Pediatric Anxiety Research Clinic, Brown University Medical School, 1 Hoppin Street, 2nd Floor, Providence, RI 02903, USA.
Expert Rev Neurother. 2011 Feb;11(2):287-98. doi: 10.1586/ern.10.195.
Careful evaluation of obsessive-compulsive disorder (OCD) is critical owing to its under-recognition, difficulty ascertaining accurate diagnoses and the need for detailed treatment planning. We review current methods for the assessment of OCD in adults, including unstandardized clinical interviews, standardized diagnostic and other clinical interviews, patient- and family-report measures, and brief or web-based screening measures. Depending upon the question of interest, clinicians and researchers may select from these measures to best assess obsessive-compulsive symptoms in multiple settings. Current research regarding the assessment of OCD has focused on the underlying symptom dimensions, suggesting that each symptom dimension may be associated with different etiology and require tailored treatment. In the future, research may show that effective assessment of OCD involves identification of relevant symptom dimensions to facilitate the choice of appropriate treatment.
由于强迫症（OCD）的识别率低、准确诊断困难以及需要详细的治疗计划，因此对其进行仔细评估至关重要。我们回顾了目前用于评估成人 OCD 的方法，包括非标准化临床访谈、标准化诊断和其他临床访谈、患者和家属报告的测量方法以及简短或基于网络的筛查措施。根据感兴趣的问题，临床医生和研究人员可以从这些方法中进行选择，以在多种环境下最好地评估强迫症症状。目前关于 OCD 评估的研究集中在潜在的症状维度上，这表明每个症状维度可能与不同的病因有关，需要量身定制治疗方法。未来的研究可能表明，有效的 OCD 评估涉及识别相关的症状维度，以促进选择适当的治疗方法。
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