La caratterizzazione del trattamento cognitivo-comportamentale del disturbo ossessivo-compulsivo in infanzia e adolescenza: una revisione descrittiva
Parole chiave:
DOC, Infanzia, Adolescenza, Trattamento Cognitivo-ComportamentaleAbstract
La letteratura scientifica disponibile indica due tipologie principali di trattamento del disturbo ossessivo-compulsivo (DOC) in età infantile e adolescenziale: il trattamento cognitivo-comportamentale e il trattamento farmacologico (SSRI). Una serie di studi hanno evidenziato che questi due trattamenti, anche combinati tra loro, hanno un’efficacia significativa in termini di riduzione di sintomi (dal 40 al 65%) e di remissione del disturbo. Per quanto riguarda il trattamento psicoterapeutico, nel corso degli anni, è stato possibile riscontrare una caratterizzazione sempre più precisa di diversi aspetti come, ad esempio, la modalità di somministrazione, la durata dell’intervento e il coinvolgimento delle famiglie. La presente revisione narrativa nasce dallo scopo di voler individuare le differenti peculiarità del trattamento cognitivo-comportamentale in bambini e/o adolescenti con DOC che si sono sviluppate negli ultimi 10 anni (dal 2013 al 2023), individuando così 5 macroaree in cui includere le diverse specificità del trattamento. La terapia cognitivo-comportamentale può essere considerata l’approccio “gold-standard” di riferimento per il trattamento del DOC in popolazioni pediatriche, anche in tutti i suoi differenti protocolli che si sono sviluppati negli ultimi anni.
doi: 10.53240/2024topic1.012.002
Riferimenti bibliografici
American Psychiatric Association. (2013). Manuale diagnostico e statistico dei disturbi mentali- Quinta Edizione. DSM-5. Tr. It. Raffaello Cortina, Milano, 2015
Batista, E. K., Klauss, J., Fregni, F., Nitsche, M. A., & Nakamura-Palacios, E. M. (2015). A randomized placebo-controlled trial of targeted prefrontal cortex modulation with bilateral tDCS in patients with crack-cocaine dependence. International Journal of Neuropsychopharmacology, 18(12), pyv066, doi: 10.1093/ijnp/pyv066
Bewernick, B. H. et al., (2010). Nucleus accumbens deep brain stimulation decreases ratings of depression and anxiety in treatment-resistant depression. Biological Psychiatry, 67(2), 110–116, doi: 10.1016/j. biopsych.2009.09.013
Boggio, P. S., Liguori, P., Sultani, N., Rezende, L., Fecteau, S., & Fregni, F. (2009). Cumulative priming effects of cortical stimulation on smoking cue-induced craving. Neuroscience letters, 463(1), 82-86, doi: 10.1016/j.neulet.2009.07.041
Calvocoressi, L., Mazure, C. M., Kasl, S. V., Skolnick, J., Fisk, D., Vegso, S. J., Van Noppen, B. L., & Price, L. H. (1999). Family accommodation of obsessive-compulsive symptoms: instrument development and assessment of family behavior. Journal of Nervous and Mental Disease, 187(10), 636-642, doi: 10.1097/00005053-199910000-00008
Carmi, L., Alyagon, U., Barnea-Ygael, N., Zohar, J., Dar, R., & Zangen, A. (2018). Clinical and electrophysiological outcomes of deep TMS over the medial prefrontal and anterior cingulate cortices in OCD patients. Brain stimulation, 11(1), 158-165, doi: 10.1016/j.brs.2017.09.004
Comer, J. S. et al. (2017). Internet-Delivered, Family-Based Treatment for Early-Onsed OCD: A Pilot Randomized Trial. Journal of Consulting and Clinical Psychology, 85(2), 178-186, doi: 10.1037/ccp0000155
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38(8), 835–855, doi: 101.1016/s0005-7967(99)00130-8
Donse, L., Padberg, F., Sack, A. T., Rush, A. J., & Arns, M. (2018). Simultaneous rTMS and psychotherapy in major depressive disorder: clinical outcomes and predictors from a large naturalistic study. Brain stimulation, 11(2), 337-345, doi: 10.1016/j.brs.2017.11.004
