POTs (2004)

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POTs (2004)
- Aim
  - To evaluate the effectiveness of three treatments for OCD relative to a placebo group
- Findings
  - Ppts treated with CBT + SSRI or CBT alone showed substantially higher probability of improvement
  - MEAN CY-BOCS SCORES AFTER 12 WEEKS
    - Combined; 11.2
    - Placebo; 21.5
    - SSRI; 16.5
  - 50% difference between placebo and CBT treatment remission rates
- Procedure
  - 12 week controlled clinical trial conducted in 3 academic centres across the USA
    - 112 out-patient volunteers aged 7-17, diagnosed with OCD and having a CY-BOCS score of over 16
      - All ppts. screened for learning difficulty, tourettes, all had IQ of over 80
  - Ppts were randomly assigned to one of four conditions, into groups of 28
    - SSRI ALONE
    - CBT ALONE
    - CBT + SSRI
    - PLACEBO
- Conclusions
  - OCD patients have a higher chance of entering remission with CBT based treatment
  - SSRI still remains effective as it showed more improvement than placebo
- AO3
RELIABLE; standardised procedures
ETHICAL; procedures reviewed by ethical board at each stage
APPLICABLE; OCD is a common paediatric disorder and findings can aid the treatment and prevent comorbidity
INDIVIDUAL DIFFERENCE- S.D for combined at end was 8.6

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