Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2023
Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy.
СтатьяКлинические рекомендацииСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Mathis Maria Alice de, Chacon Priscila, Boavista Rodrigo, de Oliveira Marcos Vinícius Sousa, de Barros Pedro Macul Ferreira, Echevarria Marco Antonio Nocito, Ferrão Ygor Arzeno, Vattimo Edoardo Felippo de Queiroz, Lopes Antônio Carlos, Torres Albina Rodrigues, Diniz Juliana Belo, Fontenelle Leonardo, do Rosário Maria Conceição, Shavitt Roseli Gedanke, da Silva Renata de Melo Felipe, Miguel Eurípedes Constantino, Costa Daniel Lucas da Conceição
Аннотация
OBJECTIVES: To summarize evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD).
METHODS: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, 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.
RESULTS: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD.
CONCLUSION: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD.
METHODS: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, 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.
RESULTS: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD.
CONCLUSION: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD.