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.

强迫症 (OCD) 的特征是反复出现的强迫观念和强迫行为，通常伴有严重的损害，影响 1-3% 的儿童和青少年。认知行为疗法 (CBT) 是儿童强迫症的治疗黄金标准。然而，面对面的 CBT 受到可及性、可用性和交付质量的限制。增强型 CBT (eCBT) 结合了诊所的面对面会议和通过网络摄像头在家中进行的治疗以及支持性应用程序系统，旨在解决其中的一些障碍。在这项试点研究中，我们将 25 名 OCD 儿科患者的 eCBT 结果与北欧长期 OCD 治疗研究（迄今为止最大的儿科 OCD CBT 研究）中的传统面对面 CBT（n = 269）进行了比较。成对比较显示 eCBT 和 NordLOTS 治疗结果之间没有差异。平均估计差异为 2.5，有利于 eCBT（95% CI - 0.3 至 5.3）。与 NordLOTS 相比，eCBT 显示缓解率和缓解率之间没有显着差异，表明效果相似。