eCBT Versus Standard Individual CBT for Paediatric Obsessive–Compulsive Disorder

Lucía Babiano-Espinosa, Gudmundur Skarphedinsson, Bernhard Weidle, Lidewij H. Wolters, Scott Compton, Tord Ivarsson, Norbert Skokauskas

Research output: Contribution to JournalArticleAcademicpeer-review


Obsessive–compulsive disorder (OCD) is characterized by recurring obsessions and compulsions often with severe impairment affecting 1–3% of children and adolescents. Cognitive behavioural therapy (CBT) is the therapeutic golden standard for paediatric OCD. However, face-to-face CBT is limited by accessibility, availability, and quality of delivery. Enhanced CBT (eCBT) a combination of face-to-face sessions at the clinic and treatment at home via webcam and a supportive app system aims to address some of these barriers. In this pilot study, we compared eCBT outcomes of 25 paediatric patients with OCD benchmarked against traditional face-to-face CBT (n = 269) from the Nordic Long-term OCD Treatment Study, the largest paediatric OCD CBT study to date. Pairwise comparisons showed no difference between eCBT and NordLOTS treatment outcomes. Mean estimate difference was 2.5 in favour of eCBT (95% CI − 0.3 to 5.3). eCBT compared to NordLOTS showed no significant differences between response and remission rates, suggesting similar effectiveness.
Original languageEnglish
JournalChild Psychiatry and Human Development
Early online date2022
Publication statusE-pub ahead of print - 2022


  • Adolescents
  • Children
  • Cognitive behavioral therapy (CBT)
  • Enhanced cognitive behavioral therapy (eCBT)
  • Obsessive–compulsive disorder (OCD)

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