Farrell et al. (2013). Difficult-to-treat pediatric obsessive-compulsive disorder: Feasibility and preliminary results of a randomized pilot trial of d-cycloserine-augmented behavior therapy. Depression and Anxiety, 30 (8), 723-731, doi: 10.1002/da.22132
Farrell, L. J., Oar, E. L., Waters, A. M., McConnell, H., Tiralongo, E., Garbharran, V., & Ollendick, T. (2016). Brief Intensive CBT for pediatric OCD with E-therapy maintenance. Journal of Anxiety Disorders, 42, 85-94, doi: 10.1016/j.janxdis.2016.06.005
Farrell, L. J., Sluis, R., & Waters, A. M. (2016). Intensive Treatment of Pediatric OCD: The Case of Sarah. Journal of Clinical Psychology, 72(11), 1174-1190, doi: 10.1002/jclp.22397
Fatori et al. (2018). Adaptive treatment strategies for children and adolescents with obsessive-compulsive disorder: a sequential multiple assignment randomized trial. Journal of Anxiety Disorders, 58, 42-50, doi: 10.1016/janxdis.2018.07.002
Franklin, M. E., Sapyta, J., Freeman, J. B. et al. (2011). Cognitive behaviour therapy augmentation of pharmacotherapy in pediatric obsessive-compulsive disorder: the Pediatric OCD Treatment Study II (POTS II) randomized controlled trial. JAMA, 306, 1224-1232, doi: 10.1001/jama.2011.1344
Freeman, J. et al., (2014). Family-Based Treatment of Early Childhood OCD: The Pediatric OCD Treatment Study Junior (POTS Jr.) Randomized Controlled Trial. JAMA Psychiatry, 71(6), 689-698, doi: 10.1001/jamapsychiatry.2014.170
Geller, D. A., & March, J. (2012). Practice parameter for the assessment and treatment of children and adolescences with obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51(1), 98-113, doi: 10.1016/j.jaac.2011.09.019
Goisman, R. M., Rogers, M. P., Steketee, G. S., Warshaw, M. G., Cuneo, P., & Keller, M. B. (1993). Utilization of behavioral methods in a multicenter anxiety disorders study. The Journal of Clinical Psychiatry, 54(6), 213–218.
Grassi, G., Godini, L., Grippo, A., Piccagliani, D., & Pallanti, S. (2015). Enhancing cognitive-behavioral therapy with repetitive transcranial magnetic stimulation in refractory obsessive-compulsive-disorder: a case report. Brain Stimulation: Basic, Translational, and ClinicalResearch in Neuromodulation, 8(1), 160-161, doi: 10.1016/j.brs.2014.10.007
Guy, W., & Bonato, R.R. (eds.). (1970). Clinical Global Impressions. Chevy Chase, MD: NIMH.
Henin, A., & Kendall, P. C. (1997). Obsessive-compulsive disorder in childhood and adolescence. Advances in Clinical Child Psychology, 19, 75-131, doi: 10.1007/978-1-4757-9035-1_3
Holmgren Melin, K., Skärsäter, I., Mowatt Haugland, B. S., & Ivarsson, T. (2015). Treatment and 12-month outcome of children and adolescents with obsessive-compulsive disorder: A naturalistic study. Journal of Obsessive-Compulsive and Related Disorder, 6, 1-6, doi: 10.1016/j.jocrd.2015.04.002
Inci Izmir, S. B. & Ercan, E. S. (2023). Treatment of preschool children with obsessive-compulsive disorder. Clinical Child Psychology and Psychiatry, 28(2), 734-747, doi: 10.1177/13591045221111848
Krebs, G., & Heyman, I. (2015). Obsessive-compulsive disorder in children and adolescents. Archives of Diseases In Childhood, 100(5), 495-499, doi: 10.1136/archdischild-2014-306934
Labouliere, C. D., Arnold, E. B., Storch, E. A., & Lewin, A. B. (2014). Family-Based Cognitive-Behavioral Treatment for a Preschooler with Obsessive-Compulsive Disorder. Clinical Case Studies, 13(1), 37-51, doi: 10.1177/1534650113504985
