tord  |u Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Gullhaugveien 1-3, 0484, Oslo, Norway  |4 aut 
700 1 |a Thomsen  |D Per  |u Psychiatric Hospital for Children and Adolescents, University Hospital in Aarhus, Aarhus, Denmark  |4 aut 
700 1 |a Lydersen  |D Stian  |u Faculty of Medicine, Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology, Trondheim, Norway  |4 aut 
700 1 |a Jozefiak  |D Thomas  |u Department of Child and Adolescent Psychiatry, St.Olavs University Hospital, Elgeseter, Post box 6810, 7433, Trondheim, Norway  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/9(2015-09-01), 1061-1074  |x 1018-8827  |q 24:9<1061  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0659-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0659-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Weidle  |D Bernhard  |u Department of Child and Adolescent Psychiatry, St.Olavs University Hospital, Elgeseter, Post box 6810, 7433, Trondheim, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ivarsson  |D Tord  |u Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Gullhaugveien 1-3, 0484, Oslo, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Thomsen  |D Per  |u Psychiatric Hospital for Children and Adolescents, University Hospital in Aarhus, Aarhus, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lydersen  |D Stian  |u Faculty of Medicine, Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian University of Science and Technology, Trondheim, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jozefiak  |D Thomas  |u Department of Child and Adolescent Psychiatry, St.Olavs University Hospital, Elgeseter, Post box 6810, 7433, Trondheim, Norway  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/9(2015-09-01), 1061-1074  |x 1018-8827  |q 24:9<1061  |1 2015  |2 24  |o 787