Brazilian research consortium on obsessive-compulsive spectrum disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: Cognitive-Behavior Therapy treatment.
Maria Alice de Mathis, Priscila Chacon, Rodrigo Boavista, Marcos Vinícius Sousa de Oliveira, Pedro Macul Ferreira de Barros, Marco Antonio Nocito Echevarria, Ygor Arzeno Ferrão, Edoardo Felippo de Queiroz Vattimo, Antônio Carlos Lopes, Albina Rodrigues Torres, Juliana Belo Diniz, Leonardo Fontenelle, Maria Conceição do Rosário, Roseli Gedanke Shavitt, Renata de Melo Felipe da Silva, Eurípedes Constantino Miguel, Daniel Lucas da Conceição Costa
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Abstract
Objective: To summarize the evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD).
Methods: A systematic review of the literature on CBT interventions for the treatment of adult OCD, comprising behavior therapy and exposure and response prevention (ERP) was done. The objective of this study is to present updated clinical guidelines to clinicians, providing comprehensive details regarding the necessary procedures to be incorporated into the CBT protocol. We searched the literature published from 2013-2020 in five databases (PubMed, Cochrane, Embase, Psycinfo and Lilacs), considering: study design, primary outcome measures, type of publication and language. Selected articles were assessed for quality with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association (ACC/AHA).
Results: We examined 44 new studies used to update the APA guidelines from 2013. High-quality evidence supports CBT including ERP techniques as the first-line CBT treatment for OCD. In addition, protocols for internet-delivered CBT have also demonstrated their efficacy for the treatment of adults with OCD.
Conclusion: CBT based on ERP is a widely used treatment according to high-quality scientific evidence to treat adults with OCD.
期刊介绍：
The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry).
The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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