RECRUITINGINTERVENTIONAL

SPACE: a Parent-based Treatment for Pediatric OCD

Supportive Parenting for Anxious Childhood Emotions (SPACE): an Innovative Parent-based Treatment for Children With Obsessive-compulsive Disorder

About This Trial

This study will investigate the parent-based treatment SPACE: Supportive Parenting for Anxious Childhood Emotions. The aim of this study is to investigate whether SPACE is effective in reducing family accommodation (FA) and OCD symptoms in children with a complex obsessive-compulsive disorder (OCD), that did not or cannot benefit from first line treatment.

Who May Be Eligible (Plain English)

Who May Qualify: - The child ages between 7 - 18 years old - The child meets the DSM-5 criteria for OCD (as primary classification) - The child did not benefit from psychological treatment for OCD (either followed 8 to 12 sessions of CBT or other psychotherapy), aborted treatment early or was unable/not motivated to receive treatment due to high levels of anxiety/OCD) - At time of baseline still meets the clinical cut-off of 16 or higher for OCD on the Child Yale-Brown Obsessive Compulsive Scale \[CY-BOCS\]. - Psychiatric comorbidity is allowed, provided that OCD is the primary treatment target - Parents report high levels of Family Accommodation (FA) at time of baseline (meeting the cut-off of 10 or higher on the Family Accommodation Scale Anxiety \[FASA\]) - Medication use is allowed. Selective serotonin reuptake inhibitors (SSRI) use (for OCD symptoms) is allowed as well, provided that the medication regime has been stable 4 weeks prior to participation and remains unchanged during participation. Who Should NOT Join This Trial: - The child needs inpatient treatment - Acute suicidality - Psychotic symptoms - No participating parents - Parents have insufficient mastery of the Dutch language - Parents or child have an estimated IQ below 75 Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * The child ages between 7 - 18 years old * The child meets the DSM-5 criteria for OCD (as primary classification) * The child did not benefit from psychological treatment for OCD (either followed 8 to 12 sessions of CBT or other psychotherapy), aborted treatment early or was unable/not motivated to receive treatment due to high levels of anxiety/OCD) * At time of baseline still meets the clinical cut-off of 16 or higher for OCD on the Child Yale-Brown Obsessive Compulsive Scale \[CY-BOCS\]. * Psychiatric comorbidity is allowed, provided that OCD is the primary treatment target * Parents report high levels of Family Accommodation (FA) at time of baseline (meeting the cut-off of 10 or higher on the Family Accommodation Scale Anxiety \[FASA\]) * Medication use is allowed. Selective serotonin reuptake inhibitors (SSRI) use (for OCD symptoms) is allowed as well, provided that the medication regime has been stable 4 weeks prior to participation and remains unchanged during participation. Exclusion Criteria: * The child needs inpatient treatment * Acute suicidality * Psychotic symptoms * No participating parents * Parents have insufficient mastery of the Dutch language * Parents or child have an estimated IQ below 75

Treatments Being Tested

BEHAVIORAL

Supportive Parenting for Anxious Childhood Emotions (SPACE)

SPACE is a parent-based treatment (parent-stand-alone treatment) for parents of youth with anxiety symptoms or OCD. The manualized treatment protocol contains 12 sessions, in which parents are taught to reduce family accommodation (FA) and to increase supportive responses to their child.

Locations (1)

Amsterdam UMC / Levvel (Academic centre for child & adolescent psychiatry)

Amsterdam, Netherlands