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Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder.

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Title: Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder.
Authors: Weidle, Bernhard (AUTHOR), Babiano-Espinosa, Lucía (AUTHOR), Skokauskas, Norbert (AUTHOR), Wolters, Lidewij H. (AUTHOR), Henriksen, Marit (AUTHOR), Arntzen, Jostein (AUTHOR), Skare, Anne (AUTHOR), Ivarsson, Tord (AUTHOR), Groff, Tricia (AUTHOR), Skarphedinsson, Gudmundur (AUTHOR)
Source: Child Psychiatry & Human Development. Jun2026, Vol. 57 Issue 3, p833-845. 13p.
Subjects: Videoconferencing, Treatment effectiveness, Patient-professional relations, Cognitive therapy, Obsessive-compulsive disorder, Telemedicine
Abstract: Obsessive-compulsive disorder (OCD), characterized by recurring obsessions and compulsions, affects 1–3% of the childhood population, often leading to severe impairment and reduced quality of life. Cognitive behavioral therapy (CBT) is well-documented as first choice treatment for pediatric OCD. Traditionally delivered face-to-face CBT has limitations in terms of accessibility, availability, and quality of delivery. Online CBT using video conferencing (online-CBT) at home aims to address some of these barriers. In this pilot study, we aimed to compare acceptability, feasibility and effectiveness of online CBT against face-to-face CBT. Online CBT outcomes of 29 children with OCD were analyzed benchmarked against outcomes of face-to-face CBT (n = 269) from the Nordic Long-term OCD Treatment Study, the largest CBT follow up study in pediatric OCD to date. Acceptability rated by online CBT participants and their parents was very high (Client Satisfaction Questionnaire total scores about 30, range 8–32). Feasibility assessed as dropout rate was comparable to NordLOTS (10.3% versus 9.7%). The online CBT group compared to NordLOTS showed a higher response rate (90% versus 60%; p =.002) and remission rate (81% versus 53%; p =.231). Our results suggest that the trusting therapeutic relationship necessary for demanding exposure-based treatment can be established by online CBT. Online CBT seems to be at least as effective in reducing OCD symptoms than standard CBT. Trial ID: ISRCTN37530113. [ABSTRACT FROM AUTHOR]
Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder.
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  Data: <searchLink fieldCode="AR" term="%22Weidle%2C+Bernhard%22">Weidle, Bernhard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Babiano-Espinosa%2C+Lucía%22">Babiano-Espinosa, Lucía</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Skokauskas%2C+Norbert%22">Skokauskas, Norbert</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wolters%2C+Lidewij+H%2E%22">Wolters, Lidewij H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Henriksen%2C+Marit%22">Henriksen, Marit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arntzen%2C+Jostein%22">Arntzen, Jostein</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Skare%2C+Anne%22">Skare, Anne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ivarsson%2C+Tord%22">Ivarsson, Tord</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Groff%2C+Tricia%22">Groff, Tricia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Skarphedinsson%2C+Gudmundur%22">Skarphedinsson, Gudmundur</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Child+Psychiatry+%26+Human+Development%22">Child Psychiatry & Human Development</searchLink>. Jun2026, Vol. 57 Issue 3, p833-845. 13p.
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  Data: Obsessive-compulsive disorder (OCD), characterized by recurring obsessions and compulsions, affects 1–3% of the childhood population, often leading to severe impairment and reduced quality of life. Cognitive behavioral therapy (CBT) is well-documented as first choice treatment for pediatric OCD. Traditionally delivered face-to-face CBT has limitations in terms of accessibility, availability, and quality of delivery. Online CBT using video conferencing (online-CBT) at home aims to address some of these barriers. In this pilot study, we aimed to compare acceptability, feasibility and effectiveness of online CBT against face-to-face CBT. Online CBT outcomes of 29 children with OCD were analyzed benchmarked against outcomes of face-to-face CBT (n = 269) from the Nordic Long-term OCD Treatment Study, the largest CBT follow up study in pediatric OCD to date. Acceptability rated by online CBT participants and their parents was very high (Client Satisfaction Questionnaire total scores about 30, range 8–32). Feasibility assessed as dropout rate was comparable to NordLOTS (10.3% versus 9.7%). The online CBT group compared to NordLOTS showed a higher response rate (90% versus 60%; p =.002) and remission rate (81% versus 53%; p =.231). Our results suggest that the trusting therapeutic relationship necessary for demanding exposure-based treatment can be established by online CBT. Online CBT seems to be at least as effective in reducing OCD symptoms than standard CBT. Trial ID: ISRCTN37530113. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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