Table 1 Content of CBT-sessions and assessments
From: The Nordic long-term OCD treatment study (NordLOTS): rationale, design, and methods
Time | Assessment | Assessment instrument | Parents involved in |
|---|---|---|---|
0 | Assessment by independent evaluator | K-SADS, CBCL, CY-BOCS, CGI, MFQ, ASSQ, COIS, CGAS, FAS, EAS, SCARED-R | Whole session |
1 | Psycho-education: Model for understanding and treatment | CGI-I, Compliance | Whole session |
2 | Externalising of OCD | CGI-I, | Whole session |
3 | Cognitive training and further assessment of OCD | CGI-I, | 30 min |
Parents: Negative attributions on OCD and the child | |||
4 | Test-exposure and tool box | CGI-I, | 30 min |
Parents: Parents’ role, guilt-feeling and self-reproach | |||
5 | E/RP; fight against OCD | CGI-I, | 30 min |
Parents: The family’s involvement in OCD | |||
6 | E/RP; get more control over OCD | CGI-I, | 30 min |
Parents: The child’s own responsibility for the treatment | |||
7 | E/RP; support the child or the OCD? | CGI-I, Compliance, CY-BOCS, CGAS, to bring home: MFQ, COIS | Whole session |
Joint hour with parents: Repetition of parents’ role, milestones | |||
8 | E/RP; comorbidity and special therapeutic needs. | CGI-I, | 30 min |
Parents: Secondary winnings and other obstacles | |||
9 | E/RP; continue the fight against OCD | CGI-I, | 30 min |
Parents: Separate OCD from other problems | |||
10 | E/RP; continue the fight against OCD | CGI-I, | 30 min |
Parents: Unity and taking care of the family | |||
11 | E/RP; Going through the treatment session | CGI-I, | Whole session |
Parents: Group-gathering – problem solving | |||
12 | E/RP; turning point | CGI-I, | 30 min |
Parents: How can parents prevent relapse | |||
13 | E/RP; prevent relapse | CGI-I, Compliance, CY-BOCS, CGAS. | 30 min |
Parents: What to do in case of relapse | CBCL, MFQ, COIS, SCARED-R. | ||
| Â | Check that date for independent evaluation is set | Â | Â |
14 | Closing ceremony | CGI-I, | Whole session |
Getting together with the parents: Going through the treatment process |