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针对儿科强迫症障碍的强化心理治疗治疗选择
Elizabeth Steuber1, Joseph McGuire2
1Boston Children's Hospital, Boston, Massachusetts.
概括
强迫症 (OCD) 影响1%的人口. 这篇文章指导临床医生在标准疗法失败时,将患有严重或治疗不良的强迫症患者转诊给密集的心理治疗.
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) 影响大约1%的人口,其特点是侵入性思想和强迫性行为导致严重的痛苦.
- 标准的前线治疗包括接触和反应预防 (ERP) 的认知行为疗法 (CBT) 和血清素再吸收抑制剂 (SRIs).
- 许多患有强迫症的年轻人对标准的门诊治疗没有充分的反应,需要更密集的护理.
研究的目的:
- 指导临床医生识别和转介患有严重或治疗不良的强迫症患者进行密集的心理治疗.
- 定义治疗耐药性强迫症的标准,包括未能进行足够的SRI和ERP试验.
- 为了提供一个框架,适当的转介到更高层次的护理.
主要方法:
- 这篇文章回顾了目前基于证据的强迫症评估和治疗指南.
- 它定义了严重的强迫症和不耐治疗的强迫症的标准.
- 它概述了将患者转移到密集心理治疗干预的理由和过程.
主要成果:
- 标准的门诊治疗,包括CBT/ERP和SRI,对许多但不是所有强迫症患者有效.
- 许多强迫症患者经历了持续的症状,尽管对标准治疗方法进行了充分的试验.
- 密集交付的ERP是治疗耐药病例的关键选择.
结论:
- 临床医生必须具备识别需要更强烈治疗强迫症的患者的设备.
- 应该清楚地确定严重的强迫症和不耐治疗的强迫症的转诊标准.
- 强化心理治疗对改善标准护理不响应患者的结果至关重要.
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