Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
Curr Psychiatry Rep. 2020 Aug 15;22(10):53. doi: 10.1007/s11920-020-01176-x.
This review aims to give an update on research in the past 5 years regarding the co-occurrence, assessment and treatment of obsessive compulsive disorder (OCD) in individuals with autism spectrum disorder (ASD).
Recent findings affirm not only a high prevalence of OCD amongst individuals with ASD (and vice versa) but also notable variability in assessment methods and results. There remain limited validated measures with which to assess OCD in those with ASD, which are often difficult to differentiate. Adapted and function-based CBT programs specifically designed for ASD demonstrate promising results, but additional randomised controlled trials are needed. Though some exciting progress has been made in the area of treatment of OCD in ASD, progress remains hampered by inconsistent measurement of OCD in ASD. Future priorities include development of brief, valid assessment tools and determining the efficacy and effectiveness of newly developed and adapted treatment programs.
本篇综述旨在介绍过去 5 年中关于自闭症谱系障碍(ASD)个体中强迫症(OCD)共病、评估和治疗的研究进展。
最近的研究结果不仅证实了 ASD 个体中 OCD 的高患病率(反之亦然),还证实了评估方法和结果存在显著差异。目前,针对 ASD 患者,评估 OCD 仍缺乏经过验证的有效方法,而且这些方法往往难以区分。专门为 ASD 设计的基于适应和功能的认知行为疗法(CBT)方案显示出有前景的结果,但仍需要更多的随机对照试验。尽管在 ASD 中 OCD 的治疗方面取得了一些令人兴奋的进展,但由于对 ASD 中 OCD 的测量不一致,进展仍然受到阻碍。未来的重点包括开发简短、有效的评估工具,并确定新开发和改编的治疗方案的疗效和有效性。