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Children's Naive Concepts of OCD and How They Are Affected by Biomedical Versus Cognitive Behavioural Psychoeducation

Published online by Cambridge University Press:  04 April 2018

B. Butlin Open the ORCID record for B. Butlin [Opens in a new window]  and
C. Wilson
B. Butlin*
Affiliation:
School of Psychology, Trinity College Dublin, Dublin 2, Ireland
C. Wilson
Affiliation:
School of Psychology, Trinity College Dublin, Dublin 2, Ireland
*
*Correspondence to B. Butlin, School of Psychology, Trinity College Dublin, Dublin 2, Ireland. E-mail: [email protected]
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Abstract

Background: How we conceptualize mental health conditions is important as it impacts on a wide range of mediators of treatment outcome. We do not know how children intuitively conceptualize obsessive-compulsive disorder (OCD), nor do we know the relative impact of biomedical or cognitive behavioural conceptual explanations, yet both are being widely used in psychoeducation for children with OCD. Aims: This study identified children's naive concepts of OCD, and the comparative impact of biomedical versus cognitive behavioural psychoeducation on perceived prognosis. Method: A within- and between-subjects experimental design was used. After watching a video of a young person describing their OCD, 202 children completed a questionnaire examining their concepts of the condition. They repeated the questionnaire following a second equivalent video, this time preceded by either biomedical or cognitive behavioural psychoeducation. Results: Participants’ naive concepts of OCD reflected predominant models of OCD in healthcare. Even at the minimal dose of psychoeducation, participants’ conceptualizations of OCD changed. Prior exposure to OCD resulted in a stronger alignment with the biomedical model. Exposure to biomedical psychoeducation resulted in participants predicting a slower recovery with less chance of complete remission. Conclusion: Psychoeducation for childhood OCD is impactful. Despite its wide use by clinicians and mental health services, biomedical psychoeducation appears to have deleterious effects. Children's concepts of OCD merit attention but caution should be applied in how they are targeted.

