Treatment of late-onset OCD following basal ganglia infarct
Treatment of late-onset OCD following basal ganglia infarct
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DOI：
10.1002/da.10024
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发表时间：
2002-01-01
影响因子：
7.4
通讯作者：
Gillock, KL
中科院分区：
文献类型：
--
作者：
Carmin, CN;Wiegartz, PS;Gillock, KL
包括暴露和反应预防（EPP）形式的认知行为疗法（CBT）。然而，这些方法对老年人的普遍适用性在很大程度上仍然没有记录。这项临床病例研究检查了药物和强化住院EPP对基底节梗死后出现强迫症的老年患者的有效性。从基线到随访，Yale-Brown强迫症量表的强迫症和强迫症都有显著降低[YBOCS; Goodman et al.，1989年，总成绩下降超过20分。这些增益保持到治疗后1年。具体问题和标准的治疗方法，以老年客户的应用进行了讨论。(C)2002 Wiley-Liss，Inc.
includes cognitive behavior therapy (CBT) in the form of exposure and response prevention (EPP). However, the generalizability of these methods to elderly populations remains largely undocumented. This clinical case study examines the effectiveness of medications and intensive, inpatient EPP in an elderly patient with onset of OCD following basal ganglia infarcts. There was a dramatic reduction from baseline to follow-up in both obsessions and compulsions with Yale-Brown Obsessive-Compulsive Scale [YBOCS; Goodman et al., 1989] total scores decreasing by over 20 points. These gains were maintained up to I year post-treatment. Age-specific issues and the application of standard therapeutic methods to elderly clients are discussed. (C) 2002 Wiley-Liss, Inc.