Paper Summary:

This paper deals with the nursing aspects of working in an outpatient capacity with young patients suffering from various levels of Obsessive-Compulsive Disorder. It analyzes the literature on OCD treatment from a number of perspectives and from the relatively benign, such as fear of flying, to life-threatening, such as anorexia.

Outline:
Introduction
Literature Review
Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive Disorder
A Narrative Approach to Body Dysmorphic Disorder
Self-Injurious Behavior: A Bi-Modal Treatment Approach to Working with Adolescent Females
Measurement of Nonclinical Personality Characteristics of Women with Anorexia Nervosa or Bulimia Nervosa
Conclusion

From the Paper:

"SSRI's have helped to transform OCD treatment for many with mild- to moderate OCD syndromes. This metastudy looked at the literature which pertains to pediatric and adolescent sufferers of OCD, which is a helpful expansion from earlier clinical work done on SSRI's with adults. The meta-study looked exclusively at well-conducted clinical trials, which were randomized, double-blinded, limited to patients 19 or under, and had a placebo or other sort of control. The study does not indicate whether all patients were analyzed on a prospective rather than a retrospective basis, which would be an additional claim of objectivity.
In all, the meta-study included 12 studies with 1,044 participants, an average of 87 patients per study. Given that four SSRI's were evaluated, it is difficult to draw statistically-significant conclusions from these studies--many were simply underpowered, with some n's as low as 21, 7 and 11. This meta-study calculated a "fail-safe N," a number below which negative data would disprove the conclusions; this author would argue that the total number of participants was too close to the fail-safe N to be able to draw statistically valid conclusions."

Sample of Sources Used:

• Franklin, M. F. (2003). The Pediatric Obsessive-Compulsive Disorder Treatment Study: Rationale, Design, and Methods. Journal of Child and Adolescent Pharmacology , 39-51.
• Geller, D. B. (2003). Which SSRI? A Meta-Analysis of Pharmacotherapy Trials in Pediatric Obsessive-Compulsive Disorder. Am J Psychiatry , n.p.
• March, J. (2004). Cognitive-Behavior Therapy, Sertraline, and Their Combination for Children and Adolescents With Obsessive-Compulsive Disorder. JAMA , n.p.
• Nelson, T. R. (2007). A Narrative Approach to Body Dysmorphic Disorder. Journal of Mental Health Counseling , 67-80.
• Pryor, T. a. (1996). Measurement of Nonclinical Personality Characteristics of Women with Anorexia Nervosa or Bulimia Nervosa. Journal of Personality Assessment , 414-422.

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