Keywords

children and adolescentsobsessive-compulsive disordercausal attributionsCBT
Type
Empirically Grounded Clinical Interventions
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 4 , July 2018 , pp. 405 - 420
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Ader, H. and Mellenbergh, G. (2008). Advising on Research Methods: A Consultant's Companion. The Netherlands: Huizen.Google Scholar
Ahmari, S. E., Spellman, T., Douglass, N. L., Kheirbek, M. A., Simpson, H. B., Deisseroth, K. and Hen, R. (2013). Repeated cortico-striatal stimulation generates persistent OCD-like behaviour. Science, 340, 1234–1239CrossRefGoogle Scholar
Alibali, M. W. (1999). How children change their minds: strategy change can be gradual or abrupt. Developmental Psychology, 35, 127–145.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Publications.Google Scholar
Baines, T. and Wittkowski, A. (2013). A systematic review of the literature exploring illness perceptions in mental health utilising the self-regulation model. Journal of Clinical Psychology in Medical Settings, 20, 263–274.Google Scholar
Broadbent, E., Petrie, K. J., Main, J. and Weinman, J. (2006). The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631–637.CrossRefGoogle ScholarPubMed
Cameron, L. D., Leventhal, H., Kelly, K. M., Hertel, A. W. and Saioveyl, P. (2003). The Self-Regulation of Health and Illness Behaviour. Psychology Press.Google Scholar
Central Statistics Office (2011). Census 2011. Retrieved from CSO website: http://www.cso.ie/en/census/Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (ed Erlbaum, L.), Statistical Power Analysis for the Behavioral Sciences (vol. 2). Lawrence Erlbaum Associates.Google Scholar
Crystal, D. S. (2000). Concepts of deviance and disturbance in children and adolescents: a comparison between the United States and Japan. International Journal of Psychology, 35, 207–218.CrossRefGoogle Scholar
Deacon, B. J. (2013). The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. Clinical Psychology Review, 33, 846–861.Google Scholar
Denys, D. (2006). Pharmacotherapy of obsessive-compulsive disorder and obsessive-compulsive spectrum disorders. Psychiatric Clinics of North America, 22, 189–201.Google Scholar
Derisley, J., Libby, S., Clark, S. and Reynolds, S. (2005). Mental health, coping and family-functioning in parents of young people with obsessive-compulsive disorder and with anxiety disorders. British Journal of Clinical Psychology, 44, 439–444.Google Scholar
Diamond, L. M. and Savin-Williams, R. C. (2009). Handbook of Adolescent Psychology, pp. 479–523. New York: Wiley.Google Scholar
Donker, T., Griffiths, K. M., Cuijpers, P. and Christensen, H. (2009). Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC Medicine, 7, 79.CrossRefGoogle ScholarPubMed
Duncan, G. (2000). Mind-body dualism and the biopsychosocial model of pain: what did Descartes really say? The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 25, 485–513.Google Scholar
Eddy, K. T., Dutra, L., Bradley, R. and Westen, D. (2004). A multidimensional meta-analysis of psychotherapy and pharmacotherapy for obsessive-compulsive disorder. Clinical Psychology Review, 24, 1011–1030.CrossRefGoogle ScholarPubMed
Fallon, C. (2004). Mary Immaculate Reading Attainment Test (MICRA-T). Curriculum Development Unit, Mary Immaculate College, Limerick, Ireland.Google Scholar
Field, A. P., Cartwright-Hatton, S., Reynolds, S. and Creswell, C. (2008). Future directions for child anxiety theory and treatment. Cognition and Emotion, 22, 385–394.CrossRefGoogle Scholar
Figueiras, M. and Alves, N. (2007). Lay perceptions of serious illnesses: an adapted version of the Revised Illness Perception Questionnaire (IPQ-R) for healthy people. Psychology & Health, 22, 143–158.CrossRefGoogle Scholar
Fox, C., Buchanan-Barrow, E. and Barrett, M. (2010). Children's conceptions of mental illness: a naive theory approach. British Journal of Developmental Psychology, 28, 603–625.Google Scholar
Freeman, J. B., Choate-Summers, M. L., Moore, P. S., Garcia, A. M., Sapyta, J. J., Leonard, H. L. and Franklin, M. E. (2007). Cognitive behavioral treatment for young children with obsessive-compulsive disorder. Biological Psychiatry, 61, 337–343.Google Scholar
Gause, C., Morris, C., Vernekar, S., Pardo-Villamizar, C., Grados, M. A. and Singer, H. S. (2009). Antineuronal antibodies in OCD: comparisons in children with OCD-only, Journal of Neuroimmunology, 214, 118–124.Google Scholar
Gelman, S. A. (2004). Psychological essentialism in children. Trends in Cognitive Sciences, 8, 404–409.Google Scholar
Goossens, F., Bokhorst, K., Bruinsma, C. and van Boxtel, H. (2002). Judgments of aggressive, withdrawn and prosocial behavior: perceived control, anger, pity and sympathy in young Dutch children. Journal of School Psychology, 40, 309–327.Google Scholar
