The prevalence of obsessive-compulsive disorder (OCD) is higher among young people with autism spectrum disorders (ASD). Case studies and randomized controlled trials show that modified cognitive behavioral therapy (CBT) can be effective for young people with OCD and co-morbid ASD. This case study describes modified CBT for an adolescent with severe, treatment-resistant OCD and co-morbid ASD, and highlights the importance of family accommodation and parental mental health in pediatric OCD. Modifications to the standard evidence-based CBT for OCD protocol included extended psychoeducation, visual session material, mini exposure and response prevention hierarchies and parallel parent sessions to address familial accommodation and parental mental health. Progress was measured at seven times points throughout treatment using clinician administered, youth and parent self-report measures. Outcome data indicated significant improvements in OCD symptoms, general functioning, and maternal mental health as well as significant reductions in family accommodation. Gains were maintained over a 12-month follow-up period. This case study illustrates that modified CBT can be effective in youth with OCD and ASD and discusses the importance of familial accommodation and parental mental health.

中文翻译：

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自闭症谱系障碍青少年严重、难治性强迫症的改良认知行为疗法：父母参与的重要性。

患有自闭症谱系障碍 (ASD) 的年轻人中，强迫症 (OCD) 的患病率较高。案例研究和随机对照试验表明，改良认知行为疗法 (CBT) 对患有强迫症和合并症 ASD 的年轻人有效。本案例研究描述了针对患有严重、难治性强迫症和合并症 ASD 的青少年的改良 CBT，并强调了家庭适应和父母心理健康在儿科强迫症中的重要性。对强迫症标准循证 CBT 协议的修改包括扩展心理教育、视觉会议材料、小型暴露和反应预防层次结构以及平行的父母会议，以解决家庭住宿和父母心理健康问题。在整个治疗过程中使用临床医生管理的七个时间点测量进展情况，青少年和家长自我报告措施。结果数据表明强迫症症状、一般功能和孕产妇心理健康显着改善，家庭住宿显着减少。收益在 12 个月的随访期内保持不变。本案例研究表明，改良的 CBT 对患有强迫症和自闭症的青少年有效，并讨论了家庭住宿和父母心理健康的重要性。