在基于证据的治疗后,儿童强迫症在三年内缓解和复发
Tord Ivarsson1, Sanne Jensen2, Davíð R M A Højgaard2
1Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
Journal of the American Academy of Child and Adolescent Psychiatry
|December 9, 2023
概括
儿科强迫症 (OCD) 的长期随访显示,在认知行为疗法 (CBT) 后,缓解率有希望. 然而,复发和持续的症状表明需要改进强迫症治疗.
科学领域:
- 精神病学是一个精神病学.
- 儿科心理学 儿科心理学
- 临床心理学 临床心理学
背景情况:
- 强迫症 (OCD) 是儿童的一种严重的心理健康状况.
- 认知行为疗法 (CBT) 和塞特拉林是常见的治疗选择.
- 儿童强迫症治疗的长期结果需要进一步研究.
研究的目的:
- 在初始CBT后的3年期间,评估儿童患有强迫症的复发率.
- 评估持续CBT与塞特拉林在维持缓解方面的长期疗效.
- 了解强迫症儿童和青少年缓解和复发的轨迹.
主要方法:
- 一项对269名儿童强迫症患者进行的3年随访研究.
- 使用手动暴露和响应预防 (ERP) 的初始治疗.
- 随机选择的第二阶段治疗,使用持续的ERP或塞特拉林,缓解定义为CY-BOCS≤10和复发为CY-BOCS≥16.
主要成果:
- 在3年随访期间,36.4%的患者实现了稳定的缓解.
- 复发发生在10.4%的患者中,有些人在最后的随访中再次实现缓解.
- 18.6%是最初的非缓解者,后来实现了缓解,11.5%患有持续性强迫症,但在研究结束时达到缓解.
结论:
- 儿童强迫症的长期结果比以前认为的更为有利.
- 复发率和持续的症状凸显了需要加强治疗策略的需要.
- 需要进一步的研究来优化治疗缓慢,部分或对儿科强迫症治疗无反应的治疗方法.
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