Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails?
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Trends in Psychiatry and Psychotherapy |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892013000100004 |
Resumo: | Obsessive-compulsive disorder (OCD) is a chronic and impairing condition. A very small percentage of patients become asymptomatic after treatment. The purpose of this paper was to review the alternative therapies available for OCD when conventional treatment fails. Data were extracted from controlled clinical studies (evidence-based medicine) published on the MEDLINE and Science Citation Index/Web of Science databases between 1975 and 2012. Findings are discussed and suggest that clinicians dealing with refractory OCD patients should: 1) review intrinsic phenomenological aspects of OCD, which could lead to different interpretations and treatment choices; 2) review extrinsic phenomenological aspects of OCD, especially family accommodation, which may be a risk factor for non-response; 3) consider non-conventional pharmacological approaches; 4) consider non-conventional psychotherapeutic approaches; and 5) consider neurobiological approaches. |
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Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails?refractorinessresistanceobsessive-compulsive disordertreatment responserisk factorsprognosisObsessive-compulsive disorder (OCD) is a chronic and impairing condition. A very small percentage of patients become asymptomatic after treatment. The purpose of this paper was to review the alternative therapies available for OCD when conventional treatment fails. Data were extracted from controlled clinical studies (evidence-based medicine) published on the MEDLINE and Science Citation Index/Web of Science databases between 1975 and 2012. Findings are discussed and suggest that clinicians dealing with refractory OCD patients should: 1) review intrinsic phenomenological aspects of OCD, which could lead to different interpretations and treatment choices; 2) review extrinsic phenomenological aspects of OCD, especially family accommodation, which may be a risk factor for non-response; 3) consider non-conventional pharmacological approaches; 4) consider non-conventional psychotherapeutic approaches; and 5) consider neurobiological approaches.Associação de Psiquiatria do Rio Grande do Sul2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892013000100004Trends in Psychiatry and Psychotherapy v.35 n.1 2013reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/S2237-60892013000100004info:eu-repo/semantics/openAccessFranz,Adelar PedroPaim,MarianaAraújo,Rafael Moreno deRosa,Virgínia de OliveiraBarbosa,Ísis MendesBlaya,CarolinaFerrão,Ygor Arzenoeng2015-06-25T00:00:00Zoai:scielo:S2237-60892013000100004Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2015-06-25T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse |
dc.title.none.fl_str_mv |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
title |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
spellingShingle |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? Franz,Adelar Pedro refractoriness resistance obsessive-compulsive disorder treatment response risk factors prognosis |
title_short |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
title_full |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
title_fullStr |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
title_full_unstemmed |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
title_sort |
Treating refractory obsessive-compulsive disorder: what to do when conventional treatment fails? |
author |
Franz,Adelar Pedro |
author_facet |
Franz,Adelar Pedro Paim,Mariana Araújo,Rafael Moreno de Rosa,Virgínia de Oliveira Barbosa,Ísis Mendes Blaya,Carolina Ferrão,Ygor Arzeno |
author_role |
author |
author2 |
Paim,Mariana Araújo,Rafael Moreno de Rosa,Virgínia de Oliveira Barbosa,Ísis Mendes Blaya,Carolina Ferrão,Ygor Arzeno |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Franz,Adelar Pedro Paim,Mariana Araújo,Rafael Moreno de Rosa,Virgínia de Oliveira Barbosa,Ísis Mendes Blaya,Carolina Ferrão,Ygor Arzeno |
dc.subject.por.fl_str_mv |
refractoriness resistance obsessive-compulsive disorder treatment response risk factors prognosis |
topic |
refractoriness resistance obsessive-compulsive disorder treatment response risk factors prognosis |
description |
Obsessive-compulsive disorder (OCD) is a chronic and impairing condition. A very small percentage of patients become asymptomatic after treatment. The purpose of this paper was to review the alternative therapies available for OCD when conventional treatment fails. Data were extracted from controlled clinical studies (evidence-based medicine) published on the MEDLINE and Science Citation Index/Web of Science databases between 1975 and 2012. Findings are discussed and suggest that clinicians dealing with refractory OCD patients should: 1) review intrinsic phenomenological aspects of OCD, which could lead to different interpretations and treatment choices; 2) review extrinsic phenomenological aspects of OCD, especially family accommodation, which may be a risk factor for non-response; 3) consider non-conventional pharmacological approaches; 4) consider non-conventional psychotherapeutic approaches; and 5) consider neurobiological approaches. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892013000100004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892013000100004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S2237-60892013000100004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
dc.source.none.fl_str_mv |
Trends in Psychiatry and Psychotherapy v.35 n.1 2013 reponame:Trends in Psychiatry and Psychotherapy instname:Sociedade de Psiquiatria do Rio Grande do Sul instacron:APRGS |
instname_str |
Sociedade de Psiquiatria do Rio Grande do Sul |
instacron_str |
APRGS |
institution |
APRGS |
reponame_str |
Trends in Psychiatry and Psychotherapy |
collection |
Trends in Psychiatry and Psychotherapy |
repository.name.fl_str_mv |
Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul |
repository.mail.fl_str_mv |
revista@aprs.org.br|| rodrigo_grassi@terra.com.br |
_version_ |
1754209280148373504 |