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Obsessive compulsive disorder.
1St. James Hospital, Portsmouth, UK.
This systematic review evaluates treatments for obsessive compulsive disorder (OCD). It found various interventions, including behavioral therapy and serotonin reuptake inhibitors, effective for adults and children with OCD.
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Area of Science:
- Psychiatry and Behavioral Sciences
- Clinical Psychology
- Pharmacology
Background:
- Obsessive compulsive disorder (OCD) affects 1-1.5% of adults and 2.7% of children/adolescents.
- OCD can have an episodic or continuous course, persisting in 40% of youth.
- The disorder causes significant personal distress and social dysfunction.
Purpose of the Study:
- To systematically review the effects of initial and maintenance treatments for OCD in adults.
- To assess treatments for children and adolescents with OCD.
- To evaluate interventions for adults with SRI-resistant OCD.
Main Methods:
- Systematic review of 43 studies including systematic reviews, RCTs, and observational studies.
- Searched major databases (Medline, Embase, Cochrane Library) up to April 2011.
- Included harms alerts from regulatory agencies (FDA, MHRA).
Main Results:
- Evaluated the effectiveness and safety of numerous interventions for OCD.
- Included treatments such as antipsychotics, behavioral therapy, CBT, ECT, psychosurgery, SRIs, and TMS.
- Utilized GRADE evaluation for evidence quality.
Conclusions:
- Information on the effectiveness and safety of various OCD interventions is presented.
- The review covers treatments for different patient groups and treatment stages.
- Evidence supports a range of therapeutic options for managing OCD.