The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension
Abstract Background B4DT is a concentrated treatment format with prolonged sessions of exposure and ritual prevention (ERP) delivered over four consecutive days. Two previous open trials demonstrated promising results of the Bergen 4-day treatment (B4DT) for adolescents with obsessive-compulsive dis...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-024-05601-w |
| _version_ | 1797273638293995520 |
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| author | Solvei Harila Skjold Kristen Hagen Michael G. Wheaton Kay Morten Hjelle Thröstur Björgvinsson Bjarne Hansen |
| author_facet | Solvei Harila Skjold Kristen Hagen Michael G. Wheaton Kay Morten Hjelle Thröstur Björgvinsson Bjarne Hansen |
| author_sort | Solvei Harila Skjold |
| collection | DOAJ |
| description | Abstract Background B4DT is a concentrated treatment format with prolonged sessions of exposure and ritual prevention (ERP) delivered over four consecutive days. Two previous open trials demonstrated promising results of the Bergen 4-day treatment (B4DT) for adolescents with obsessive-compulsive disorder (OCD). The aim of the current study was to replicate the initial results with a new sample of adolescents and different therapists at different sites across Norway. Methods Forty-three youths participated in treatment program. At pretreatment, posttreatment, and the three-month follow-up, OCD symptoms were assessed using the CY-BOCS interview, while the GAD-7 and PHQ-9 were administered to rate general anxiety symptoms and depressive symptoms. Acceptability and patient satisfaction with the treatment were rated with the CSQ-8. Results All symptoms were significantly reduced at posttreatment and follow-up. At posttreatment, 36 patients (85.71%) were defined as responders, while 29 patients (69.05%) achieved remission. At the three-month follow-up, 36 patients (92.3%) were defined as responders, while 33 patients (84.62%) were in remission. CSQ-8 scores indicated that the patients were highly satisfied with the treatment. Conclusions The B4DT was successfully replicated in a new sample at different sites across Norway, which indicates that this treatment is generalizable, effective and acceptable to adolescents with OCD. |
| first_indexed | 2024-03-07T14:47:15Z |
| format | Article |
| id | doaj.art-083eee36cc9d4efc988c4a19515f609c |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-07T14:47:15Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-083eee36cc9d4efc988c4a19515f609c2024-03-05T19:54:09ZengBMCBMC Psychiatry1471-244X2024-02-012411810.1186/s12888-024-05601-wThe effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extensionSolvei Harila Skjold0Kristen Hagen1Michael G. Wheaton2Kay Morten Hjelle3Thröstur Björgvinsson4Bjarne Hansen5Bergen Center for Brain Plasticity, Haukeland University HospitalBergen Center for Brain Plasticity, Haukeland University HospitalDepartment of Psychology, Barnard College, Columbia UniversityBergen Center for Brain Plasticity, Haukeland University HospitalDepartment of Psychiatry, Harvard Medical SchoolBergen Center for Brain Plasticity, Haukeland University HospitalAbstract Background B4DT is a concentrated treatment format with prolonged sessions of exposure and ritual prevention (ERP) delivered over four consecutive days. Two previous open trials demonstrated promising results of the Bergen 4-day treatment (B4DT) for adolescents with obsessive-compulsive disorder (OCD). The aim of the current study was to replicate the initial results with a new sample of adolescents and different therapists at different sites across Norway. Methods Forty-three youths participated in treatment program. At pretreatment, posttreatment, and the three-month follow-up, OCD symptoms were assessed using the CY-BOCS interview, while the GAD-7 and PHQ-9 were administered to rate general anxiety symptoms and depressive symptoms. Acceptability and patient satisfaction with the treatment were rated with the CSQ-8. Results All symptoms were significantly reduced at posttreatment and follow-up. At posttreatment, 36 patients (85.71%) were defined as responders, while 29 patients (69.05%) achieved remission. At the three-month follow-up, 36 patients (92.3%) were defined as responders, while 33 patients (84.62%) were in remission. CSQ-8 scores indicated that the patients were highly satisfied with the treatment. Conclusions The B4DT was successfully replicated in a new sample at different sites across Norway, which indicates that this treatment is generalizable, effective and acceptable to adolescents with OCD.https://doi.org/10.1186/s12888-024-05601-wOCDAdolescentsConcentrated treatmentExposureB4DTCBT |
| spellingShingle | Solvei Harila Skjold Kristen Hagen Michael G. Wheaton Kay Morten Hjelle Thröstur Björgvinsson Bjarne Hansen The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension BMC Psychiatry OCD Adolescents Concentrated treatment Exposure B4DT CBT |
| title | The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension |
| title_full | The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension |
| title_fullStr | The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension |
| title_full_unstemmed | The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension |
| title_short | The effectiveness and acceptability of the Bergen 4-day treatment for adolescents with OCD: a replication and extension |
| title_sort | effectiveness and acceptability of the bergen 4 day treatment for adolescents with ocd a replication and extension |
| topic | OCD Adolescents Concentrated treatment Exposure B4DT CBT |
| url | https://doi.org/10.1186/s12888-024-05601-w |
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