Maximising Momentum: A Systematic Review and Meta-Analysis of Intensive Interventions for Youth with Anxiety and Obsessive-Compulsive Disorders

Ganzevoort, Colin (2023) Maximising Momentum: A Systematic Review and Meta-Analysis of Intensive Interventions for Youth with Anxiety and Obsessive-Compulsive Disorders. Research Master thesis, Research Master.

Text C.O.W. Ganzevoort - Maximising Momentum A Systematic Review and Meta-Analysis of Intensive Interventions for Youth with Anxiety and Obsessive-Compulsive Disorders.pdf Restricted to Repository staff only Download (17MB)

Abstract

Anxiety and obsessive-compulsive disorders (ADs/OCDs) significantly impact youth. Despite effective cognitive-behavioural therapy (CBT), non-response and relapse are common. Intensive treatments may represent viable second-step interventions, but overviews of their characteristics, acceptability, and feasibility are lacking. This preregistered systematic review/meta-analysis addressed these aspects, along with symptom severity, remission, impairment, functioning, and quality of life. Systematically searching five databases yielded 4 controlled and 33 uncontrolled studies (N=2398) involving youth with primary ADs/OCDs, with most having received prior treatment(s). Intensive treatments were acceptable and feasible, mainly employing outpatient CBT. Between-group analyses revealed no significant differences with control conditions. Uncontrolled within-group analyses of intensive treatments showed positive changes across all outcomes, including large overall symptom improvements. Intensive treatments may maximise momentum for improvement, showing promise for youth ADs/OCDs by potentially offering comparable outcomes to standard CBT in condensed timeframes, reducing overall impairment. Future research should examine intensive treatments for non-responders and address implementation challenges.

Item Type:	Thesis (Research Master)
Supervisor name:	Nauta, M.H.
Degree programme:	Research Master
Differentiation route:	Deficits, Distress, and Disorders [Research Master]
Date Deposited:	21 Aug 2023 06:59
Last Modified:	21 Aug 2023 06:59
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/2764

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