{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T21:21:48Z","timestamp":1768771308538,"version":"3.49.0"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,5,24]],"date-time":"2018-05-24T00:00:00Z","timestamp":1527120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32MH073517"],"award-info":[{"award-number":["T32MH073517"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH58549"],"award-info":[{"award-number":["R01MH58549"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>\n                    Professional organizations and expert consensus recommend the use of exposure\u2010based cognitive\u2010behavioral therapy (\n                    <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                    ) to treat pediatric obsessive\u2010compulsive disorder (\n                    <jats:styled-content style=\"fixed-case\">OCD<\/jats:styled-content>\n                    ), but a sizable proportion of clinicians possess hesitancy regarding the use of exposures in treatment. Most notably, this hesitancy relates to concerns about negative patient and parent reactions to exposures. Accordingly, we examine three commonly reported clinician concerns regarding negative patient\/parent reactions (e.g. treatment attrition, therapeutic relationship, and treatment satisfaction) among youths receiving exposure\u2010based\n                    <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                    compared to a nonexposure\u2010based treatment. Based on our findings, there is no empirical support that exposure\u2010based\n                    <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                    precipitates adverse consequences in treatment (e.g. treatment attrition, poor therapeutic relationship, low treatment satisfaction) relative to nonexposure\u2010based interventions. These results corroborate existing\n                    <jats:styled-content style=\"fixed-case\">OCD<\/jats:styled-content>\n                    expert recommendations for the use of exposure\u2010based\n                    <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                    and provide information to mitigate clinicians\u2019 concerns about the potentially iatrogenic impact of exposures when treating pediatric\n                    <jats:styled-content style=\"fixed-case\">OCD<\/jats:styled-content>\n                    . We briefly present best practice recommendations for implementing exposure\u2010based\n                    <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                    in pediatric\n                    <jats:styled-content style=\"fixed-case\">OCD<\/jats:styled-content>\n                    patients.\n                  <\/jats:p>","DOI":"10.1111\/jcpp.12818","type":"journal-article","created":{"date-parts":[[2018,5,29]],"date-time":"2018-05-29T02:02:37Z","timestamp":1527559357000},"page":"714-716","source":"Crossref","is-referenced-by-count":18,"title":["Editorial Perspective: Exposures in cognitive behavior therapy for pediatric obsessive\u2010compulsive disorder: addressing common clinician concerns"],"prefix":"10.1111","volume":"59","author":[{"given":"Joseph F.","family":"McGuire","sequence":"first","affiliation":[{"name":"Department of Psychiatry Semel Institute for Neuroscience and Human Behavior University of California Los Angeles CA USA"},{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica S.","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Semel Institute for Neuroscience and Human Behavior University of California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Choy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Semel Institute for Neuroscience and Human Behavior University of California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Piacentini","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Semel Institute for Neuroscience and Human Behavior University of California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,24]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2015.01.011"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22389"},{"key":"e_1_2_3_4_1","article-title":"An inhibitory learning approach to cognitive behavior therapy for children and adolescents","author":"McGuire J.F.","journal-title":"Cognitive and Behavior Practice"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.08.003"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780195310511.001.0001"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-017-0108-9"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.04.001"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/pro0000077"}],"container-title":["Journal of Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjcpp.12818","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.12818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T17:35:11Z","timestamp":1762191311000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.12818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,24]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/jcpp.12818"],"URL":"https:\/\/doi.org\/10.1111\/jcpp.12818","archive":["Portico"],"relation":{},"ISSN":["0021-9630","1469-7610"],"issn-type":[{"value":"0021-9630","type":"print"},{"value":"1469-7610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,24]]}}}