Childhood obsessive-compulsive symptoms are being identified with greater prevalence than previously believed. Psychological treatment studies with this population have typically included children older than seven, used cognitive-behavioral therapy with exposure and response-prevention, and involved the child's family in some capacity. Studies, however, have largely ignored children under seven, have used cognitive techniques, despite evidence to suggest that they may not be appropriate or necessary for children under the age of nine, and have infrequently delineated a systematic role for the family in treatment.
Parent-child interaction therapy (PCIT; Brinkmeyer & Eyberg, 2003) is an empirically validated behavior management intervention, originally designed to treat oppositional children through systematic parental involvement, but was adapted to incorporate treatment for young children with obsessive-compulsive symptoms. PCIT has preliminary evidence in treating separation anxiety when tailored to include graduated exposure to feared separation situations as a separate phase of treatment.
An exposure and response-prevention-based modification of PCIT was implemented to treat three boys ages four to eight who presented with compulsive behaviors. For this eight-week, 12-session study, a single-subject repeated measures, within-subject design was utilized. Pre- and posttreatment compulsive behavior was measured at the child's home using coded observations of reassurance-seeking, avoidance, and ritualizing. Baseline assessment of in-session child compulsive behavior and parent behavior occurred over three monitoring sessions at the university clinic and continued throughout treatment by both standardized and modified versions of the Dyadic Parent-Child Interaction Coding System-Third Edition (Eyberg, Nelson, Duke, & Boggs, 2005), a behavioral observation and coding system used in PCIT to continuously measure changes in child behavior and parental mastery of PCIT skills. There were eight treatment and teaching sessions, four of which involved strategies to improve parent-child relationships and four sessions of parent-led exposure and response-prevention.
Observable decreases were noted for child compulsive behaviors and for maladaptive parent behaviors. Parents also demonstrated observable increases from baseline of adaptive behaviors. Due to the age of the children recruited, criteria for inclusion included the presence of compulsive behaviors, such as compulsive counting, rather than a mandatory diagnosis of Obsessive-Compulsive Disorder (OCD); although, this treatment has implications for said OCD population.
|Advisor:||Ohr, Phyllis S.|
|Commitee:||Brown, Vincent R., McVey-Noble, Merry E., Motta, Robert W., Schare, Mitchell L.|
|School Location:||United States -- New York|
|Source:||DAI-B 72/07, Dissertation Abstracts International|
|Subjects:||Behavioral psychology, Clinical psychology|
|Keywords:||Compulsive behaviors, Exposure therapy, Obsessive-compulsive disorder, Parent-child interaction therapy|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be