异常强迫症患者的门诊治疗是否足够
S E Cohen1, B W Storosum2, N C Vulink1
1Department of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands; Amsterdam Neuroscience Research Institute, Amsterdam, The Netherlands.
Comprehensive psychiatry
|November 20, 2024
概括
患有强迫症 (OCD) 的患者通常在专业护理之前接受不充分的药物治疗. 这种不充分的治疗可以延长疾病的持续时间并阻碍康复,突出了强迫症管理中的关键差距.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 强迫症 (OCD) 需要有效的药物治疗,以获得最佳的患者结果.
- 目前对强迫症的治疗实践可能与已确定的国际指南不一致.
研究的目的:
- 在转诊到专门治疗中心之前,评估强迫症患者药物治疗的充分性.
- 确定影响强迫症药理干预措施有效性的因素.
主要方法:
- 在2016年至2023年期间,对673名强迫症患者进行了回顾性图表审查.
- 收集的数据包括人口统计,疾病严重程度 (耶鲁-布朗强迫症度表),疾病持续时间,并发症和先前的治疗.
- 药物治疗的充分性根据国际指导方针进行评估,包括SSRI使用,克洛米普拉和抗精神病药物增强.
主要成果:
- 只有3%的转诊患者接受了指导方针推的药理治疗.
- 显著多数 (76%) 接受至少一种SSRI,但只有29%接受高剂量,4%接受两种高剂量SSRI.
- 疾病持续时间和先前的心理治疗是药物治疗不足的重要预测因素.
结论:
- 在专业转诊之前,强迫症患者的药物治疗往往是不充分的,不符合指南建议.
- 低于最佳的药物治疗可能会导致疾病持续时间延长,恢复率降低和医疗保健成本增加.
- 需要进一步的研究来解决障碍,并改进强迫症的药物治疗策略.
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
43
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...
43
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
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
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
Anxiety: Overview
248
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
248