Lebowitz, E. R. (2013). Parent-based treatment for childhood and adolescent OCD. Journal of Obsessive-Compulsive and Related Disorders, 2, 425-431, doi: 10.1016/j.jocrd.2013.08.004
Lebowitz, E. R., Omer, H., & Leckman, J. F. (2011). Coercive and Disruptive Behavior Scale--Pediatric Obsessive-Compulsive Disorder (CD-POC). APA PsycTests, doi: 10.1037/t29380-000
Lebowitz, E. R., & Simishoni, Y. (2018). The SPACE program, a parent-based treatment for childhood and adolescent OCD: the case of Jasmine. Bulletin of the Menninger Clinic, 82(4), 266-287, doi: 10.1521/bumc.2018.82.4.266
Lenhard, F., Vigerland, S., Engberg, H., Hallberg, A., Thermaenius, H., & Sedrlachius, E. (2016). “On My Own, but Not Alone”- Adolescent’s Experiences of Internet-Delivered Cognitive-Behavior Therapy of Obsessive-Compulsive Disorder. PLoS ONE, 11(10), e0164311, doi: 10.1371/journal.pone.0164311
Luyten, L., Hendrickx, S., Raymaekers, S., Gabri¨els, L., & Nuttin, B. (2016). Electrical stimulation in the bed nucleus of the stria terminalis alleviates severe obsessive compulsive disorder. Molecular Psychiatry, 21(9), 1272–1280, doi: 10.1038/mp.2015.124
Masi, G., Perugi, G., Millepiedi, S., Toni, C., Mucci, M., Pfanner, C., Berloffa, S., Pari, C., & Akiskal, H. S. (2007). Bipolar co-morbidity in pediatric obsessive-compulsive disorder: clinical and treatment implications. Journal of Child and Adolescent Psychopharmacology, 17(4), 475-86, doi: 10.1089/CAP.2006.0107
Masi, G., Millepiedi, S., Mucci, M., Bertini, N., Pfanner, C., & Arcangeli, F. (2006). Comorbidity of obsessive-compulsive disorder and attention-deficit/hyperactivity disorder in referred children and adolescents. Comprehensive Psychiatry, 47(1), 42-7, doi: 10.1016/comppsych.2005.04.008
Masi, G., Millepiedi, S., Perugi, G., Pfanner, C., Berloffa, S., Pari, C., Mucci, M., & Akiskal, H. S. (2010). A naturalistic exploratory study of the impact of demographic, phenotypic and comorbid features in pediatric obsessive-compulsive disorder. Psychopathology, 43(2), 69-78, doi: 10.1159/000274175
Masi, G., Perugi, G., Toni, C., Millepiedi, S., Mucci, M., Bertini, N., & Akiskal, H. S. (2004). Obsessive-compulsive bipolar comorbidity: focus on children and adolescents. Journal of Affective Disorders, 78(3), 175-189, doi: 10.1016/S0165-0327(03)00107-1
Melin, K., Skarphedinsson, G., Skärsäter, I., Mowatt Haugland, B. S., & Ivarsson, T. (2018). A solidy majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD. European Child & Adolescent Psychiatry, 27, 1373-1381, doi: 10.1007/s00787-018-1137-9
NICE. Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. Londos: NICE, 2005
Ojserkis, R., Morris, B., & McKay, D. (2014). Pediatric Obsessive-Compulsive Disorder: An Illustration of Intensive Family-Based Treatment Delivered via Web Camera. Clinical Case Studies, 13(1), 68-79, doi: 10.1177/1534650113504489
Peris, T. S., & Piacentini, J. (2013). Optimizing treatment for complex cases of childhood obsessive-compulsive disorder : a preliminary trial. Journal of Clinical Child & Adolescent Psychology, 42(1), 1-8, doi: 10.1080/15374416.2012.673162
Pham, M. T. et al. (2023). Clinician perspective on levels of evidence and oversight for deep brain stimulation for treatment-resistant childhood OCD. Journal of Obsessive-Compulsive and Related Disorders, 39, 100830, doi: 10.1016/j.jocrd.2023.100830
POTS. (2004) Cognitive-behaviour therapy, sertraline and their combination for children and adolescents with obsessive-compulsive disorder: the Pediatric OCD Treatment Study (POTS) Randomized Controlled Trial. JAMA, 292, 1969-1976, doi: 10.1001/jama.292.16.1969
