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成人强迫症的药物治疗:基于ADAPTE方法的临床实践指南。

Pharmacological treatment of obsessive compulsive disorder in adults: A clinical practice guideline based on the ADAPTE methodology.

作者信息

Menchon Jose M, Bobes Julio, Alamo Cecilio, Alonso Pino, García-Portilla María Paz, Ibáñez Ángela, Real Eva, Bousoño Manuel, Saiz-Gonzalez Maria Dolores, Saiz-Ruiz Jeronimo

机构信息

Servicio de Psiquiatría, Hospital Universitario de Bellvitge, Universidad de Barcelona, L'Hospitalet de Llobregrat, Barcelona, España; Instituto de Investigación Biomédica de Bellvitge (IDIBELL); Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM).

Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); Departamento. de Medicina - Psiquiatría, Universidad de Oviedo, Oviedo, Asturias, España; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).

出版信息

Rev Psiquiatr Salud Ment (Engl Ed). 2019 Apr-Jun;12(2):77-91. doi: 10.1016/j.rpsm.2019.01.003. Epub 2019 Mar 5.

Abstract

Despite the existence of effective evidence-based treatments for the management of obsessive-compulsive disorder (OCD), the therapeutic approach to this disease remains suboptimal. The availability of a therapeutic pharmacological guideline for OCD could help to improve the management of the disease in our setting and to reduce the burden of disease for the patient. With the sponsorship of the Spanish Society of Psychiatry, a group of experts has developed a guideline for the pharmacological treatment of OCD based on the recommendations of existing guidelines and following the methodology of the ADAPTE Collaboration. This article summarises the process of preparing this guideline and the recommendations adopted by consensus by a guideline panel grouped into five areas of interest: acute treatment, duration of treatment, predictors of response and special symptoms, partial response to lack of response to treatment, and special populations.

摘要

尽管存在用于治疗强迫症(OCD)的有效循证疗法,但针对该疾病的治疗方法仍不尽人意。制定一份OCD治疗药理学指南有助于改善我们地区对该疾病的管理,并减轻患者的疾病负担。在西班牙精神病学会的赞助下,一组专家根据现有指南的建议并遵循ADAPTE协作组织的方法,制定了一份OCD药物治疗指南。本文总结了该指南的制定过程以及由一个指南小组达成共识采纳的建议,这些建议分为五个感兴趣的领域:急性治疗、治疗持续时间、反应预测因素和特殊症状、对治疗无反应的部分反应以及特殊人群。

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