Department of Scienze della Salute, University of Florence, Italy.
Department of Psychiatry and Behavioral Sciences, Albert Einstein College of medicine, Bronx, NY.
Int J Neuropsychopharmacol. 2018 Nov 1;21(11):1007-1013. doi: 10.1093/ijnp/pyy079.
Despite longitudinal studies reporting symptomatic remission rates ranging from 32% to 70%, Obsessive-Compulsive Disorder is considered a persistent and very disabling disorder. However, these studies suggest that recovery can be a realistic goal for a subgroup of the Obsessive-Compulsive Disorder population and that a clear definition of recovery is timely in Obsessive-Compulsive Disorder. The aim of this paper is to discuss the dimensions of and propose an operational definition of recovery in Obsessive-Compulsive Disorder. Considering the impact generated by the definition of recovery for other mental disorders, this article discusses how this concept may shape the future of research and clinical practice in Obsessive-Compulsive Disorder. Ultimately, the hope is that the management of Obsessive-Compulsive Disorder may parallel, and expand upon, some of the current approaches implemented in the care of schizophrenia, so that early diagnosis, stepped-care techniques, and a personalized approach can be used to create recovery-oriented treatment programs and influence policy making for Obsessive-Compulsive Disorder.
尽管纵向研究报告的症状缓解率范围从 32%到 70%，但强迫症被认为是一种持续且非常致残的疾病。然而，这些研究表明，对于强迫症患者的亚组来说，康复是一个现实的目标，并且及时对强迫症进行康复定义是很有必要的。本文旨在讨论强迫症中康复的维度，并提出一个操作性定义。考虑到康复定义对其他精神障碍产生的影响，本文还讨论了这一概念如何塑造强迫症研究和临床实践的未来。最终，希望强迫症的管理可以与目前在精神分裂症治疗中实施的一些方法相平行和扩展，以便采用早期诊断、分级护理技术和个性化方法来创建以康复为导向的治疗计划，并影响强迫症的政策制定。
