Contribuições teóricas da psicoterapia cognitiva para o tratamento do transtorno obsessivo-compulsivo

• Autor(a) principal: Sandro Cesar Silverio da Costa
• Data de Publicação: 2012
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/BUBD-9EHEUS
• topic: Terapias farmacológicas; Transtorno obsessivo compulsivo; Psicoterapia cognitiva comportamental; Terapia cognitivo-comportamental

OBJECTIVE: This paper aims to describe the ways in which cognitive psychotherapy may contribute to clinical efficacy in the treatment of Obsessive Compulsive Disorder (OCD). The method used was a review of the literature, books and journals on theoretical models of cognitive psychotherapy applied to the treatment of OCD. Were considered: the symptoms, existing comorbidities, and psychotherapeutic techniques. We described the main treatment techniques and conceptualized the central terms. It was found that cognitive-behavioral psychotherapy applied to the treatment of obsessive-compulsive obtained efficiency of 50% of cases, according to Baxter et al. (1992) and Schwartz et al. (1996) cited by Gazzaniga (2005). We present evidence of efficacy when compared to cognitive-behavioral psychotherapeutic treatment and pharmacological treatment, by using neuroimaging exams. The aforementioned research by PET (Positron Emission Tomography) aimed to compare changes in the brains of OCD patients treated with pharmacological therapies and patients treated with non-pharmacological therapies, concluding that the same changes occurred in the basal ganglia in patients treated with SSRIs and patients treated with psychotherapy alone. Gazzaninga, (2005) subsequently stated that "the cognitive-behavioral therapy may therefore be a most effective way to treat OCD than with medication." This neuroimaging research conducted at UCLA School of Medicine points to the possibility to see what other studies have already been discovered: the same percentage of efficacy between drugs and therapies in the treatment of depression and OCD, around 50-52% ( fifty to fifty-two percent) reported in the literature surveyed, the second chart Hollon, Thase and Markowitz (2002) quoted by Lambert and Kinsley (2006) and second neuroimaging Baxter et al. (1992) and Schwartz et al. (1996) cited Gazzaninga (2005, p.547), respectively. In this study, we aimed to establish and present the cognitive psychotherapy, describing the techniques used as a model for treating this disorder by analyzing their effectiveness. Conducted for this purpose an appeal to the literature with references as SciELO and updated supplementary bibliography on the theme.