Treatment of obsessive-compulsive disorder complicated by comorbid eating disorders.
Treatment of obsessive-compulsive disorder complicated by comorbid eating disorders.
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治疗伴有共病饮食失调的强迫症。
DOI：
10.1080/16506073.2012.751124
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发表时间：
2013
影响因子：
4.7
通讯作者：
Riemann,BradleyC
中科院分区：
文献类型：
--
作者：
Simpson,HBlair;Wetterneck,ChadT;Cahill,ShawnP;Steinglass,JoannaE;Franklin,MartinE;Leonard,RachelC;Weltzin,TheodoreE;Riemann,BradleyC
目的进食障碍和强迫症（OCD）常同时发生，但如何治疗这些复杂的病例却鲜有资料。为了解决这一差距，我们研究了56例患者的自然结果，这两种疾病，谁收到了多模式的治疗方案，旨在解决这两个problems simultaneous.MethodsA住宅治疗方案开发了一个认知行为的方法，为患者与强迫症和饮食失调症的整合暴露和反应预防（ERP）治疗强迫症与ERP战略针对饮食病理。患者还接受了监督饮食计划，药物管理和社会支持。在入院和出院时，患者完成了OCD严重程度（耶鲁-布朗强迫量表-自我报告[Y-BOCS-SR]）、进食障碍严重程度（进食障碍检查问卷）和抑郁严重程度（贝克抑郁量表II [BDI-II]）的有效测量。还测量了体重指数（BMI）。配对抽样测试检查这些measurements.Main ResultsBetween 2006 and 2011，56个人完成了所有的研究措施，在入院和出院。平均住院时间为57天（SD = 27）。大多数人（89%）正在服用精神药物。强迫症的严重程度、进食障碍的严重程度和抑郁症的严重程度显著降低。神经性贪食症的患者比神经性厌食症的患者表现出更多的改善。BMI显着增加，主要是在那些体重不足的admission. ConclusionSimultaneoustreatment强迫症和饮食失调症使用多模式的方法，强调ERP技术的强迫症和饮食失调症，可以是一个有效的治疗策略，这些复杂的情况下。
PurposeEating disorders and obsessive-compulsive disorder (OCD) commonly co-occur, but there is little data for how to treat these complex cases. To address this gap, we examined the naturalistic outcome of 56 patients with both disorders, who received a multimodal treatment program designed to address both problems simultaneously.MethodsA residential treatment program developed a cognitive-behavioral approach for patients with both OCD and an eating disorder by integrating exposure and response prevention (ERP) treatment for OCD with ERP strategies targeting eating pathology. Patients also received a supervised eating plan, medication management, and social support. At admission and discharge, patients completed validated measures of OCD severity (the Yale-Brown Obsessive-Compulsive Scale—Self Report [Y-BOCS-SR]), eating disorder severity (the Eating Disorders Examination-Questionnaire), and depressive severity (the Beck Depression Inventory II [BDI-II]). Body mass index (BMI) was also measured. Paired-samplet-tests examined change on these measures.Main ResultsBetween 2006 and 2011, 56 individuals completed all study measures at admission and discharge. Mean length of stay was 57 days (SD = 27). Most (89%) were on psychiatric medications. Significant decreases were observed in OCD severity, eating disorder severity, and depression. Those with bulimia nervosa showed more improvement than those with anorexia nervosa. BMI significantly increased, primarily among those underweight at admission.ConclusionSimultaneous treatment of OCD and eating disorders using a multimodal approach that emphasizes ERP techniques for both OCD and eating disorders can be an effective treatment strategy for these complex cases.
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对因药物依赖而接受治疗的自杀未遂者进行的一年随访研究。
DOI：
10.1080/10550490600754333
发表时间：
2006
期刊：
The American journal on addictions
影响因子：
--
作者：
Agosti,Vito;Levin,FrancesR
通讯作者：
Levin,FrancesR
影响因子：
4.2
作者：
Walsh, Sophie D.;Djalovski, Amir;Harel-Fisch, Yossi
通讯作者：
Harel-Fisch, Yossi
影响因子：
1.9
作者：
Lagerberg, Trine Vik;Larsson, Sara;Melle, Ingrid
通讯作者：
Melle, Ingrid
影响因子：
2.8
作者：
Driessen, M;Meier, S;Junghanns, K
通讯作者：
Junghanns, K
年轻海洛因吸食者的精神共病。
影响因子：
4.2
作者：
M. C. Rodríguez;A. Domingo;M. Brugal;T. Silva;A. Sánchez;M. Torrens
通讯作者：
M. Torrens