Cognitive Rehabilitation for Adult Patients With Obsessive-compulsive Disorder: A Systematic Review of Randomized Controlled Trials.

IF 1 Q4 NEUROSCIENCES

Basic and Clinical Neuroscience Pub Date : 2024-05-01 DOI:10.32598/bcn.2022.1604.3

Farah Bakizadeh, Saba Mokhtari, Fahime Saeed, Asieh Mokhtari, Pouria Akbari Koli, Mohammadreza Shalbafan

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引用次数: 0

Abstract

Introduction: Obsessive-compulsive disorder (OCD) is a disabling mental condition. Many studies have shown that OCD patients have cognitive deficits in various aspects of their cognition, which is a worsening factor of symptom severity, a potential endophenotype, insight predictor, and prognostic indicator of OCD. We designed this systematic review to evaluate the clinical efficacy of cognitive rehabilitation in cognitive deficits and symptom severity of patients with OCD following the PRISMA guidelines.

Methods: We searched PubMed, Scopus, ScienceDirect, Google Scholar, and Cochrane Library using the MeSH terms and keywords of 'cognitive rehabilitation' and 'obsessive-compulsive disorder'. The database search identified 200 records of interest, and then 105 duplicates were removed from them. From 95 remaining studies, six articles were eligible for the study and met the inclusion criteria. The six articles described individual RCT studies representing a wide variety of study designs.

Results: The six included studies investigated the effect of "organizational training", "cognitive remediation", "attention splitting" and "goal management training" on cognitive impairments and symptom severity of OCD patients.There are a small number of studies with different designs and some biases that have examined the effectiveness of cognitive rehabilitation in OCD patients, with conflicting results regarding the effect of cognitive rehabilitation on OCD symptom severity or cognitive deficit.

Conclusion: According to the results, we cannot conclude about the efficacy of cognitive rehabilitation in adults with OCD. Considering the importance of cognitive deficits in OCD patients, it is necessary to design and conduct standard trials to investigate the role of cognitive rehabilitation in these disorders.

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强迫症成人患者的认知康复治疗：随机对照试验的系统回顾》。

简介强迫症（OCD）是一种致残性精神疾病。许多研究表明，强迫症患者在认知的各个方面都存在缺陷，而认知缺陷是症状严重程度恶化的一个因素，是强迫症的潜在内表型、洞察力预测因子和预后指标。我们按照PRISMA指南设计了这篇系统性综述，以评估认知康复对强迫症患者认知缺陷和症状严重程度的临床疗效：我们使用 MeSH 术语和关键词 "认知康复 "和 "强迫症 "检索了 PubMed、Scopus、ScienceDirect、Google Scholar 和 Cochrane Library。通过数据库搜索发现了 200 条感兴趣的记录，然后从中删除了 105 条重复的记录。在剩余的 95 项研究中，有 6 篇文章符合纳入标准。这六篇文章介绍了代表各种研究设计的个别 RCT 研究：纳入的六项研究调查了 "组织训练"、"认知矫正"、"注意力分裂 "和 "目标管理训练 "对强迫症患者认知障碍和症状严重程度的影响。有少数研究对强迫症患者的认知康复效果进行了研究，这些研究的设计各不相同，存在一定的偏差，在认知康复对强迫症症状严重程度或认知缺陷的影响方面，研究结果相互矛盾：根据研究结果，我们还不能断定认知康复治疗对成人强迫症患者的疗效。考虑到认知缺陷在强迫症患者中的重要性，有必要设计和开展标准试验，研究认知康复在这些疾病中的作用。

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

Basic and Clinical Neuroscience NEUROSCIENCES-

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

4 weeks

期刊介绍： BCN is an international multidisciplinary journal that publishes editorials, original full-length research articles, short communications, reviews, methodological papers, commentaries, perspectives and “news and reports” in the broad fields of developmental, molecular, cellular, system, computational, behavioral, cognitive, and clinical neuroscience. No area in the neural related sciences is excluded from consideration, although priority is given to studies that provide applied insights into the functioning of the nervous system. BCN aims to advance our understanding of organization and function of the nervous system in health and disease, thereby improving the diagnosis and treatment of neural-related disorders. Manuscripts submitted to BCN should describe novel results generated by experiments that were guided by clearly defined aims or hypotheses. BCN aims to provide serious ties in interdisciplinary communication, accessibility to a broad readership inside Iran and the region and also in all other international academic sites, effective peer review process, and independence from all possible non-scientific interests. BCN also tries to empower national, regional and international collaborative networks in the field of neuroscience in Iran, Middle East, Central Asia and North Africa and to be the voice of the Iranian and regional neuroscience community in the world of neuroscientists. In this way, the journal encourages submission of editorials, review papers, commentaries, methodological notes and perspectives that address this scope.