Parent- and child-reported executive functioning and response to psychotherapy in pediatric obsessive-compulsive disorder: Results from the TECTO study.
Executive function (EF) difficulties in pediatric obsessive-compulsive disorder (OCD) are suggested to interact with psychotherapy response. We investigated the role of parent- and self-rated EF in a randomized trial comparing cognitive-behavioral therapy (CBT) and psychoeducation with relaxation tr...
| Published in: | European Child & Adolescent Psychiatry Vol. 35; no. 7; pp. 2211 - 2224 |
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| Main Authors: | , , , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jul2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195843331&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195843331 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jul2026 vid: 35 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 195843331 192536491 195843331 195843331 10.1007/s00787-026-03013-7 195843331 ppf: 2211 ppct: 13 formats: tig: atl: Parent- and child-reported executive functioning and response to psychotherapy in pediatric obsessive-compulsive disorder: Results from the TECTO study. aug: au: Ritter, Melanie Uhre, Valdemar Christensen, Sofie Heidenheim Korsbjerg, Nicoline Løcke Jepsen Lønfeldt, Nicole Nadine Pretzmann, Linea Thoustrup, Christine Lykke Mora-Jensen, Anna-Rosa Cecilie JessicaPlessen, Kerstin Jepsen, Jens Richard Møllegaard Vangkilde, Signe Uhre, Camilla Funch Pagsberg, Anne Katrine Blair, Robert James affil: https://ror.org/05bpbnx46 Child and Adolescent Mental Health Center, Copenhagen University Hospital – Bispebjerg and Frederiksberg, Gentofte Hospitalsvej 3A, 2900, Hellerup, Copenhagen, Denmark sug: subj: Parents Patients Self Report Executive Function Evaluation Cognitive Therapy Obsessive-Compulsive Disorder Therapy Obsessive-Compulsive Disorder Therapy Symptom Burden Evaluation Pediatric Care Human Denmark Scales Child Adolescence Secondary Analysis Multivariate Analysis of Variance Univariate Statistics Multiple Linear Regression Repeated Measures Analysis of Variance Post Hoc Analysis Emotional Regulation Memory, Short Term Task Performance and Analysis Psychotherapy Child: 6-12 years Adolescent: 13-18 years ab: Executive function (EF) difficulties in pediatric obsessive-compulsive disorder (OCD) are suggested to interact with psychotherapy response. We investigated the role of parent- and self-rated EF in a randomized trial comparing cognitive-behavioral therapy (CBT) and psychoeducation with relaxation training (PRT). We investigated the extent to which: (1) EF difficulties are evident in non-medicated pediatric OCD patients; (2) difficulties improve during psychotherapy; and (3) EF moderates symptom alleviation. We included 114 patients with OCD (aged 8–17 years), who received 14 sessions of CBT or PRT. EF was assessed before and after treatment with both the parent-rated (full age span) and self-rated (age 11–17 years) Behavior Rating Inventory of Executive Function, 2nd version (BRIEF-2). All BRIEF-2 subdomains were reported. OCD symptom severity was assessed with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). We assessed seventy-four non-psychiatric control children within a similar time interval. Parent- and self-ratings indicated EF difficulties in OCD patients compared with non-psychiatric controls across BRIEF-2 subdomains. Self-rated flexibility difficulties were associated with more severe OCD symptoms pre-treatment. Parents and children reported EF improvement after psychotherapy across subdomains. Parent-rated self-monitoring improved after CBT but not PRT. EF improvement was not associated with symptom alleviation in patients. Finally, emotional control, working memory, and task-completion ability moderated OCD-symptom improvement. EF difficulties are evident at the group level in pediatric OCD and show improvement following psychotherapy with minimal differences between CBT and PRT. Although EF improvement is not associated with symptom alleviation, several subdomains of EF pre-treatment moderate the treatment effect. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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