Betsy Cregger
Clinical Assistant Professor, Psychiatry and Behavioral Sciences - Vaden Health Center
Clinical Focus
- Psychiatry
Academic Appointments
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Clinical Assistant Professor, Psychiatry and Behavioral Sciences - Vaden Health Center
Professional Education
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Board Certification: American Board of Psychiatry and Neurology, Child and Adolescent Psychiatry (2017)
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Board Certification: American Board of Psychiatry and Neurology, Psychiatry (2003)
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Fellowship: Stanford University Child and Adolescent Psychiatry Fellowship (2003) CA
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Residency: Stanford University Psychiatry and Behavioral Sciences (2001) CA
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Medical Education: Tufts University School of Medicine (1997) MA
All Publications
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Manual-driven group cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: A pilot study
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
2001; 40 (11): 1254-1260
Abstract
Concerns about isolation, compromised development, partial pharmacotherapy response, therapist scarcity, and inadequate cognitive-behavioral therapy (CBT) adherence led the authors to adapt a CBT protocol to a group format for adolescents with obsessive-compulsive disorder (OCD). A naturalistic, open trial of group CBT for adolescent OCD is described. The authors predicted symptom improvement and format acceptability.Over a 1 -year period, 18 adolescents aged 13 to 17 years with OCD received 14-week group CBT based on March and Mulle's OCD in Children and Adolescents: A Cognitive-Behavioral Treatment Manual in four consecutive sessions of five to nine patients. Eighty-three percent had undergone at least one medication trial, and 78% had previous CBT experience.OCD symptoms measured by the Children's Yale-Brown Obsessive Compulsive Scale improved significantly, both statistically and clinically. Adolescents consistently shared information and designed exposure interventions for themselves and others during sessions. Repeated self-report measures confirmed adolescents' satisfaction with therapy.This pilot study demonstrates that a manual-based treatment protocol may be exported for clinical use, adaptable for the end-user's needs, and palatable to adolescent patients. Clinical improvement and patient satisfaction justify further investigation in a controlled study.
View details for Web of Science ID 000171752900004
View details for PubMedID 11699798