Rasmussen, S. A. (1993). Genetic studies of obsessive-compulsive disorder. Annals of Clinical Psychiatry, 5, 241-247, doi: 10.3109/10401239309148823
Scaife, J. C., Eraifej, J., Green, A. L., Petric, B., Aziz, T. Z., & Park, R. J. (2022). Deep brain stimulation of the nucleus accumbens in severe enduring anorexia nervosa: A pilot study. Frontiers in Behavioral Neuroscience, 16, doi: 10.3389/fnbeh.2022.842184
Scahill, L., Riddle, M.A., McSwiggin-Hardin, M., Ort, S.I., King, R.A., Goodman, W.K., Cicchetti, D. & Leckman, J.F. (1997). Children's Yale-Brown Obsessive Compulsive Scale: reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36(6), 844-852, doi: 10.1097/00004583-199706000-00023
Schwartz C., Schlegl S., Kuelz A. K., & Voderholzer, U. (2013). Treatment-seeking in OCD community cases and psychological treatment actually provided to treatment-seeking patients: A systematic review. Journal of Obsessive-Compulsive and Related Disorders, 2, 448–456, doi: 10.1016/jocrd.2013.10.006
Shaw, A. M., Halliday, E. R., & Ehrenreich-May, J. (2020). The effect of transdiagnostic emotion-focused treatment on obsessive-compulsive symptoms in children and adolescents. Journal of Obsessive-Compulsive and Related Disorders, 26, 100552, doi: 10.1016/j.jocrd.2020.100552
Silverman W. K., & Albano A. M. (1996). The Anxiety Disorders Interview Schedule for DSM–IV—Child and parent versions. San Antonio, TX: Psychological Corporation
Spence, S. H., Barrett, P. M., & Turner, C. M. (2003). Psychometrics properties of the Spence Children’s Anxiety Scale with young adolescents. Journal of Anxiety Disorders, 17(6), 605-625, doi: 10.1016/S0887-6185(02)00236-0
US Food and Drug Administration. (2022). Humanitarian device exemption. https ://www.fda.gov/medical-devices/premarket-submissions-selecting-and-preparingcorrect submission/humanitarian-device-exemption.
US Food and Drug Administration. (2009). Humanitarian device exemption (HDE): Deep brain stimulator for obsessive compulsive disorder (ocd). https://www.accessdata. fda.gov/scripts/cdrh/cfdocs/cfhde/hde.cfm?id=375533
Vedeniapin, A., Cheng, L., & George, M. S. (2010). Feasibility of simultaneous cognitive behavioral therapy and leftprefrontalrTMS for treatment resistantdepression. Brain Stimulation: Basic, Translational, and ClinicalResearch in Neuromodulation, 3(4), 207-210, doi: 10.1016/j.brs.2010.03.005
Waters, T. L., & Barrett, P. M. (2000). The role of the family in the childhood obsessive-compulsive disorder. Clinical Child and Family Psychology Review, 3, 173-184, doi: 10.1023/A:1009551325629
Whiteside S. P. (2009). Adapting the Sheehan Disability Scale to assess child and parent impairment related to childhood anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 38(5), 721–730, doi: 10.1080/15374410903103551
Whiteside, S. P. H., Ale, C. M., Vickers Douglas, K., Tiede, M. S., & Dammann, J. E. (2014). Case Examples of Enhancing Pediatric OCD Treatment with a Smartphone Application. Clinical Case Studies, 13(1), 80-94, doi: 10.1177/1534650113504822
Whiteside, S. P. H., Dammann, J. E., Tiede, M. S., Biggs, B. K., & Hillson Jensen, A. (2018). Increasing Availability of Exposure Therapy Through Intensive Group Treatment for Childhood Anxiety and OCD. Behavior Modification, 42(5), 707-728, doi: 10.1177/0145445517730831
Whiteside, S. P., Gryczkowksy, M., Ale, C. M., Brown-Jacobsen, A. M., & McCarthy, D. M. (2013). Development of child- and parent-report measures of behavioral avoidance related to childhood anxiety disorders. Behavior Therapy, 44(2), 325-377, doi: 10.1016/j.beth.2013.02.00
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