Buzan RD, Shore JH, O'Brien C, Schneck C
University of Colorado Health Sciences Center, Department of Psychiatry, Campus Box C270-50, 4200 East 9th Avenue, Denver, CO 80262, USA.
Curr Treat Options Neurol. 2000 Mar;2(2):125-140. doi: 10.1007/s11940-000-0014-1.
Obsessive-compulsive behavior (OCB) or full-blown obsessive-compulsive disorder (OCD) afflict more than 50% of patients with Tourette's syndrome (TS) and often are more debilitating than the tic disorder itself. Medications for OCD, including selective serotonin reuptake inhibitors (SSRIs), help patients with TS and OCD, particularly in combination with low-dose antipsychotic drugs, but seldom eliminate OCD entirely. Behavioral therapies are more effective as medications for the treatment of OCD. A combination of cognitive behavioral therapy and medication is the treatment of choice for most patients with TS and OCD.
强迫行为(OCB)或全面的强迫症(OCD)困扰着超过50%的抽动秽语综合征(TS)患者,并且通常比抽动障碍本身更使人衰弱。用于治疗强迫症的药物,包括选择性5-羟色胺再摄取抑制剂(SSRI),对患有抽动秽语综合征和强迫症的患者有帮助,特别是与低剂量抗精神病药物联合使用时,但很少能完全消除强迫症。行为疗法作为治疗强迫症的药物更为有效。认知行为疗法和药物相结合是大多数抽动秽语综合征和强迫症患者的首选治疗方法。