儿童强迫症治疗中的潜在危害:陷和最佳实践
Erika S Trent1,2, Elizabeth C Lanzillo3,4, Andrew D Wiese3
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA. erika.trent@bcm.edu.
Research on child and adolescent psychopathology
|October 23, 2024
概括
对于儿科强迫症 (OCD) 的早期干预至关重要. 本综述解决了儿童强迫症的有害误解和无效治疗方法,倡导基于证据的暴露和响应预防 (ERP) 治疗.
科学领域:
- 精神病学是一个精神病学.
- 儿童心理学 儿童心理学
- 临床心理学 临床心理学
背景情况:
- 儿科强迫症 (OCD) 需要早期,有效的干预,以防止慢性衰弱.
- 认知行为疗法 (CBT) 与暴露和反应/仪式预防 (ERP) 是儿童强迫症的第一线治疗方法.
- 由于应用基于证据的干预措施的各种挑战,许多患有强迫症的儿童仍未得到充分治疗.
研究的目的:
- 识别和描述儿童强迫症的潜在有害和无效的治疗实践.
- 解决有关暴露和反应/仪式预防 (ERP) 的常见误解,这可能导致其使用不足.
- 为改善儿科强迫症干预措施的质量和有效性提供建议.
主要方法:
- 本综述综合了有关儿科强迫症干预措施的现有文献.
- 它批判性地检查了CBT和ERP原则在临床实践中的应用.
- 它识别和分析缺乏经验支持的非基于证据的治疗方法.
主要成果:
- 关于ERP的误解可能会导致临床医生不充分使用或错误应用它.
- 一般的CBT技术或非基于证据的干预措施可能会被使用,而不是ERP,证明无效或有害.
- 不有效的治疗方法可能会加剧症状,浪费资源,并削弱公众对心理治疗的信任.
结论:
- 解决关于ERP的误解对于其在儿科强迫症治疗中的有效实施至关重要.
- 临床医生必须坚持以证据为基础的实践,主要是ERP,以确保强迫症儿童的最佳结果.
- 为临床医生,研究人员,培训计划和决策者提供建议,以加强儿科强迫症护理.
相关概念视频
Obsessive-Compulsive Disorder
54
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
54
Operant Conditioning Intervention
44
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
44
Psychosurgery
46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46
Personality Disorders: Dependent and Obsessive-Compulsive
36
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
36
Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39
Psychosis: Goals of Pharmacotherapy
104
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
104