Hagger, M. S. and Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141–184.Google Scholar
Harland, R., Antonova, E., Owen, G. S., Broome, M., Landau, S., Deeley, Q. and Murray, R. (2009). A study of psychiatrists’ concepts of mental illness. Psychological Medicine, 39, 967–976.Google Scholar
Hennessy, E. and Heary, C. (2009). The development of children's understanding of common psychological problems. Child and Adolescent Mental Health, 14, 42–47.Google Scholar
Horvath, A. O. and Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: a meta-analysis. Journal of Counseling Psychology, 38, 139–149.Google Scholar
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S. and Ustün, T. B. (2007). Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry, 20, 359–364.CrossRefGoogle ScholarPubMed
Kuhn, D. and Franklin, S. (2006). The Second Decade: What Develops (and How). John Wiley and Sons, Inc.Google Scholar
Lam, D. C. K. and Salkovskis, P. M. (2007). An experimental investigation of the impact of biological and psychological causal explanations on anxious and depressed patients’ perception of a person with panic disorder. Behaviour Research and Therapy, 45, 405–411.Google Scholar
Legare, C. H., Gelman, S. A. and Wellman, H. M. (2010). Inconsistency with prior knowledge triggers children's causal explanatory reasoning. Child Development, 81, 929–944.CrossRefGoogle ScholarPubMed
Lewison, G., Roe, P., Wentworth, A. and Szmukler, G. (2012). The reporting of mental disorders research in British media. Psychological Medicine, 42, 435–441.Google Scholar
Maas, E., Marecek, J. and Travers, J. R. (1978). Children's conceptions of disordered behavior. Child Development, 49, 146–154.Google Scholar
March, J. S. and Mulle, K. (1998). OCD in Children and Adolescents: A Cognitive-Behavioral Treatment Manual. Guilford Press.Google Scholar
Meyer, V. (1966). Modification of expectations in cases with obsessional rituals. Behaviour Research and Therapy, 4, 273–280.Google Scholar
NICE (2017). Obsessive-compulsive disorder and body dysmorphic disorder: treatment. Guidance and guidelines. Available at: https://www.nice.org.uk/guidance/cg31 (accessed 11 September 2017).Google Scholar
Öst, L.-G., Riise, E. N., Wergeland, G. J., Hansen, B. and Kvale, G. (2016). Cognitive behavioral and pharmacological treatments of OCD in children: a systematic review and meta-analysis. Journal of Anxiety Disorders, 43, 58–69.Google Scholar
Petrie, K. J., Broadbent, E. and Kydd, R. (1997). Illness perceptions in mental health: issues and potential applications. Causal Journal of Mental Health, 17, 559–564.Google Scholar
Reid, G. J., Shanley, D., Goffin, R., Belle Brown, J., Evans, B., Vanier Children, M., London, S. et al. (2008). Parents’ Perceptions of Child Mental Health Problems: Development of a Parent Report Measure. Centre of Excellence for Child and Youth Mental Health at CHEO: Final Report.Google Scholar
Rimes, K. A. and Salkovskis, P. M. (1998). Psychological effects of genetic testing for psychological disorders. Behavioural and Cognitive Psychotherapy, 26, 29–42.Google Scholar
Robinson, E. J. and Whitcombe, E. L. (2003). Children's suggestibility in relation to their understanding about sources of knowledge. Child Development, 74, 48–62.Google Scholar
Salkovskis, P. M. (1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, S29–52.Google Scholar
Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P. W., Grabe, H. J., Carta, M. G. and Angermeyer, M. C. (2012). Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125, 440–452.Google Scholar
Stewart, S. E., Geller, D. A., Jenike, M., Pauls, D., Shaw, D., Mullin, B. and Faraone, S. V. (2004). Long-term outcome of pediatric obsessive-compulsive disorder: a meta-analysis and qualitative review of the literature. Acta Psychiatrica Scandinavica, 110, 4–13.Google Scholar
Taylor, S. (2011). Etiology of obsessions and compulsions: a meta-analysis and narrative review of twin studies. Clinical Psychology Review, 31, 1361–1372.Google Scholar
Valderhaug, R. and Ivarsson, T. (2005). Functional impairment in clinical samples of Norwegian and Swedish children and adolescents with obsessive-compulsive disorder. European Child and Adolescent Psychiatry, 14, 164–173.Google Scholar
Waite, P. and Williams, T. (eds) (2009). Obsessive Compulsive Disorder: Cognitive Behaviour Therapy with Children and Young People. Routledge.Google Scholar
Winters, N. C., Hanson, G. and Stoyanova, V. (2007). The case formulation in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics, 16, 111–132.CrossRefGoogle ScholarPubMed
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