ABSTRACT
Objective: To evaluate the effectiveness of group cognitive-behavioral therapy (GCBT) for the treatment of adolescents with obsessive compulsive disorder (OCD). Methods: This review was registered in PROSPERO under number CRD42020158475. Five databases (PubMed, Virtual Health Library, Web of Science, Scopus, and PsycINFO) were searched. After applying the inclusion and exclusion criteria, 13 studies were analyzed in the qualitative synthesis (i.e., systematic review) and eight in the quantitative synthesis (i.e., meta-analysis). For the latter, fixed-effect modeling was used to assess the primary outcome (i.e., OCD symptoms). Results: The main findings suggest that GCBT is effective in reducing the symptoms of OCD in adolescents (d = -1.32). However, these results must be interpreted with caution, since all of the included studies showed some bias in their design. Conclusions: GCBT is effective in reducing OCD symptoms in adolescents.
ABSTRACT
This study examines the factorial structure, internal consistency, and convergent validity of the Young-Rygh Avoidance Inventory (YRAI). Five hundred and four adults from the state of Rio Grande do Sul participated, with an average age of 34.2 (SD = 12.9), who completed the Young Scheme Questionnaire (YSQ-S3), the Symptom Assessment Scale (SCL-90-R), and YRAI, through an online platform. An exploratory factor analysis was made to verify the distribution of items in common factors and convergent analysis with Spearman's non-parametric correlation to verify associations with psychopathological symptoms (SCL-90-R) and schemes (YSQ-S3). Three factors were found: Somatization and Search for Stimulation (α = 0,84), Cognitive Avoidance (α = 0,78), and Emotional Withdrawal (α = 0,62), with an omega value between 0,75 and 0,87. It was concluded that the Brazilian version of YRAI has appropriate psychometric properties, being valid for the concerned population. In addition, the interpretation of the construct validity was consistent with the theory.
Este estudo examina a estrutura fatorial, consistência interna e a validade convergente do Inventário de Evitação de Young-Rygh (YRAI). Participaram 504 adultos do estado do Rio Grande do Sul, com média de idade de 34,2 anos (DP = 12,9), que preencheram o Questionário de Esquemas de Young (YSQ-S3), a Escala de Avaliação dos Sintomas (SCL-90-R) e o YRAI, através de uma plataforma online. Realizaram-se a análise fatorial exploratória para verificar a distribuição dos itens em fatores comuns e a análise convergente com correlação não paramétrica de Spearman para verificar associações com sintomas psicopatológicos (SCL-90-R) e esquemas (YSQ-S3). Três fatores foram interpretados: Somatização e Busca por Estimulação (α = 0,84), Evitação Cognitiva (α = 0,78) e Retraimento Emocional (α = 0,62), com valor de ômega entre 0,75 e 0,87. Concluiu-se que a versão brasileira do YRAI possui propriedades psicométricas adequadas, sendo válida para a população em questão. Além disso, a interpretação da validade de constructo mostrou-se condizente com a teoria.
Este estudio examina la estructura factorial, consistencia interna y validez convergente del Inventario de Evitación de Young-Rygh (YRAI). Participaron 504 adultos de Rio Grande do Sul con edad media de 34,2 años (DE = 12,9), que completaron el Cuestionario de Esquemas de Young (YSQ-S3), Escala de Evaluación de Síntomas (SCL-90-R) y YRAI, por una plataforma online. El análisis factorial exploratorio se realizó para verificar la distribución de ítems en factores comunes. El análisis convergente con la correlación no paramétrica de Spearman para verificar las asociaciones con los síntomas (SCL-90-R) y esquemas psicopatológicos (YSQ-S3). Se encontraron tres factores: Somatización y Búsqueda de Estimulación (α = 0,84), Evitación Cognitiva (α = 0,78) y Retracción Emocional (α = 0,62). Com un valor omega entre 0,75 y 0,87. Se concluyó que la versión brasileña de YRAI tiene adecuadas propiedades psicométricas, siendo válida para esta población. Además, la validez de constructo fue consistente con la teoría.