Evidence map›Paper›PMID 24759852›Full record

Trial reportJAMA psychiatry2014

Family-based treatment of early childhood obsessive-compulsive disorder: the Pediatric Obsessive-Compulsive Disorder Treatment Study for Young Children (POTS Jr)--a randomized clinical trial.

Jennifer Freeman, Jeffrey Sapyta, Abbe Garcia, Scott Compton, Muniya Khanna, Chris Flessner, David FitzGerald, Christian Mauro, Rebecca Dingfelder, Kristen Benito and 6 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in JAMA psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00533806 (Family Based Treatment for Early Childhood OCD), which is not on this map. Cited by 61 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 5 pooled it
18.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00533806 phase3completednot on this map

Family Based Treatment for Early Childhood OCD

TypeinterventionalSponsorRhode Island HospitalRan2007 to 2013Enrolled127ConditionsObsessive Compulsive DisorderArmsCognitive Behavior Therapy, Relaxation Therapy
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 5 syntheses or guidelines pooled it, 194 citations in OpenAlex.

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  4. Efficacy of Cognitive-Behavioral Therapy in Pediatric Obsessive-Compulsive Disorder: A Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2016
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  15. Fear conditioning and extinction in pediatric obsessive-compulsive disorder.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2017
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Jennifer FreemanAlpert Medical School of Brown University; Bradley-Hasbro Children's Research Center, Providence, Rhode Island.
Jeffrey SapytaDuke University School of Medicine, Durham, North Carolina.
Abbe GarciaAlpert Medical School of Brown University; Bradley-Hasbro Children's Research Center, Providence, Rhode Island.
Scott ComptonDuke University School of Medicine, Durham, North Carolina.
Muniya KhannaUniversity of Pennsylvania School of Medicine, Philadelphia.
Chris FlessnerAlpert Medical School of Brown University; Bradley-Hasbro Children's Research Center, Providence, Rhode Island.
David FitzGeraldDuke University School of Medicine, Durham, North Carolina.
Christian MauroDuke University School of Medicine, Durham, North Carolina.
Rebecca DingfelderDuke University School of Medicine, Durham, North Carolina.
Kristen BenitoAlpert Medical School of Brown University; Bradley-Hasbro Children's Research Center, Providence, Rhode Island.
Julie HarrisonUniversity of Pennsylvania School of Medicine, Philadelphia.
John CurryDuke University School of Medicine, Durham, North Carolina.
Edna FoaUniversity of Pennsylvania School of Medicine, Philadelphia.
John MarchDuke University School of Medicine, Durham, North Carolina.
Phoebe MooreDuke University School of Medicine, Durham, North Carolina.
Martin FranklinUniversity of Pennsylvania School of Medicine, Philadelphia.
Duke University · USBrown University · USUniversity of Pennsylvania · US

Funding

Family Based Treatment of Early Childhood OCDR01MH079154 · NIMH · DUKE UNIVERSITY · PI MARCH, JOHN S · 2007 to 2011
$1.3M
Family Based Treatment of Early Childhood OCDR01MH079377 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI FRANKLIN, MARTIN E · 2007 to 2011
$1.2M
Family Based Treatment of Early Childhood OCDR01MH079217 · NIMH · RHODE ISLAND HOSPITAL · PI FREEMAN, JENNIFER B · 2007 to 2011
$1.2M
NIMH NIH HHS R01 MH079154NIMH NIH HHS R01-MH 079154NIMH NIH HHS R01 MH079217NIMH NIH HHS R01 MH079377NIMH NIH HHS R01-MH079377NIMH NIH HHS R01-MH79217
6 · The paper itself

Abstract

importanceCognitive behavior therapy (CBT) has been established as efficacious for obsessive-compulsive disorder (OCD) among older children and adolescents, yet its effect on young children has not been evaluated sufficiently.

objectiveTo examine the relative efficacy of family-based CBT (FB-CBT) involving exposure plus response prevention vs an FB relaxation treatment (FB-RT) control condition for children 5 to 8 years of age. DESIGN, SETTING, AND

participantsA 14-week randomized clinical trial (Pediatric Obsessive-Compulsive Disorder Treatment Study for Young Children [POTS Jr]) conducted at 3 academic medical centers between 2006 and 2011, involving 127 pediatric outpatients 5 to 8 years of age who received a primary diagnosis of OCD and a Children's Yale-Brown Obsessive Compulsive Scale total score of 16 or higher.

interventionsParticipants were randomly assigned to 14 weeks of (1) FB-CBT, including exposure plus response prevention, or (2) FB-RT. MAIN OUTCOMES AND MEASURES: Responder status defined as an independent evaluator-rated Clinical Global Impression-Improvement scale score of 1 (very much improved) or 2 (much improved) and change in independent evaluator-rated continuous Children's Yale-Brown Obsessive Compulsive Scale total score. RESULTS Family-based CBT was superior to FB-RT on both primary outcome measures. The percentages of children who were rated as 1 (very much improved) or 2 (much improved) on the Clinical Global Impression-Improvement scale at 14 weeks were 72% for FB-CBT and 41% for FB-RT. The effect size difference between FB-CBT and FB-RT on the Clinical Global Impression-Improvement scale was 0.31 (95% CI, 0.17-0.45). The number needed to treat (NNT) with FB-CBT vs FB-RT was estimated as 3.2 (95% CI, 2.2-5.8). The effect size difference between FB-CBT and FB-RT on the Children's Yale-Brown Obsessive Compulsive Scale at week 14 was 0.84 (95% CI, 0.62-1.06). CONCLUSIONS AND RELEVANCE: A comprehensive FB-CBT program was superior to a relaxation program with a similar format in reducing OCD symptoms and functional impairment in young children (5-8 years of age) with OCD.

trial registrationclinicaltrials.gov Identifier: NCT00533806.

Indexed as

Cognitive Behavioral TherapyFamily TherapyAdultChildChild, PreschoolFemaleHumansMaleObsessive-Compulsive Disorder

Identifiers

PMID24759852
PMCPMC4511269
OpenAlexW2049700186

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.