Brazilian research consortium on obsessive-compulsive spectrum disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: Cognitive-Behavior Therapy treatment.

IF 3.6 3区 医学 Q1 PSYCHIATRY
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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引用次数: 0

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.

巴西强迫症谱系障碍研究联盟成人强迫症治疗指南。第二部分:认知行为疗法治疗。
目的:总结循证认知行为疗法(CBT)治疗成人强迫症(OCD)的经验,并提出临床干预措施。本研究的目的是向临床医生提供最新的临床指南,提供有关纳入CBT方案的必要程序的全面细节。我们在五个数据库(PubMed、Cochrane、Embase、Psycinfo和Lilacs)中搜索了2013-2020年发表的文献,考虑到:研究设计、主要结果测量、发表类型和语言。使用经过验证的工具对选定的文章进行质量评估。根据美国心脏病学会和美国心脏协会(ACC/AHA)制定的证据水平对治疗建议进行分类。结果:我们检查了自2013年以来用于更新APA指南的44项新研究。高质量的证据支持CBT,包括ERP技术作为OCD的一线CBT治疗。此外,互联网提供的CBT协议也证明了其对成人强迫症的治疗效果。结论:根据高质量的科学证据,基于ERP的CBT是一种广泛使用的治疗成人强迫症的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
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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